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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Disossiative Disorder With Psychosis And Bipolar. Taking Respridal But Has Side Effect. Advise?

i'VE RECENTLY BEEN DIAGNOSED WITH DISOSSIATIVE DIISORDER IWTH PSYCOSIS AND BI POLAR AND I NEED COUNSELING BUT AM NOT WILLING TO INTERGRATE ALL OF ME i LIKE MY BROKEN PIECES AND WAS JUST LOOKING STUFF UP i AM CURRENTLY TAKING RESPRIDAL AND IT SHUTS ALL OF THE VOICES AND I FOUND MYSELF IN A FUGUE LAST MONTH SO IT'S ALL NEW TO ME. JUST LOOKIN AND SORRY ABOUUT THE SPELLING I'M SURE YOU CAN FIGURE IT (MY SPELLING) OUT. tRYING NOT TO BE PERFECTIONIST TOO
TRACEY
Tue, 3 Sep 2013
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General & Family Physician 's  Response
Hi, it appears to be the depression, which led to the psychosis, Never think of your self, and your health. try to practice diversion procedures like yoga, meditation, reading books of your interest, and hearing music.
Consult a physician for diagnosis and treatment and follow his advise carefully. Thank you.
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Psychiatrist Dr. Sundar Gnanavel's  Response
Hello.....
Thanks for your query. Treatment for bipolar psychosis should take precedence over dissociative disorder in your case. The treatment for bipolar disorder ncludes mood stabilisers like lithium, valproate as well as antipsychotics with mood stabilising properties like risperidone. Hence, you discuss these options with your psychiatrist. Maintaining a normal sleep-wake cycle as well as avoiding use of alcohol/other substances of abuse is likely to benefit you.
Wish you speedy recovery.
Regards
Dr Sundar G
Psychiatrist
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Addiction Medicine Specialist Dr. Preeti Parakh's  Response
Hi Tracey,

Welcome to Healthcare Magic!

Please do not feel apologetic about your spelling. We at Healthcare Magic understand that you are going through a difficult phase and are here to help you to the best of our ability.

I understand that you have benefited from Risperdal but are concerned about its side effects. You are also unwilling to integrate all of yourself, as you said. In my experience, the best thing that can guide you through this difficult phase is a good rapport with your psychiatrist. Please discuss all your problems and fears with your psychiatrist in detail, because when you open yourself and show that you trust your doctor, your doctor also feels he can trust you to accept his guidance and help. This mutual bidirectional relationship is called rapport and is of immense importance in improving the outcome of your treatment.

I personally feel that I am always able to treat better those patients who do not hesitate to discuss their problems with me in detail, so that together we can find the best possible solution. I hope you also will be able to form a good rapport with your doctor and will no doubt improve.

Hope this helps. Feel free to consult again if there are any clarifications.

Best wishes.

Dr Preeti Parakh
MD Psychiatry
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Psychiatrist Dr. Payman Hajiazim's  Response
Hi there, thanks for asking. Treating bipolar issue could be done with risperdal. Treating dissociative disorder needs talk sessions. Doctor talks to you and you talk about the things that trigger those issues about dissociation to happen. Then you work through the alternatives that can feels to gradually change the situation. I wish you a good health.
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Diagnosed With Disossiative Disorder With Psychosis And Bipolar. Taking Respridal But Has Side Effect. Advise?

Hi, it appears to be the depression, which led to the psychosis, Never think of your self, and your health. try to practice diversion procedures like yoga, meditation, reading books of your interest, and hearing music. Consult a physician for diagnosis and treatment and follow his advise carefully. Thank you.