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Ask Dr. Kaushik Your Own Question

Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 3995
Experience:  MD Psychiatry
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Hi chat please

Resolved Question:

Hi chat please
Submitted: 10 months ago.
Category: Mental Health
Expert:  Dr. Kaushik replied 10 months ago.

Dr. Kaushik :

Greetings !

Dr. Kaushik :

Welcome .

Dr. Kaushik :

How are you doing ?

Customer:

Hi

Customer:

I feel like zombie

Customer:

Icant concentrate

Customer:

Or think

Customer:

Or look at things around me

Customer:

I want to tell you what happend there

Dr. Kaushik :

yes go ahead.

Customer:

I was taking 60mg of remeron then I travel from jordan to canada while dissoiated

Customer:

I get in fugue there

Customer:

Then I get out dissoction in fugue state

Customer:

I didnt know how I come there!! My body try to connect himself he couldnt I feel like crash in my brain

Customer:

My brain start telling me this place in not real

Customer:

my day is not real

Customer:

I enter hospital

Customer:

With fear to get crazy!!!

Customer:

After that I stay in fugue 5 month until I get back

Customer:

But I feel ppl are strange

Customer:

I feel I cant neglect canada

Customer:

But it is not real

Customer:

My brain cant get out dissoction

Customer:

I dont know what suppose to do?

Customer:

Or what happend

Customer:

I feel everything not real

Customer:

My voice

Customer:

Everything

Customer:

And am worry

Customer:

I cant live with things outside

Customer:

Or react with

Customer:

It

Dr. Kaushik :

It is called as Derealization and depresonalization which are types of dissociation.

Dr. Kaushik :

Please tell me how many doses of clonazepam are you taking ?

Customer:

.5 twice

Dr. Kaushik :

ok.

Dr. Kaushik :

and what about zyprexa ?

Dr. Kaushik :

do you have it with you.

Customer:

No zyprexa

Customer:

Remeron is enough

Customer:

I feel this body is not belong to me

Dr. Kaushik :

I understand.

Dr. Kaushik :

how much remeron dose are you taking ? 22.5 mg ?

Customer:

Yes

Customer:

What about getting more remeron?

Customer:

30mg

Dr. Kaushik :

No,

Customer:

Why?

Dr. Kaushik :

the higher dose triggered all of this

Dr. Kaushik :

why go there again.

Dr. Kaushik :

zoloft 200 mg that you are taking ?

Customer:

Yes

Customer:

Zoloft remeron clonazibm

Dr. Kaushik :

why are you not wanting to start on zyprexa ? is it because of weight gain ?

Customer:

Yed

Customer:

Yes

Dr. Kaushik :

i will like to get your remeron replaced with a drug either zyprexa or abilify.

Dr. Kaushik :

abilify does not cause weight gain usually.

Customer:

Why?

Dr. Kaushik :

because i feel you are no longer responding to remeron and it is doing more harm than good.

Dr. Kaushik :

so it shall be replaced so as to bring you out of the fugue.

Dr. Kaushik :

abilify is the drug which can be used to replace it.

Dr. Kaushik :

if you do not want to replace remeron then at least reduce the dose to 15 mg

Customer:

What is that?

Customer:

Ok I will

Dr. Kaushik :

it is basically a newer generation anti psychotic drug which at low dose is effectively used for treating anxiety, depression , dissociation, fugue.

Customer:

I feel am scared to remember or think

Dr. Kaushik :

and abilify does not cause weight gain.

Dr. Kaushik :

you shall stay on a low dose of 10 mg / day

Dr. Kaushik :

and may in fact continue on remeron 15 mg if you do not want to discontinue it

Dr. Kaushik :

so the revised regime will be

Customer:

I see

Dr. Kaushik :

zoloft 200 mg . clonazepam 0.5 mg twice , remeron 15 mg once at night , and abilify 10 mg in the morning

Dr. Kaushik :

it may take 2-3 weeks for you to see the improvement in your dissociation and fugue after starting on abilify.

Customer:

I sew

Customer:

See

Dr. Kaushik :

You see it has been long time that you have been fluctuating in your symptoms.

Dr. Kaushik :

so i feel you should now make a plan to get this over and done with

Dr. Kaushik :

therefore i suggest you to add abilify 10 mg to the current drug regime

Dr. Kaushik :

and reduce the remeron dose to 15 mg .

Dr. Kaushik :

I really want to help you come out of this.

Customer:

Ok is it used for ptsd?

Dr. Kaushik :

It is used for that too.

Dr. Kaushik :

It has multiple functions and that is why it is a unique drug.

Customer:

I see

Customer:

I will try that

Customer:

But how you know that I still hv fugue?

Dr. Kaushik :

No, it is fleeting type of fugue ,meaning that it comes and goes.

Dr. Kaushik :

that is one problem that needs to be checked and resolved.

Customer:

Ok thank you

Customer:

I will

Dr. Kaushik :

Please i urge you to try it and hopefully this will take care of your symptoms including zombie like feeling.

Dr. Kaushik :

anxiety, ptsd, dissociation and fugue.

Dr. Kaushik :

I hope this makes it clear to you what needs to be done.

Dr. Kaushik :

Is this understood.

Customer:

Yes

Customer:

Remeron 15 mg

Dr. Kaushik :

it is about time to get this over and done with.

Customer:

From today

Dr. Kaushik :

so just stick to the regime regularly.

Dr. Kaushik :

yes.

Dr. Kaushik :

right.

Customer:

Yes I will

Customer:

Ablify 10mg

Dr. Kaushik :

yes.

Customer:

I will

Customer:

Thank you

Dr. Kaushik :

that is known as aripiprazole

Dr. Kaushik :

in the generic form

Customer:

Yes

Customer:

Thank you

Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 3995
Experience: MD Psychiatry
Dr. Kaushik and other Mental Health Specialists are ready to help you

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