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Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4620
Experience:  MD Psychiatry
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hi chat please

This answer was rated:

hi chat please

Dr. Kaushik :

Greetings!

Dr. Kaushik :

How are you ?

Customer:

hi\

Customer:

are you there?

Dr. Kaushik : Yes I am here
Dr. Kaushik : Please go ahead.
Customer:

hi

Customer:

my problem

Dr. Kaushik : Hello
Customer:

is

Customer:

derliaztion

Customer:

it is very annoying

Customer:

as well as I cant leave countrie

Customer:

derliaztion

Customer:

IS VERY VERY ANNOYING

Customer:

I don't know why I cant get over it

Customer:

I can pay attention to things around me

Customer:

cant

Customer:

I feel am not in jordan

Customer:

I feelam in other world

Dr. Kaushik : I can understand that and I empathize with you
Customer:

I cant travel to canada

Customer:

I cant go anywhere

Customer:

until I get out dissction

Customer:

time is running

Customer:

I never had derliaztion in my life

Customer:

I feel

Customer:

too much mood swing

Customer:

every 10 s

Customer:

my mood switch

Customer:

always

Customer:

switch switch

Customer:

I cant do something

Customer:

or complete something to the end

Customer:

I want to go out

Customer:

then I change my mind

Customer:

then I go

Customer:

then I go back

Customer:

I feel power

Customer:

then I feel hunted

Customer:

then confidant

Customer:

then shy

Customer:

rivotril is working like magic

Customer:

when I take 1 mg

Customer:

it is like magic

Customer:

then I go down

Customer:

why Zoloft and Effexor is do nothing

Dr. Kaushik : Are you not taking rivoril everyday.
Dr. Kaushik : Are you taking rivotril every day.
Customer:

yes

Customer:

1mg before sleep

Customer:

it make things more unstable during day time

Dr. Kaushik : As far as Zoloft is concerned I have asked you to come off it.
Dr. Kaushik : But I feel now is the right time to raise the dose of effexor to 225 mg /day
Dr. Kaushik : But Zoloft needs to go since it has become ineffective.
Customer:

yes

Customer:

but maybe it is effective

Customer:

maybe I cant find it is effect

Customer:

maybe it need time

Dr. Kaushik : As far as rivotril is concerned you may ask your doctor to give you 0.25 mg during the day that is one fourth of the night time dose and it shall not called she morning time drowsiness.
Customer:

yes

Customer:

I will ask him

Customer:

for that

Dr. Kaushik : So revision of your DRG regime will have Zoloft stopped, effexor dose increase to 225
Dr. Kaushik : Mg /day
Dr. Kaushik : Remeron 15 mg
Dr. Kaushik : Rivotril 0.25 mg in the morning at 9 am and 1mg in the night before bedtime
Dr. Kaushik : This shall help you to solve your derealization.
Dr. Kaushik : Is this understood.
Dr. Kaushik and other Mental Health Specialists are ready to help you

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