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Suggest Treatment For Persistent Depression
Posted on
Mon, 11 Jan 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 11 Jan 2016
Answered on
Wed, 17 Feb 2016
Last reviewed on
Question : xxxxxxxxx have had chronic depression for 8 years and with treatment of various kinds, have improved considerably. But lately have been having a strong feeling of "out of body" feeling strange toward my wife, like "Who is She" and toward myself, "Where is my personality" I fake very well and don't feel so bad from depression, but these feelings seem to be getting worse, if anything."
Brief Answer:
Consultation
Detailed Answer:
Hello, and thanks for your question.
What you are describing is probably depersonalization and derealization. Given your history (which I have carefully reviewed), this could be from a few different things.
First, it could be simple anxiety. Anxiety can cause these symptoms, and is often comorbid with depression. Vyvanse can worsen anxiety, so you might want to revisit the need for this.
Second, it could be a symptom of depression. For this particular symptom of depression, a medication like Risperdal would work well to help you feel more normal.
Third, it could be neurologic, such as frontotemporal dementia. I would visit a neurologist and undergo cognitive testing to rule this out.
In the future, for continuity of care, I encourage you to contact me at my private link below. After you ask a direct question it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Consultation
Detailed Answer:
Hello, and thanks for your question.
What you are describing is probably depersonalization and derealization. Given your history (which I have carefully reviewed), this could be from a few different things.
First, it could be simple anxiety. Anxiety can cause these symptoms, and is often comorbid with depression. Vyvanse can worsen anxiety, so you might want to revisit the need for this.
Second, it could be a symptom of depression. For this particular symptom of depression, a medication like Risperdal would work well to help you feel more normal.
Third, it could be neurologic, such as frontotemporal dementia. I would visit a neurologist and undergo cognitive testing to rule this out.
In the future, for continuity of care, I encourage you to contact me at my private link below. After you ask a direct question it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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