[ 會員#25776 ] Sam
A question about refractory OCD, GAD and MDD
I have MDD, GAD, OCD and ASD. I have tried Zoloft, Lexapro, Prozac, Paxil, clomipramine, Remeron, Cymbalta, Pristiq, Seroquel, Abilify, Zyprexa, Risperdal, lithium, Depakine, Klonopin, Ativan, Xanax, Lexotan, Inderal and Lyrica. Please see my current prescription below:
1. Fluoxetine 80mg daily
2. Mirtazapine 45mg at bedtime
3. Aripiprazole 30mg daily
4. Olanzapine 15mg nocte
5. Clonazepam 0.5mg tds prn
6. Lorazepam 0.5mg tds prn
7. Pregabalin 250mg om and 250mg nocte
8. Valproate sodium CR 200mg nocte
9. Promethazine 100mg nocte prn
10. Lithium carbonate CR 400mg nocte
After trying so many medications, my OCD, anxiety and depression still make me dysfunctional. I can't resume my university studies or leave my home alone. I see my psychiatrist, clinical psychologist, counselor and social worker regularly. My psychiatrist said she would not recommend ECT. I tried rTMS and dTMS but they don't work. Esketamine and MAOIs are not available. What can be done to bring my OCD, anxiety and depression under control?
1. Fluoxetine 80mg daily
2. Mirtazapine 45mg at bedtime
3. Aripiprazole 30mg daily
4. Olanzapine 15mg nocte
5. Clonazepam 0.5mg tds prn
6. Lorazepam 0.5mg tds prn
7. Pregabalin 250mg om and 250mg nocte
8. Valproate sodium CR 200mg nocte
9. Promethazine 100mg nocte prn
10. Lithium carbonate CR 400mg nocte
After trying so many medications, my OCD, anxiety and depression still make me dysfunctional. I can't resume my university studies or leave my home alone. I see my psychiatrist, clinical psychologist, counselor and social worker regularly. My psychiatrist said she would not recommend ECT. I tried rTMS and dTMS but they don't work. Esketamine and MAOIs are not available. What can be done to bring my OCD, anxiety and depression under control?
何美怡醫生回覆: [ 5/4/2022 ]
Dear Sam,
Thank you for your questions. Sorry to hear that you have been suffering from a range of different mental health issues for a period of time and the symptoms have not been well-controlled. Unfortunately I am unable to answer your questions without doing an assessment in view of your long and complicated history. I would recommend that you need to speak with your psychiatrist again regarding your concerns.
Dr. Robyn Ho
Thank you for your questions. Sorry to hear that you have been suffering from a range of different mental health issues for a period of time and the symptoms have not been well-controlled. Unfortunately I am unable to answer your questions without doing an assessment in view of your long and complicated history. I would recommend that you need to speak with your psychiatrist again regarding your concerns.
Dr. Robyn Ho
cloudy : 是不是有妄想症
醫生，你好！我有時在茶水間明明我進去時看不見人，我就在看壁報板，我聽不到有門聲有人進來，但我感覺到有人坐左係張.......annlee : 眩暈
病患者女 - 50歲 醫生你好 ！本人因 耳鳴眩暈 多年！最近 周身痹痛， 喉嚨不適 是好是壞差不多兩.......Jason : 家人稱私自停藥後情況好轉
病患者女 - 20歲 家人於年前患上精神病，以往曾因自言自語，有幻覺幻聽，發狂大叫，拿刀意圖傷害人而被送.......Bonnie : 記得訓覺發過嘅夢
病患者女 - 24歲 由我幾歲開始就開始記得發過啲咩夢，開心同唔開心都有，被追殺都有，甚至連續劇都試過，.......蔡小姐 : 精神分裂十多年
病患者女 - 40~45歲 本人姐姐患有精神分裂十多年, 在政府覆診, 最近情况好似差了, 但醫生話食的葯已是.......yoki cheung : 驚恐症
病患者女 - 36歲 1.經常會好驚，會突然諗負面野，無啦啦驚D冇謂野，可否治療好， 成日發作時怕失控.......Jolie : 患有偷竊癖應該怎樣醫治, 急求!!
病患者女 - 59歲 您好! 去年我和爸爸才發現, 原來我媽媽一直有偷竊的習慣, 我地都好唔明白, 點.......Karina : 唔知成日覺得好多病痛
病患者女 - 18歲 唔知成日覺得好多病痛?是否有其他問題?.......alex : 懷疑妄想症
病患者女 - 64歲 你好。 我阿媽近一兩年經常懷疑我其中一個鄰居放有異味氣體，但我們一家其他人都.......Winnie : 懷疑患有注意力缺乏多動症
你好，我的小朋友，男仔，4歲9個月 我懷疑他患有注意力缺乏多動症，因為他上課總是不能坐在自己座位上耐心聽.......
發出提問使用細則
致何美怡醫生 提問
即時提問 ?
唔舒服 
