Have Mental Health Questions? Ask a Psychiatrist Online
How are you doing ?
i want to ask
what is fugue?is it stress or depprission
and why you give me risperdal?
because it is very good
neither stress or depression but it is a type of dissociative disorder
which can be precipitated by underlying trauma or stress of extreme degree.
Risperdal usually works for this fugue
so then it is stress in dissction
and this i say from my personal experience of treating it in many people over the years.
it is anixety
it is precipitated by anxiety / stress
so roughly you can call it that.
what the deffrence between antipschotics and ssris?
i never take antipschotic
ssris are anti depressants and have different mechanism of action such as they act by increasing
levels of serotonin and norepinephrine chemicals in the brain
while on the other hand anti psychotics mainly act by bloking dopamine receptors
and reducing levels of dopamine
risperdal has an advantage of being a newer generation anti psychotic where it acts by blocking dopamine and serotonin receptors
so it act faster?
on anixety and depprission
and you know what risperdal has been used effectively in dissociation and fugue.
i feel people want to hit me
You see this is acting faster because it is being given with zoloft .
everyone want to hit me
what do you mean by that.
i feel re experince of trauma
over and over here
while that stops in canada
because trauma happend here in my house
so right now
i feel of trauma
so it means that you have more chances of recovering in Canada when you are away from the known traumatic stresor.
over and over and over
that was the problem
here in jordan
I believe there is a good chance for you to recover if you just try to seek Hypnotherapy or EMDR
am living in trigger
yes i will
have you thought of using hypnortherapy or EMDR
my friend i will
because either can help in overcoming past trauma
yes but after that i get back to trauma place
that is the problem
which make problem worse
what can you do
i feel re experince worse after emdr
all symptoms is worse
is it possible that until you have fully recover you better stay in Canada
what i do
but first get out fugue
and dissction here
this is the plan
continue taking risperdal
ok i want to ask you something
\as it seems like the answer to bringing you out of the fugue.
yes please go ahead.
is risperdal work for trauma stress?
with zoloft it will be a very formidable drug regime.
all symptoms of ptsd.
ok what dose?
today i will go up to 2 mg
now you are on 1 mg , then after 1 week up the dose to 2 mg
that is good .
today i go up
stay on 2 mg for 7-10 days
i dont think i need more?
and then further up the dose to 3 mg and then maintain on this dose.
2mg is enough?
then maintain on 2 mg only.
2mg is not enough?
decision on further raising the dose can be taken after 2 weeks from now
how does that sound.
but i dont think so
60% of fugue out
but fugue period
is very bad
but before it
i can remember
and people are familer
much much better
I believe this time it is going to be different
as this drug will ensure full recovery
but yes until that happens you shall have to endure his phase/ period.
dose risperdal work on depprission?
unfortunately there are no short cuts.
but i feel you are responding to risperdal fast so better continue on it.
ok dose it work on depprission?
and hopefully this is going to get over.
it tends to Augment
i hv 1 last qestuion
the action of anti depressants like zoloft .
so this addition seems to be the right one.
i want to make sure of something
am sure that dissction is depprission
depprission after anixety
but it is depprission
i feel something
whenever i take 30mg of remeron
insted of 15mg
i feel much better
i know 15 mg is the dose for ptsd
please do not go there again
you have had many problems while being on 30 mg
but 30mg i feel much much better
please do not start getting obsessed wiith the 30 mg dose again.
well now you have risperdal , a much better drug , that will replace remeron at 30 mg.
so now you do not need 30 mg
when you are also taking risperdal 2 mg
do not overload yourself with the drugs
they will do more harm than good.
but 30mg is better than 15mg in deppression
when used alone
which mean get out dissction
but you are now using 200 mg
and 2 mg of risperdal
so in this case 15 mg will be effective as well as safe
therefore no need for 30 mg
otherwise weight gain will occurr
ok i see
please it is my humble request to you
thank you very much
please do not tamper with the present
it is a good one
i will want you to see how it helps you
so please spend time on it
and sport as well
yes of course
tommorow i start sport
and small frequent meals
avoiding oily fried meals
eating green vegetables
avoiding smoking and alcohol
if at all you take them in the first place