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: 4069
Experience:  MD Psychiatry
9385906
Type Your Mental Health Question Here...
Dr. Kaushik is online now
A new question is answered every 9 seconds

Good day, Im a 36 year old male facing issues of self-confidence,

Customer Question

Good day,
I'm a 36 year old male facing issues of self-confidence, apathy towards others and my own health, and an inability to believe or to have faith in anything, to trust, or to accept help in anyway, shape or form.
I tend to be very analytical and have a diagnosed case of ADD - at age 14 - and ADHD at age 34, which I take Vyvance for (I've tried every ADHD med). I've tried everything from Religion to Yoga to self-help books to talking with a therapist to no avail. I try to be open to new ideas and explore them as fully as I can, but tend not to find any joy or peace from my endeavors. I find professional therapy to be unhelpful because I see it as business which seeks repeat customers. Happiness is hard to find and I cannot accept praise or compliments and criticism and questions leads me to negative place. Exercise makes me tired and does not invigorate me. Not sure what else to try, but I am willing to listen to recommendations, if anyone wants to share. Thanks.
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Kaushik replied 1 year ago.

Hi there,

Welcome to Just answer !

I am sorry to learn about your condition and i empathize with you.

After looking at your symptoms which you have been harboring for quite a long time , it is suggestive of underlying depression that you possibly have been struggling with and which reflects through your compromised quality of life in all domains of life such as professional , inter- personal , social .

I can sense your exasperation after having tried different forms of treatment modalities but to no avail but before i provide you a plausible solution in the form of some drug options, kindly tell me the medications that you have tried so far ?

I will get back to you once you reply to my query.

Regards..

Customer: replied 1 year ago.

Okay Doc:


Prescriptions (taken for at least 2-3 month increments):


Vyvance 30 mg - current


Adderall XR - 20 mg - side effect extreme insomnia


Methylphenidate Er - 36 mg - didn't feel different


Strattera - start 40 mg end 60 mg - side effect dark destructive thoughts


Paxil - 20mg - sexual side effects


Buspirone HCL 15 mg


Trazadone - 50 mg - taken with Adderall to counteract insomnia


 


I have good insurance for now, but only till Sept when my current position ends. I'm a very good at pretending to be just fine in front of friends, in public, and at work - though I do work from home (the University I work for does not have room in the department building for me). I am an Outreach Professional whose good with tech, digital media, and planning and organization for a University. I'm very polite, courteous, respectful and I follow orders to a tee. I am married and have been with my wife for 14 years and we just had our first child in Dec. Let me know if you need more info.


 


 

Expert:  Dr. Kaushik replied 1 year ago.

Thanks for the valuable inputs.

Kindly please tell other than vyvanse what other medications are your CURRENTLY taking ?

I will get back to you and provide you a plausible solution to your condition.

Regards..

Customer: replied 1 year ago.

Started Tylenol 3 yesterday - shoulder displacement


no others

Expert:  Dr. Kaushik replied 1 year ago.

Thanks for the inputs.

Well i reckon you shall ask your doctor to start you on an anti depressant called as Wellbutrin XL ( Bupropion ) starting at a modest dose of 150 mg / day to be taken only once a day in the morning and after 1 week raise the dose to 300 mg / day and maintain on this dose for at least 2-3 months. This drug is unique among the anti depressant class for being the only one not causing any sexual side effects and weight gain and so it readily finds use in those who had suffered from weight gain or sexual side effects or both with the use of other anti depressants , in your case it being paxil , an ssri class anti depressant. This drug wellbutrin is a very effective anti depressant with least side effects and shall be added to vyvanse and tylenol which you have been currently using.

You shall expect improvement in your mood and other symptoms within 2-3 weeks of starting on this drug as this much duration you ought to give this drug to reach steady state plasma levels to produce the desired effects .

So this is the only addition i suggest you to make to your current drug regime and i am quite hopeful for you to reap rich dividends from this addition , so kindly discuss this with your doctor and do the needful addition.

I hope this helps.

Wish you all the best.

Please kindly leave a Positive rating if you are satisfied with the answer as only then will i be credited for my service.

Regards..

Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4069
Experience: MD Psychiatry
Dr. Kaushik and other Mental Health Specialists are ready to help you
Customer: replied 1 year ago.

Hi Doc,


I rated you yesterday and I chose 4. Not sure what else I can do. I keep trying to rerate you, but the only box which appears is this dialogue box.


Lou

Expert:  Dr. Kaushik replied 1 year ago.

No problem..

It is fine with me.

Take care.

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
 
 
 
Chat Now With A Mental Health Professional
Dr. Kaushik
Dr. Kaushik
Mental Health Professional
4069 Satisfied Customers
MD Psychiatry