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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Major Depressive Disorder And Adjustment Disorder?

I am a psychiatric patient. I have major depressive disorder, anxiety with panic attacks and social anxiety, and was recently diagnosed with adjustment disorder ( I have been battling chronic pain for 10 years). I have literally tried every anti-depressant except for paxil. The only anxiety medication I have not tried is xanax. I have been on clonazapam for roughly six years now and it doesn t seem to be working anymore. I was on hydroxazine for breakthrough anxiety. But, after a suicide attempt two months ago, the psychiatrist switched me to a starter dose of prozac, took away my hydroxazine, and cut me from 2mg to 1mg of clonazapam. I am finally going in for my follow-up from being hospitalized and I just want to feel better. I have been going to my counseling sessions. I have been taking my medications. I m still battling terrible mood swings and the depression is getting worse since I left the hospital. I want to be prepared for my visit, because I m tired of feeling and thinking this way. Should I suggest going back up on my prozac again or switching to paxil? Also, the only anxiety medication they have not tried is xanax. Should I suggest to switch to that? I m in my fourties and I just want to enjoy what life I have left before I get old. But, it seems like if I don t make my own suggestions, the psychiatric community finds me a lost cause ( this has been going on for a long time).
Tue, 4 Dec 2018
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General Surgeon 's  Response
Hello,

Avoid unwanted stress and anxiety. Relaxation techniques like yoga and meditation can help a bit. If symptoms persist better to consult a psychiatrist and get evaluated.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Shinas Hussain, General & Family Physician
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What Causes Major Depressive Disorder And Adjustment Disorder?

Hello, Avoid unwanted stress and anxiety. Relaxation techniques like yoga and meditation can help a bit. If symptoms persist better to consult a psychiatrist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician