HomeAnswersPsychiatrychildhood psychiatric problemI use medicine for stress and have suicidal thoughts. Please help.

Am I treated for the wrong disorder, as I still have awful symptoms and suicidal thoughts after taking medications?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Parth Nagda

Medically reviewed by

iCliniq medical review team

Published At October 3, 2022
Reviewed AtOctober 9, 2023

Patient's Query

Hello doctor,

I had a lot of childhood trauma. I took the ACE quiz and got a score of 5. I am currently diagnosed with depression, anxiety, ADHD, and PMDD by my psychiatrist and PTSD by my therapist. I take Viibryd 40 mg, 80 mg when experiencing PMDD, Bupropion HCL 150 mg, Diazepam 10 mg three times daily if necessary, and Amphetamine salts 10 mg or higher doses as needed. Earlier this month, a trauma response sent me into a deep depression. I was put on tablet Prazosin to help me sleep as I was having PTSD nightmares, this made me overly drowsy, and my depression began to worsen. I stopped taking that, and my psychiatrist prescribed me a tablet of Cariprazine 1.5 mg. I took this once, and I have been hallucinating visually and auditorily. I am experiencing extreme mood swings. I have been experiencing psychosis. I have very bad coordination. I have short-term memory loss and many other awful symptoms.

My doctor then put me on tablet Asenapine 2.5 mg, which I had been on and stopped taking about five months ago. As a result, I am now experiencing quick shifts in mood. I will be fine one moment, then I will feel very sad, and then I will be happy and start bawling literally within minutes or hours of each other. I was put on tablet Aripiprazole and had to be committed to a mental hospital for mutilating my legs and having a breakdown. I have planned my suicide. I know exactly how I will do it. I have a pros and cons list. I genuinely think I am being treated for the wrong disorder. Kindly help.

Answered by Dr. Parth Nagda

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern. I do not think there can be so many different types of diagnosis in one person. I probably feel it could be ADHD (attention deficit hyperactivity disorder) and depression, which may be exacerbated due to resistance. Also, you have been given atypical antipsychotics to augment the action of the antidepressants. In all your treatment history, a mood stabilizer is missing, and adding a mood stabilizer should help with all your problems and improve the efficacy of the antidepressants. And also, once your mood is normal, you should be able to hold the mood there.

Also, another differential diagnosis that can explain this is a different sub-type of bipolar disorder, causing your symptoms to fluctuate. Also, patients with ADHD are known to experience bipolar disorder as they grow up. Also, psychotic symptoms are seen in the hypomanic or manic phase of bipolar illness. I suggest, please, you consider the addition of a mood stabilizer like Sodium valproate or lithium to your current medication. Consult a specialist doctor, discuss with them and start taking the medications with their consent.

I hope this helps.

Thank you and take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Parth Nagda
Dr. Parth Nagda

Psychiatry

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