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: 3997
Experience:  MD Psychiatry
Type Your Mental Health Question Here...
Dr. Kaushik is online now
A new question is answered every 9 seconds

I have had issues with depression for a long time, lately I

Customer Question

I have had issues with depression for a long time, lately I have been a lot better with the depression side of my problems but I can't figure out whats wrong with me. I was looking at an article on disorganized schizophrenia and it sounded like my symptoms...I have a LOT of trouble putting together words into competent sentences and have been finding it harder and harder to find anything to talk about in social situations...its like its all constantly bullshitting. Since my symptoms all started a few years ago I've had lots of trouble with social situations and generally avoid them, depression resulting from my social issues, trouble finishing any tasks, constantly changing moods, a lack of excitement or real emotion..even my closest friends accuse me of being fake or emotionless, trouble focusing, and thoughts that seem to jump from one random idea to the next...do you think i might be a schizophrenic? what is the best way to find out for sure? SPECT scan? ANOTHER pysch evaluation? I'm sick of feeling crappy, I want to lead a happy and successful life and its hard when you can't convey your ideas or even know what you are thinking sometimes. pleas help
Submitted: 3 years ago.
Category: Mental Health
Expert:  Dr. Kaushik replied 3 years ago.

Dr. Kaushik :

Hi there,

Dr. Kaushik :

Welcome to Just answer !

Customer :

Hi thanks for taking some time to talk to me

Customer :

I really appreciate it

Dr. Kaushik :

Well, the symptoms wich you have narrated could also be present in depression alone , as in severe depression , there is lack of pleasure in previously pleasurable activites , patient likes to keep to self and do not have emotional approach to deal with frienda nd family alike , also there is inability to concentrate on work and many times avoids social situation because of feeling low , and haibg low self esteem , etc

Customer :

yes i suppose that is more likely it just seems as though i've tried a ton of different depression medications and they all make me feel worse in some ways

Customer :

and i wouldn't socially isolate myself if i didn't feel so incapable of interacting with people

Customer :

i can't think of things to say and i have to fake all of my interactions with people

Customer :

my thoughts get all jumbled up and when someone is talking about one thing...many times my mind thinks of something completely unrelated

Customer :

its very hard to relate ideas and remember simple things

Dr. Kaushik :

The fact that you do not seem like haing schizophrenia is because you have intact insight , that means that you know that you are having problem and thereby seek for help from a professional , so this rules out schizophrenia , but i would strongly recommend a thorough evaluation by a psychiatrist to confirm severe depression alone with social phobia , which according to me could be your provisional diagnosis , but it needs to be confirmed by a psychiatrist , so go to one and get your self evaluated ..

Dr. Kaushik :

ALso, i do not know which all drugs you have tried but i would suggest a mix of 3 drugs , which usually give positive results in cases similar to yours , so you shall discuss these driug with your doctoe as well..

Customer :

Yeah i've always been very smart Its just been a really hard process trying to figure out what exactly is wrong with me.

Customer :

what drugs?

Dr. Kaushik :

the drugs are as follows- effexor xr or paxil cr or remeron or anafranil , any one of these to be chosen depending on which one of them you have not tried , 2) trazodone and 3) klonopin or ativan or buspar , any one of these 3 to be chosen depending on which drug have you not yet tried..

Customer :

my dad took paxil for a long time but had a very very hard time getting off of it. I've tried remeron before and trazadone but never any of the last three

Dr. Kaushik :

Kindly discuss these with your psychiatrist after you have been evaluated by him , which to me does not seem to be schizophrenia , but major depressive disorder with social phobia ( anxiety).

Customer :

okay

Customer :

thank you very much for your help

Dr. Kaushik :

I will recommend that you try the combination ..

Dr. Kaushik :

it will positively work..

Dr. Kaushik :

I hope this helps..

Dr. Kaushik :

Wish you all the best..

Customer :

is there any way to get a recommendation from you?

Customer :

besides just printing this off?

Dr. Kaushik :

no , cannot recommend .. just print this and show to your psychiatrist..

Customer :

okay thanks again

Dr. Kaushik :

and let the psychiatrist choose from the options..

Dr. Kaushik :

Please press the ACCEPT button if you are satisfied with the answer as only then will i be credited for my service.

Dr. Kaushik :

Regards..

Customer :

i have one more question. I have always had a hard time with medicine because i feel like i am altering myself in some way. I don't want to be

Dr. Kaushik :

Well, you need help from a drug regime , when your symptoms are treated , then the psychiatrist shall bring you off the drugs comletely , and at the moment it is very important for you to overcome your depression as at your age you ahve to achieve a lot and so have to work a lot and so you cannot afford to be struggling with this condition , while important time of yours slip away, so do not worry , nothing will be altered , just think of the positives..

Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 3997
Experience: MD Psychiatry
Dr. Kaushik and other Mental Health 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 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