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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
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Experience:  Over 20 yrs of Family Practice
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My sister has mild Multiple Sclerosis, (relapsing/remitting)

Resolved Question:

My sister has mild Multiple Sclerosis, (relapsing/remitting) and a Panic Disorder, which started as a result of the unpredictability of the MS. The lesions are mostly in her brain and cause dizziness, unsteadyness. She uses a walker.
In the past year, she has also started experiencing episodes where she "can't walk" She'll be fine, walking normally, with her walker. Then all of a sudden, she'll freeze up, and say her legs won't move. She shakes the walker back and forth, and then becomes panicky, saying she can't "walk" She then goes into a full on panic attack, crying carrying on. After a period of time, she will walk again. This goes on sometimes 5-6 times a day.
We visited her neurologist in September and she said she was doing good. She wasn't having the trouble that day. The doctor thought it could be the 1 ML of Klonopin she was on, causing the muscle freezing. So we took her off that and tried Valium. But it is STILL happening. This is so frustrating for her and us, mostly because we don't know if it is neurological or physological so that we can find a treatment course. What would you suggest our course of action should be. We are worried she will end up in a nursing home.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.
Hi--has she seen a psychiatrist or a psychologist?
Customer: replied 1 year ago.


Yes, she sees a psychaistrist, but it is always a new one. One she saw a year ago, thought it could be the Klonopin, but she left. The one we last saw just said she didn't know, people react different on different medicines. It was our first visit, and so there wasn't much time to talk.


 

Expert:  Dr. Chip replied 1 year ago.
OK Marsha--was she on the Klonipin before this began happening? If so, what was it for?
Customer: replied 1 year ago.


She was on the Klonopin before this was happening. At one point, it was 3 mg a day. The pysciatrist thought that oculd be causing the muscle weakness, and we weaned her down to 1 mg a day.


Three weeks ago, she was switched to Valium, and we hoped the problem would stop, but it is still happening.


 

Expert:  Dr. Chip replied 1 year ago.
But what was the purpose of the Klonopin?
Customer: replied 1 year ago.


Oh sorry, it was for panic attacks, like driving over bridges, leaving the house, etc.


 

Expert:  Dr. Chip replied 1 year ago.
And did she also get therapy sessions for that problem?
Customer: replied 1 year ago.


No, she did not. She is a member of an HMO. They are not very open to additional costs. I thought she should have, but I didn't know how to find one.


 

Expert:  Dr. Chip replied 1 year ago.
OK Marsha. I don't think this was from either the Klonopin or the Valium. I think this is just panic/anxiety that has just worsened and taken a different form. She really would benefit from cognitive behavioral therapy from a well trained psychiatrist. As for medication, I might consider either Wellbutrin or Zoloft.
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 23709
Experience: Over 20 yrs of Family Practice
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