Suggest Treatment For Severe Anxiety And Depression

Posted on Sun, 26 Mar 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 26 Mar 2017 Answered on

Wed, 12 Apr 2017 Last reviewed on

Question : I've been diagnosed with depression/anxiety disorder but also suffering from fibromyalgia etc. Currently I feel I can harm someone else, but I rather harm myself. Just thoughts no actions and no conversations going on. What ca n I do?
I feel guilty for thinking those terrible things.I am also perimenopausal, My hormones are really on guard. The important take away is I don't intend to harm anyone or myself...The feeling is there but I will never act out my thoughts. Ok I'm waiting for an answer.

Answered by Dr. Alexander H. Sheppe (43 minutes later)

Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

I'm sorry you're feeling this way. What you are describing is likely consistent with a major depressive episode. This can be effectively treated with a combination of antidepressant medication and psychotherapy. Are you currently taking Celexa? What dose? Are you currently seeing a therapist? If so, how often?

Dr. Sheppe

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Alexander H. Sheppe (1 hour later)

Yes I'm taking Celexa daily, I don't know the dose currently but I take it faithfully. No I'm not seeing a therapist, because I can't afford going to one. I just read or listen to music to escape the episode and later discuss with my aunt. I'm keeping my distance as far as being around her and anyone else.

Answered by Dr. Alexander H. Sheppe (8 hours later)

Brief Answer:
Followup

Detailed Answer:
Okay. I strongly recommend consulting with your prescribing doctor to increase the dose of Celexa. The maximum daily dose is 40mg, which you should slowly increase to eventually target. This will help you feel better.

Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address 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 web address: tinyurl.com/DrSheppeAnswers

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Above answer was peer-reviewed by : Dr. Prasad