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Ask Dr. Vikas Your Own Question

Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2209
Experience:  MBBS ; M.D Psychiatry, MS. Health Informatics
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ptsd midcine i prefer chat.and if you get dissoiated after

Resolved Question:

ptsd midcine i prefer chat.and if you get dissoiated after that which midction is recommanded i hope i get answer and i prefer chat
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Vikas replied 1 year ago.

Dr Vikas :

Hello

Customer:

hi

Customer:

i want to tell you my stroie

Customer:

but are you pschatrist?

Dr Vikas :

Yes

Customer:

very good

Customer:

i am son

Customer:

of 5 sisters

Customer:

my dad

Customer:

and mom relation

Customer:

wasnt good

Customer:

i used to see my mother being hit

Customer:

by dad

Customer:

while kid

Customer:

i fear of being hit

Dr Vikas :

sorry to hear about this.

Customer:

yes

Customer:

and after

Customer:

many traumas

Customer:

i become new person

Customer:

i get very chivemints in life

Customer:

i get scolarship

Customer:

in university

Customer:

in engineering

Customer:

but one day

Customer:

all life get upside down

Customer:

i get car stoled

Customer:

then

Customer:

after 4 days

Customer:

i slept

Customer:

and wake up in hospitak

Customer:

in series knee problem

Customer:

after many suffring

Customer:

the person threatend me

Customer:

not to tell his dad

Customer:

i did so

Customer:

and he bring 10 guys

Customer:

to my house

Customer:

i couldnt run away

Customer:

from home

Dr Vikas :

I guess, we had a conversation earlier also

Customer:

i even couldnt wake

Dr Vikas :

and I know what happened then.

Customer:

i feel

Dr Vikas :

now you are in Canada

Dr Vikas :

right

Customer:

yes

Customer:

just let me cointnuio

Dr Vikas :

but still think about that incident near your home

Customer:

please

Customer:

yes

Customer:

that day

Customer:

i feel

Customer:

toooooo much fear

Customer:

uncontrol

Customer:

even so

Customer:

i force myself

Customer:

to face them

Customer:

nothing happend

Customer:

no one attack me but after 3 days

Customer:

i had ocd

Customer:

telling me that you are cowerd

Customer:

you fear him!!!

Customer:

and from that day

Customer:

i start feeling

Customer:

of fearing

Customer:

i start rexeperince

Customer:

and feeling

Customer:

like realy

Customer:

they hit me

Customer:

but they didnt

Customer:

but i felt it like happend

Customer:

it is realy happend

Customer:

in my mind

Customer:

after that

Dr Vikas :

OK

Customer:

i start loosing everything

Customer:

from my life

Customer:

i couldnt look at any one life

Customer:

i lost friends

Customer:

my health

Customer:

scolarship

Customer:

just trying to know what is my problem

Customer:

i change 6 drs

Customer:

after 1 year

Customer:

suddnly

Customer:

feeling of being hit

Customer:

stoped

Customer:

i couldnt feel off anything

Customer:

just 1 year

Customer:

i discover i am dissoiated

Customer:

from my identity

Customer:

but

Customer:

in jordan

Customer:

i remember

Customer:

once i take remeron

Customer:

with paroxtin

Customer:

i start feeling again

Customer:

of everything

Customer:

off friends

Customer:

but i thought that comes from remeron

Customer:

so i stoped seroxat

Customer:

but improvment lost

Customer:

then i stoped remeron

Customer:

and nothing

Customer:

just 2 weeks

Customer:

i tried

Customer:

to take zoloft

Customer:

and remeeron

Customer:

i feel

Customer:

i can feel again

Customer:

o f love

Customer:

plessers

Customer:

my memmorie is getting back

Customer:

but until 3 month i cant see dr

Customer:

so please tell me your advice

Customer:

about my sitution

Customer:

about midction

Customer:

i have good theripest

Customer:

but i need to fix midction first

Dr Vikas :

So you were diagnosed as suffering from OCD and PTSD, correct?

Customer:

so please start?

Customer:

yes

Customer:

combnation

Dr Vikas :

you are currently taking Remeron and Zoloft?

Customer:

yes

Customer:

and feel

Customer:

up

Dr Vikas :

in what dose?

Customer:

i feel these two

Customer:

is bring me back

Customer:

remeron 45mg

Customer:

zoloft

Customer:

am taking for 2 weeks

Customer:

200mg

Dr Vikas :

are you finding them useful?

Customer:

just before 2 days i go up

Customer:

to 200

Customer:

very usufl

Customer:

very effective

Customer:

i feel

Customer:

am going up

Customer:

very fast

Customer:

but i dont know how 6 years

Dr Vikas :

OK, see, I frequently myself use this combination in many of my patients with excellent results.

Customer:

nothing happend

Customer:

and just now

Customer:

i dont know what is happning

Customer:

all family gf

Customer:

are very happy

Customer:

from me

Customer:

but i need to understand

Dr Vikas :

so this is a good thing. You have finally found an useful combination of medicine

Customer:

yes

Dr Vikas :

Both of these medicines are useful for OCD and PTSD

Dr Vikas :

majority of patients report benefit specially with this combination.

Dr Vikas :

what exactly you want to know now about medicines?

Customer:

realy

Customer:

re

Dr Vikas :

yes

Customer:

i want

Customer:

to know

Customer:

if it is best midction

Customer:

the rights one

Customer:

for my situation

Customer:

?

Dr Vikas :

see, there is no such thing as the best medicine. It all varies from patient patient.

Dr Vikas :

It is a good thing that you are responding well to this combination. Zoloft is a SSRI antidepressant and is very useful for OCD and PTSD

Dr Vikas :

Remeron has different mechanism of action and complement the effect of Zoloft.

Dr Vikas :

so you can say that these medicines are the right choice currently in your case in my view.

Dr Vikas :

are you there?

Dr Vikas :

?

Customer:

yes sorry

Dr Vikas :

no problem.

Customer:

yes

Dr Vikas :

as you are responding well to this combination so these medicines are the best alternative right now in your case.

Customer:

but i want to get back like before

Dr Vikas :

don't worry, you have recently started Zoloft

Customer:

yes

Customer:

but first 3 days

Dr Vikas :

you should notice good improvement very shortly

Customer:

i feel power

Customer:

but then

Customer:

go

Customer:

but there are improment

Customer:

i didnt feel with luov

Customer:

luvox

Customer:

usully

Customer:

when i take rivotril

Customer:

i feel the same improvemnt of zoloft

Customer:

ok

Dr Vikas :

see, Rivotril is a benzodiazepine and can effectively control anxiety symptoms

Customer:

yes i get same effect

Dr Vikas :

and probably that is why you feel good.

Customer:

in zoloft

Customer:

no re experincing

Customer:

i feel strong

Dr Vikas :

Zoloft will also control your anxiety symptoms effectively.

Customer:

very strong

Customer:

balnced

Dr Vikas :

just give some time to this medicine.

Customer:

so best midction

Customer:

rate

Dr Vikas :

may be 7-14 days

Customer:

for ptsd

Customer:

ok about dissoiation?

Dr Vikas :

I personally prefer Sertraline (Zoloft) and Escitalopram.

Dr Vikas :

same for both

Customer:

sa

Customer:

but i tried luvox

Customer:

it didnt effect anixety at all

Dr Vikas :

Luvox is Fluovoxamine if I am corrent

Customer:

yea

Dr Vikas :

I never use it honestly speaking

Dr Vikas :

don't think it is very much effective from my clinical experience

Customer:

ok what about dose

Customer:

for zoloft

Customer:

for both ptsd and ocd?

Dr Vikas :

See, the usual dose range is from 50-200 mg per day. Usually higher dose are required in patients suffering from OCD

Customer:

mmm i see

Customer:

but usully

Customer:

do emdr help?

Dr Vikas :

Sorry, I got disconnected and could not reconnect.

Dr Vikas :

probably there was some technical problem.

Dr Vikas :

EMDR might be helpful in certain cases specially in combination with medicines.

Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2209
Experience: MBBS ; M.D Psychiatry, MS. Health Informatics
Dr. Vikas and 5 other Mental Health Specialists are ready to help you

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