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. Thomas, MD Your Own Question

Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57643
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
24257177
Type Your Medical Question Here...
Dr. Thomas, MD is online now
A new question is answered every 9 seconds

I have received almost ten different diagnosis over the past

Resolved Question:

I have received almost ten different diagnosis' over the past two years from a psychiatrist who was unexperienced with my type of mental disorder. I was hospitalized two years ago for auditory and visual hallucinations, delusions, mania, insomnia, anxiety etc. and labeled "gravely disabled". I was originally diagnosed by the hospital upon release with "Psychosis NOS" or "Unspecified Psychosis" which is unsatisfactory considering it never evolved into a stable diagnosis. we decided we wouldn't be going back to her again because she is unable to medicate me appropriately or listen to our concerns and explanations. I'm 19 years old female. I was wondering if anyone would have an opinion on what my medication should be. I'm on 200 mg Seroquel, and 1mg Lorazepam (which is the medication I have issues with) and we explained to her that I was hallucinating again, more frequently (nothing provoking violence) and that my anxiety worsened. She lowered my lorazepam and that's all she did.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Thomas, MD replied 1 year ago.
Hello from JA
What is exactly your question about your medication?
Customer: replied 1 year ago.



Expert:  Dr. Thomas, MD replied 1 year ago.
Hello
I have your post but nothing on it
Please re type your reply
Customer: replied 1 year ago.

My question is what would change or advise regarding my medication.
The lorazepam leaves a bad taste in my mouth and doesn't really seem to do anything for my anxiety.
And since I am still hallucinating day and night and having mania problems, would anything need to be added or changed regarding the Seroquel?

Expert:  Dr. Thomas, MD replied 1 year ago.
OK
Without a proper diagnosis you can not know which medicine is correct.

You need another psychiatrist.

Here is what I can tell you Carley. [And remember we do not diagnose on this site, we do not treat, and we do not take the place of your doctor.].



Your mediation clearly is not working.
Some of what you describe is bi polar disorder, not unspecified psychosis.

If this is the case, it is a common error.

While seroquel might be used, it is certainly not a prime drug by itself.

And I see no real indication for long term lorazapam, and think it should be tapered off.

You might be better or on a combination of meds to treat bipolar, or lithium. Bi polar can also have hallucinations in the manic phase.

In many cases lithium is more effective if this is the case.

If it is schizophrenia, there are many choices besides seroquel, and again lorazapam has no real long term indication.

My advice is to either tell your doctor these concerns repeatedly, but if that is not going to work, get a new psychiatrist, and keep at it until you get medications that get rid of these symptoms.

Please let me know if you have further questions.
Please don’t forget a positive rating.





Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57643
Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
Dr. Thomas, MD and 8 other Medical Specialists are ready to help you
Customer: replied 1 year ago.

Thank you for your answers, I have one last question.
What would you suggest for long term instead of Lorazepam?

Expert:  Dr. Thomas, MD replied 1 year ago.
The correct mood stabilizing drug/drugs or lithium, or both.
It once again depends.
But drugs like lorazapam for anxiety should never be a long term choice.

Let me give you just one example.
If this is bipolar, once the manic phase is controlled, an SSRI medication can be used if there is chronic anxiety or depression.
Please let me know if you have further questions.
Please don’t forget a positive rating.
Customer: replied 1 year ago.


I think the main medications I have been on were Buspar, Cymbalta, and lithium. In the past when our doctor was jumping between diagnosis. It's just frustrating that over two years of seeing her she couldn't figure it out. Among the many, generalized anxiety was the diagnosis for the anxiety portion. I know that SSRI are normally used for depression. Would that still be effective for anxiety? Cymbalta was used in that way and it was absolutely terrible for me. The main issue is that I'm not depressed which is why the Bipolar diagnosis didn't stick. Sorry for all the questions, I will definitely rate positively.

Expert:  Dr. Thomas, MD replied 1 year ago.
No an SSRI is used for depression, generalized anxiety and panic disorder, among other things.

You don't have to be depressed to have bipolar.


So, I think the doctor has been jumping the gun, back and forth.
Find another. Or see the current doctor more often...if you have any confidence left in that doc.

Please let me know if you have further questions.
Please don’t forget a positive rating.

Customer: replied 1 year ago.


Thank you!

Expert:  Dr. Thomas, MD replied 1 year ago.
Any time
Any questions.
Find me by request as needed.
Simply use "dr thomas only" in the title of the question.
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57643
Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
Dr. Thomas, MD and 8 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.
 
 
 

Related Medical Questions

Chat Now With A Doctor
Dr. Thomas, MD
Dr. Thomas, MD
Internal med/integrative med/family med
47652 Satisfied Customers
Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc