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Ask Dr. Kaushik Your Own Question

Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4087
Experience:  MD Psychiatry
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hi chat please

Resolved Question:

hi chat please
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Kaushik replied 1 year ago.

Dr. Kaushik :

Greetings !

Dr. Kaushik :

How are you doing ?

Customer:

hi

Customer:

are you there?

Dr. Kaushik :

yes.

Customer:

hi

Customer:

mr

Dr. Kaushik :

how are you doing ?

Customer:

today is my worst day in my life

Customer:

very very very bad

Dr. Kaushik :

what happened ?

Customer:

derliaztion is horrible

Customer:

flashbakcs is horrible

Customer:

it is not stoping

Dr. Kaushik :

ddi you miss your dose ?

Customer:

I hate the day I did emdr

Customer:

and know emdr theripest

Customer:

it make my life worse

Customer:

before just 2 midctions

Customer:

seroxat and remeron

Customer:

get me out that

Customer:

now 3

Customer:

and I cant stop flashbakc

Customer:

flashbacks make me crazy

Customer:

it didn't stops

Customer:

all that because I did emdr

Customer:

I hate emdr

Customer:

and emdr theripest

Customer:

I cant wast more times

Dr. Kaushik :

ok.

Customer:

I think it is impssobile to continuo

Dr. Kaushik :

i understand your sentiments.

Dr. Kaushik :

no,

Dr. Kaushik :

please do not say that

Customer:

derliaztion is like hell

Dr. Kaushik :

there is hope

Customer:

and flashbacks like hell

Dr. Kaushik :

tell me have you taken rivotril today.

Customer:

NO I DONT HAVE ANY

Customer:

and I cant bring any

Customer:

I went to new pschatrist

Customer:

I don't know if he good

Dr. Kaushik :

what did he prescribe ?

Customer:

he give me valdoxan

Dr. Kaushik :

what dose

Customer:

valdoxan

Customer:

wait

Dr. Kaushik :

what happened to other drugs.

Customer:

ok he give valdoxan

Customer:

25mg

Customer:

at bed time

Dr. Kaushik :

ok.

Customer:

remeron from 30mg to 15mg

Dr. Kaushik :

what happened with your previous drugs

Customer:

just he did that

Dr. Kaushik :

zoloft, remeron

Dr. Kaushik :

?

Customer:

no changing

Customer:

same

Customer:

but add valdoxan

Dr. Kaushik :

so can you give me all the drugs that you are currently taking ?

Customer:

Effexor 225mg

Customer:

Zoloft 200mg

Customer:

remeron 30mg

Customer:

he ask to come down of remeron to 15mg

Customer:

and take valdoxan

Dr. Kaushik :

but you are not supposed to add valodoxan on top of already present 3 anti depressants

Customer:

why?

Dr. Kaushik :

because these 4 anti depressants can increase the serotonin levels in your brain to severely high levels increasing the chances of getting serotonin syndrome.

Customer:

I see

Customer:

so valdoxan from which family?

Dr. Kaushik :

which is a life threatening condition

Customer:

yes indeed

Dr. Kaushik :

it is belonging to a melatonergic group of anti depressant

Customer:

I see

Dr. Kaushik :

but it does add up the serotonin levels

Dr. Kaushik :

when given in addition to the 3 mentioned drugs

Customer:

is it the same as Effexor?

Dr. Kaushik :

no

Dr. Kaushik :

different drug class , relatively newer drug

Customer:

more effective or less?

Dr. Kaushik :

effexor is SNRI

Dr. Kaushik :

LESS

Dr. Kaushik :

effective

Customer:

less effextive?

Dr. Kaushik :

yes

Customer:

ok

Customer:

then forget about them

Customer:

I will not change anything

Dr. Kaushik :

i do not understand what the new psychiatrist is up to

Dr. Kaushik :

because by addign more drugs

Customer:

I told him flashbacks is not stoping

Dr. Kaushik :

he will overload you with anti depressants

Dr. Kaushik :

yes

Customer:

and I didn't told him I take Effexor!

Dr. Kaushik :

but for that you can ask him to add risperidone

Customer:

I forget

Customer:

I see

Customer:

are you sure these midctions are enough?

Dr. Kaushik :

which can help with reduction of flashbacks

Dr. Kaushik :

although risperidone is an anti psychotic drug but it has an additonal use in such flashbacks

Dr. Kaushik :

associated with ptsd

Customer:

I see

Dr. Kaushik :

yes the medications are enough for sure

Customer:

I see

Customer:

then that's ok

Dr. Kaushik :

but you may add risperidone to fasten the process of recovery

Customer:

for now

Customer:

no look

Dr. Kaushik :

but no way valdoxan to be added

Dr. Kaushik :

as it is going to make matters worse

Customer:

he give me gabatrex

Dr. Kaushik :

what dose

Customer:

when needed

Customer:

400mg

Customer:

what is that?\

Customer:

gabatrex

Customer:

gabapentin

Dr. Kaushik :

yes

Dr. Kaushik :

i know

Dr. Kaushik :

about ti

Dr. Kaushik :

it

Customer:

what is that?

Customer:

yes?

Dr. Kaushik :

it is basically used for epilepsy

Customer:

what is that?

Dr. Kaushik :

and also for chronic neuropathic pain

Dr. Kaushik :

it is nerve related pain

Dr. Kaushik :

chronic fatigue

Customer:

I don't need that

Dr. Kaushik :

but it is not needed for your cause

Customer:

ok

Customer:

I see

Customer:

I trust you

Customer:

ok

Customer:

I have another question?

Dr. Kaushik :

yes

Dr. Kaushik :

go ahead

Customer:

ok I want to ask

Customer:

do you know in love?

Customer:

:-)

Customer:

lol

Dr. Kaushik :

ok

Dr. Kaushik :

good for yoi

Dr. Kaushik :

you

Customer:

do you know about relationship?

Dr. Kaushik :

yes

Dr. Kaushik :

ofcourse

Customer:

ok good

Customer:

right noe

Dr. Kaushik :

that is one of my fields of expertize

Customer:

I want to ask you something else

Customer:

I been love with my gf

Customer:

for 7 years

Customer:

she always support me

Customer:

and give me love

Customer:

but before 3 months

Customer:

she break wiith me

Customer:

which make me very mad

Customer:

and sad

Customer:

the support tool

Customer:

I have I lost

Customer:

I want to know,because she is my first love

Customer:

how men love and how woman love?

Customer:

because am suffering much

Customer:

is it the same for her?

Dr. Kaushik :

you see men are more likely to first getting attracted to females and then slowly the love sets in while for a female security, the way the man respects and treats her and whether she can rely and trust the male make her to fall in love with a man

Customer:

yes she love me

Customer:

I know thaat

Dr. Kaushik :

you see having said that this can not be generalized and applied to all women and men.

Dr. Kaushik :

ok

Customer:

yes but is it easy to forget first love?

Dr. Kaushik :

but may be she felt as if your relationship is not ,moving forward and it is stuck at one point

Dr. Kaushik :

i agree

Dr. Kaushik :

but remember you cannot force any one to stay with you because it is what you desire

Customer:

yes

Customer:

but is it easy for girl to forget someone?

Dr. Kaushik :

the other person's decision needs to be respected and accepted because without deep involvement in a relationship it is not going to last

Dr. Kaushik :

no

Dr. Kaushik :

certainly not

Customer:

yes I know

Customer:

but I love her too much

Dr. Kaushik :

but i believe women are more emotionally strong and have better control over their emotional side

Customer:

they can control emotions more?

Dr. Kaushik :

therefore they are better in hiding their emotions and take a practical approach where men tend to feel devastated and difficutl to move on

Dr. Kaushik :

yes

Dr. Kaushik :

you got it right

Dr. Kaushik :

i believe you should pursue her once more and try to convince her to give your relationship one more chance

Dr. Kaushik :

ask her what went wrong

Dr. Kaushik :

and then work with her to sort out the differences

Dr. Kaushik :

that she could not tolerate and took this decision.

Dr. Kaushik :

you see try not to put pressure on her to reconcile with you but give her some space and time to consider giving you one more shot at resurrecting things which she felt lacked in the relationship

Dr. Kaushik :

then work out a plan to fill the gaps that she felt you ignored within the relationship

Dr. Kaushik :

basically you got to give yourself one more attempt in getting your lady love back

Dr. Kaushik :

but this time try to be practical and ask her what went wrong and what can you do to win her back.

Dr. Kaushik :

is this understood ?

Dr. Kaushik :

i hope this makes sense

Customer:

I know what

Customer:

my problem

Customer:

and not giving love back

Customer:

am very good caring person

Customer:

and I know how to deal with her

Dr. Kaushik :

if you have come to know that then what is the problem talk to her and tell her that you are willing to give her love the same way she has been giving it to you.

Customer:

yes indeed

Customer:

but she get bored with my situation

Dr. Kaushik :

i think there is a lot of hope for you to win her back

Dr. Kaushik :

because she is still in love with you just she is perhaps a bit angry

Dr. Kaushik :

and frustration

Customer:

YES

Customer:

THATS

Dr. Kaushik :

so give yourself one last chace

Customer:

IT

Dr. Kaushik :

chance

Customer:

but I want to know

Customer:

because am trying

Dr. Kaushik :

you deserve that

Customer:

for 2 months

Customer:

and she not able to

Dr. Kaushik :

chance

Dr. Kaushik :

i know that you are trying so hard

Customer:

so I just want to know how she think?

Customer:

do she think of me

Customer:

not

Customer:

how girl first love

Dr. Kaushik :

yes

Customer:

is it easy

Customer:

I want to know about her

Dr. Kaushik :

of course she must e thinking about you

Customer:

so I know how to fix things

Customer:

but you told me she can get over it easliy

Dr. Kaushik :

after all you have spent 7 long years with her

Dr. Kaushik :

no

Customer:

yes

Customer:

I never hurt her

Dr. Kaushik :

i meant women are more emotionally strong

Customer:

or do anything bad

Customer:

so how 7 years can be forggten

Dr. Kaushik :

and therefore better at hiding their feelings and emotionally

Dr. Kaushik :

but they are way more attached to their loved one than men are

Dr. Kaushik :

no, how can she forget about you in 3 months

Dr. Kaushik :

that is not possible

Dr. Kaushik :

all she needs is your efforts towards your situation and she wants to see herself that you are trying hard to get better

Dr. Kaushik :

once she gets to know how hard you are trying all this while i am sure that she will consider getting back with you.

Dr. Kaushik :

so try to talk about all of this with her

Customer:

yes I know that

Customer:

she need to see new things

Customer:

she need to see me slim

Customer:

I know

Customer:

but I just need help

Dr. Kaushik :

and let her know how you feel for her and also tell her that since she has left you have been trying so hard to get better for her sake

Customer:

is it easy to forget love of 7 years or hard?

Dr. Kaushik :

not easy

Dr. Kaushik :

at all

Dr. Kaushik :

it is very hard

Customer:

isee

Customer:

ok more I don't talk with her

Customer:

she will miss me more?

Dr. Kaushik :

those who claim it is easy they are either lying or have never loved in the first place.

Customer:

I see

Customer:

will I think

Dr. Kaushik :

you see there is an old saying

Dr. Kaushik :

out of sight out of mind

Customer:

just it is matter of time

Customer:

to get weak

Customer:

and by doing things in life

Customer:

it will help more

Dr. Kaushik :

meaning that if you are making yourself unavailable for her then she may think that you have moved on in life leaving her behind and then this shall make her more motivated to move on in life.

Customer:

yes

Customer:

ok thank you

Customer:

I feel happy

Dr. Kaushik :

take care

Customer:

am working hard for her

Customer:

ok right now

Customer:

Effexor 225

Dr. Kaushik :

i pray for your health.

Customer:

remeron 30mg

Customer:

and zoloft

Customer:

ok

Dr. Kaushik :

yes

Customer:

I may bring rivotril tommorow

Dr. Kaushik :

yes

Customer:

it will help

Dr. Kaushik :

right

Dr. Kaushik :

it will help

Customer:

make things faster?

Dr. Kaushik :

at dose of 0.5 mg preferably taken twice a day

Dr. Kaushik :

for 2-3 weeks only

Customer:

why I cant do 1mg twice?

Dr. Kaushik :

from then onwards 0.5 mg as per the need only

Dr. Kaushik :

you can do that

Dr. Kaushik :

but by convention you need to start at a lower dose so that tolerance to the same drug does not develop

Customer:

ok

Customer:

that will faster everything?

Dr. Kaushik :

so it is a protocol to start at lower dose first and anyways 0.5 mg twice a day dosing is not less for a starter like you

Customer:

ok I want to ask you something

Dr. Kaushik :

yes it will fasten the recovery for sure

Dr. Kaushik :

yes

Dr. Kaushik :

please go ahead

Customer:

why fashbacks is not stoping

Customer:

by Zoloft,effexor and remeron?

Customer:

just by rivotril is stops?

Customer:

otherwise no

Dr. Kaushik :

well this can be due to you being in the same place where you got ptsd

Customer:

ok

Dr. Kaushik :

had you been on this treatment elsewhere

Customer:

ok look

Dr. Kaushik :

then by now you would have almost recovered

Customer:

before 2 years

Customer:

I took

Customer:

seroxat

Customer:

and remeron

Customer:

just these two

Customer:

for 1 year

Customer:

I get out everything

Dr. Kaushik :

you see then you should have started on these two only

Customer:

then I did emdr when I stoped midcines

Customer:

and flashbakcs come like hell

Dr. Kaushik :

but the problem is that after taking the medications for 1 year you exhausted them

Dr. Kaushik :

plus you said emdr made it all worse

Customer:

yes

Dr. Kaushik :

and this could be a possibility indeed

Customer:

I fear I cant get out that here

Dr. Kaushik :

anyways now we cannot go back a step to seroxat and remeron

Customer:

once I did emdr flahsbakcs increases

Dr. Kaushik :

since they must have become ineffective as a combination by now

Dr. Kaushik :

do not do emdrer

Dr. Kaushik :

emdr

Customer:

yes but Zoloft is good for flashbacks?

Dr. Kaushik :

yes

Dr. Kaushik :

definitely

Customer:

ok

Customer:

then I think

Customer:

I give it try with rivotril

Dr. Kaushik :

just add rivotril 0.5 mg twice a day for 2-3 weeks

Dr. Kaushik :

and see the results

Customer:

yes when I do so

Dr. Kaushik :

I hope this makes sense

Customer:

I felt toomuch imrovment

Customer:

but why Effexor and seroxat didn bring rivotril effect?

Dr. Kaushik :

that is difficult to answer

Dr. Kaushik :

as one's body responds differently to different drugs

Customer:

yes but I need rivtril effect

Customer:

once I take it there are no flashbacks at all

Dr. Kaushik :

one may respond well to one particular drug while may not respond to other

Dr. Kaushik :

so why not take it

Customer:

but maybe by time effeoxr can bring that effect?

Dr. Kaushik :

no,

Dr. Kaushik :

please listen

Dr. Kaushik :

you got to add rivotril now as we have discussed

Dr. Kaushik :

if you want to better results

Customer:

ok

Customer:

thank you mr very much

Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4087
Experience: MD Psychiatry
Dr. Kaushik and other Mental Health Specialists are ready to help you

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Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
3761 Satisfied Customers
MD Psychiatry