Hello- Thank you for asking the question. I have over 30 years of experience working with individuals, couples and families & am happy to reply.
I am happy to help with this and sorry that you husband has not found satisfaction with his current psychiatrist. It is a big loss when someone loses their Doctor and I am sorry that this has effected your husband.
The following Doctors in Cape Town treat the types of problems your husband is dealing with:
SPECIAL INTEREST AREAS INCLUDE 1. The treatment of all adult psychiatric disorders extending to the treatment of adolescent and elderly patients. 2. Special interest in the treatment of the Bipolar Mood Disorders and the Psychotic Disorders. 3. Special interest in the treatment of Severe Depression and Anxiety Disorders. 4. A strong interest in religio-cultural issues in psychiatry and the importance of socio-cultural support in mental health. 5. Special interest in the treatment of Addictive Disorders and the Attention Deficit Disorder (Adult Type).
Phone: +27 (0)21 551 8660
Dr. Meyer specialised in Psychiatry at the University of Stellenbosch, graduating in 1998. She has been in full time private practice since 1999 in the Blaauwberg area. Areas of interest: • Anxiety Disorders • Depression • Postnatal Depression and Anxiety • Psychotherapy and Neuro-psychoanalysis • Psychopharmacology
Hi- are these Doctors close to where you live now?
Thank you for the feedback, however Dr Chait is the doctor that cannot really assist him at the moment. They have tried various medication with no success. What is your opinion regarding his situation? Is it possible to make any suggestions or do you need more info?
I would suggest he seek a second opinion form Dr. Meyer- (Above). He has specific training PsychoPharmacology which would be most beneficial to your husband.
As you are also an expert what would you do in this situation where it seems that the effexor is not working sufficiently? will it be only medication that will help him to go back to a normal lifestyle?
I can say that Effexor and Lithium are commonly prescribed and take 3-5 weeks to have full effect. What dosages is your husband taking. ??????
The other consideration would be to consider getting second opinion at University of Cape Town - Department of Psychiatry.
He is on this medication for years now. I know he is taking 225mg Effexor and not sure about the lithium. I know that was increased as well at helped for about 3 weeks. He also increased his Effexor from 150mg to 300 at a stage. It only help for a short period before he fell back into depression. This time around it is also different as he is more depressed where other times he will only get very tired? He can also not sleep now which never happened before?
My suggestion is that he definitely get another opinion. Since Dr. Myer is an Expert on Psycho Pharmacology, I would start there. Also, As above, consider the University of CapeTown Dept of Psychiatry for Second opinion.
It sounds like this combination of medication is not providing the necessary stabilization and this can be accomplished. If I were you , I would call Dr. Meyer.
Attached below is the latest information on the medication treatment of BiPolar Disorder from Harvard University.
Bottom line- this is treatable and just a matter of getting the right balance of medication
Do these options seem workable?
I see you have gone offline- If I can help in any way- please ask.
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Thank you for all the referrals but you did not supply us with an answer or suggestion to my question.
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