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. Kaushik Your Own Question

Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4049
Experience:  MD Psychiatry
9385906
Type Your Mental Health Question Here...
Dr. Kaushik is online now
A new question is answered every 9 seconds

HI I HAVE SUFFERED WITH DEPRESSION FO ALMOST A YEAR NOW MY

Customer Question

HI I HAVE SUFFERED WITH DEPRESSION FO ALMOST A YEAR NOW MY DOCTOR HAVE PUT ME ON MIRTAZAPINE ANTI DEPRESSANT ONE AT NIGHT AND ONE DIAZEPAM IN THE MORNING.THE FIRST TIME I SAW MY DOCTOR AFTER BEING ON THESE PILLS ABOUT A MONTH AND TOLD HIM I WAKE UP EVERY MORNING WITH MY HEAD BUZZING MY LEGS ARE LIKE JELLY AND I CAN HARDLY WALK I HAVE TO FORCE MYSELF OUT OF BED AS WHEN I AWAKE I FEEL SO HEAVY HEADED IT IT VERY SCARY BUT MY DOCTOR TOLD ME IT EFFECT PEOPLE IN DIFFERENT WAYSAND DID NOTHING ABOUT IT.SO THIS HAS BEEN GOING ON NOW AMOST A YEAR I KEEP GOING TO HIM AND TELLING HIM HOW I FEEL BUT HE DONT DO NOTHING CAN YOU PLEASE TELL ME WHY AM I WAKING UP FEELING LIKE THIS ITS EVERY MORNING IT IS SO DEPRESSING AND I JUST NEED SOMEONE TO HELP ME WITH HOW I FEEL.THANK YOU MRS HEARN.
Submitted: 5 years ago.
Category: Mental Health
Expert:  Dr. Kaushik replied 5 years ago.

Hi there,

 

Can you please tell me the dose of diazepam that you are taking?

 

Do you have difficulty in sleeping, is that why he has put you on diazepam?

 

Are your symptoms of depression gone or are you still struggling with them?

Customer: replied 5 years ago.
HI I ONLY TAKE ONE IN THE MORNING NO I SLEEP OK I AM STILL STRUGGLING WITH MY DEPRESSION
Customer: replied 5 years ago.
HI I ONLY TAKE ONE DIAZEPAM IN THE MORNING AND I DO SLEEP OK AND YES I AM STILL STRUGGLING WITH MY DEPRESSION.
Expert:  Dr. Kaushik replied 5 years ago.

Dear XXXXXsy,

 

The way your treatment has been going on is actually the root cause for your present symptoms and for you not getting well completely inspite of taking the medications honestly. Actually your doctor has placed you on diazepam which is a long acting benzodiazepine which has a strong hypnotic( inducing sleep)action, and you have been taking it in morning , so no wonder you feel sleepy , sluggish and worn out throughout the day. AND to add to the woes he has placed on mirtazapine which though is given in moderate to severe depression but has strong side effects of sleepiness and dizzyness.

 

So, now you understand why you are feeling the way you feel right now.

So, i strongly suggest that you ask him to put on other antidepressants such as Venlafexine and trazadone combination and stop these two drugs and also add another anti anxiety drug which does not cause much sleep and that is buspirone.

 

Your doctor should have changed your medications long ago since you were not feeling alright and there was not much improvement in depression either.

 

So either, he should change your treatment or you should change your doctor.

 

Wish you get the treatment you deserve.

Regards...

------------------------------------

Please press the accept button if you feel satisfied with my answer and kindly leave a positive feedback

Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4049
Experience: MD Psychiatry
Dr. Kaushik and other Mental Health Specialists are ready to help you
Customer: replied 5 years ago.
hi when you asked me the dose of diazepam i am taking i thought you meant how many sorry well i take one in the morning 2mg and one mirtizipine at night 15mg would this still make me feel the same as you said with this doseage thank you mrs hearn
Expert:  Dr. Kaushik replied 5 years ago.

Hi there,

 

Well as i have mentioned before in my answer , diazepam is a long acting benzodiazepine , and taking it in the morning makes you feel sluggish , sloppy.So instead of taking diazepam , you may start with buspirone or short acting benzodiazepine such as lorazepam or clonazepam .

 

As for mirtazapine , the drug has not much been effective as it is , so it is better,instead you start on venlafexine and low dose trazadone .

That i hope will solve the purpose.

Regards.....

---------------------------------

 

 

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 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
< Last | Next >
  • 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
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education