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Depression

Question
Posted by: Steven Jay | 2018/02/16

Q.

Second opinion

I our previous discussions, I asked advice on the medicine that I am on and the diagnosis that I was given (Bipolar 1, severe anxiety disorder, insomnia and yesterday my Psychiatrist said I might have some sort of personality disorder). I am not an expert, but that seems Like a lot of things to be at once, although feeling like I do on a daily basis, I am not surprised. I have every confidence in My psychiatrist, who is also a specialist in her field. and as your responses the previous time was very informative and professional, I would kindly want your opinion on the medication currently used. My next appointment with her is in one month, to monitor the effect of the medicine and changes in my mood and behavior. The medicine, which was bumped up Yesterday is : Fluoxatine 20mg twice a day. 50mg epitec twice a day, 50mg Dopaquel twice a day and 12.5mg Stillnox every evening. I appreciate your dedication in helping others tremendously. Kind Regards Stefan Jansen van Nieuwenhuizen

Expert's Reply

A.

Depression expert
- 2018/02/19

Hi Seven J,
Sometimes I feel we might all have some degree of a mild personality disorder, which is usually identified when someone else complains about it.  We must be a bit cautious about recognizing that we all have a personality,  and we're fortunate that these vary, or life would be awfully dull ; but only when our particular personality becomes exaggerated to the point of causing real problem for ourselves and others, is it useful to identify it as a disorder deserving some attention.
It is good and will be really useful that you have confidence in your psychiatrist.  Depression and anxiety, though they may occur singly, are commonly present together, and insomnia is usually more of a symptom of either ( or both, or of independent cause ) rather than a disorder in its own right.
The medicine combination you describe is reasonably, and one that is quite commonly fashionable, and should be helpful, the proof of the pudding being, as usual, in the consumption.  I mention fashionable only because from my perspective, I am able to notice trends and fashions,  such as the current popularity of Epitec and Dopaquel.   Let's see how this combination suits you.

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