How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Vikas Your Own Question

Dr. Vikas
Dr. Vikas, Doctor
Category: Medical
Satisfied Customers: 2207
Experience:  MBBS; MD
4079050
Type Your Medical Question Here...
Dr. Vikas is online now
A new question is answered every 9 seconds

Bipolar, ADHD, OCD, Aspergers--whats wrong with me?

Customer Question

Hello, I am a male that has been diagnosed with bipolar disorder due to my strong family history (7 direct relatives are affected maternally--a grandparent and all of his children, including my mother). I have had problems with anger management and outbursts, hypomania, impulsivity, substance abuse, depression, and intense obsessive-compulsive tendencies. My manic/depressive mood swings have ranged from months to within the same day, depending on stress levels, since I can remember (but most significantly, the end of high school). Lamictal has proved ineffective at a high dose. I was recently prescribed instant release Adderall (10 mg) to treat my comorbid ADHD. After trialing it for a month or so, I had a massive panic attack which I believe resulted from an interaction with methylene blue which I co-administered. After that panic attack, I developed a bodily obsession (breathing focus) for some time, and roughly 6 months later, it seems that my obsessive-compulsive tendencies are through the roof (severe guilt, doubt, and intrusive thoughts, mostly relationship-related). I have been diagnosed with bipolar disorder and ADHD, but is it possible that I may also (or ONLY) have OCD, considering that it has the most severe symptoms? Would there be any medication(s) that might particularly benefit me and address most of the problems which I am experiencing? I have been told that I may have Asperger's syndrome as well, given my toe-walking and speech impediments social and behavioral disturbances when younger, if that helps.

Submitted: 11 months ago.
Category: Medical
Expert:  Dr. Vikas replied 11 months ago.

Dr. Vikas :

Hello

Dr. Vikas :

are you there/

Dr. Vikas :

Hi

Customer:

Hello, yes I am here

Dr. Vikas :

So you want to ask specifically for a medicine that can be useful in most of your diagnosis?

Customer:

Yes, any pharmaceutical, nootropic or homeopathic treatment that could possibly help me would be appreciated

Dr. Vikas :

see, considering your multiple diagnosis, in my view, a combination of a mood stabilizer along with an SSRI antidepressant can be very helpful in your case.

Dr. Vikas :

A combination of mood stabilizer like Sodium Valproate + SSRI antidepressant like Fluoxetine or Sertraline can control most of your symptoms.

Dr. Vikas :

Sodium valproate is the first line medicine for treating Bipolar disorder

Dr. Vikas :

while SSRI antidepressant can control OCD, anxiety symptoms, panic attacks.

Dr. Vikas :

mood stabilizer will prevent any manic or hypomanic switch over

Dr. Vikas :

what do you think about this combination?

Dr. Vikas :

anger management and outbursts, hypomania, impulsivity, substance abuse, depression, and intense obsessive-compulsive tendencies.

Dr. Vikas :

this combination can be useful for all the disorders you have mentioned above.

Customer:

I think this sounds very good, although I sometimes worry about SSRI effects in the long-term. May alternatives such as Wellbutrin or Anafrinil be as effective?

Dr. Vikas :

Wellbutrin is not very useful for controlling anxiety or OCD, although it can be useful for ADHD symptoms.

Dr. Vikas :

once you are stabilized on the combination of mood stabilizer + SSRI antidepressant, your doctor can consider the option of adding wellbutrin also.

Dr. Vikas :

SSRI antidepressant are the most widely used antidepressants worldwide and have comparatively lesser side effects when compared to older antidepressant like Anafranil

Dr. Vikas :

SSRI can be safely taken for long term

Customer:

Okay, thank you very much for your input and advice

Dr. Vikas :

you are most welcome,

Dr. Vikas :

thanks for coming to JA

Dr. Vikas :

I hope I’ve provided the information you were seeking, if not, please let me know so that l can continue to help you. If you need more help, please use the reply tab to continue our conversation.
If you do not require further assistance,please rate one of the positive ratings (3,4,5 / smiley faces) as this is the only way how we are compensated for our time and expertise.



Please take a moment to rate the answer.


Kind regards


Vikas

Dr. Vikas, Doctor
Category: Medical
Satisfied Customers: 2207
Experience: MBBS; MD
Dr. Vikas and 3 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.