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Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4617
Experience:  MD Psychiatry
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hi chat please

This answer was rated:

hi chat please

Dr. Kaushik :

Hi there

Dr. Kaushik :

How are you

Dr. Kaushik :

Please go ahead

Dr. Kaushik :

are you there

Customer:

hi

Customer:

yes

Customer:

nooooooooooooooooooooooooo

Customer:

you left?

Customer:

why

Customer:

nooooooooooooooooooooooooooooo

Customer:

nooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo

Customer:

lool

Customer:

hallo hi hi hi hi I I hi

Customer:

hhhhhhhhhhhhhhhhhhhhh

Dr. Kaushik :

i am here

Customer:

hi

Customer:

welcome welcome my friend

Dr. Kaushik :

thanks

Customer:

:-)

Dr. Kaushik :

welcome

Customer:

ok

Customer:

yesterday I bought rivotril

Dr. Kaushik :

please go ahead

Customer:

and am taking twice

Customer:

once I took rivotril

Customer:

I start feeling again

Customer:

:-)

Dr. Kaushik :

good

Customer:

I start feeling

Customer:

but why?

Customer:

why when I leave Jordan I feel

Customer:

when I took rivotril I feel

Customer:

then block get back again?

Customer:

what is the problem

Customer:

???

Dr. Kaushik :

the problem is that the course of your drug regime is not yet complete.

Customer:

no

Customer:

I mean why I couldn't feel in amman

Customer:

if I leave amman I feel

Customer:

if I took rivotril I feel

Customer:

is it because of stress?

Dr. Kaushik :

because the dissociation started when in Amman

Dr. Kaushik :

and so started PTSD

Dr. Kaushik :

HERE

Customer:

yes

Dr. Kaushik :

so as i had told you earlier it is the place where it all started

Customer:

but we need to stop anxiety or stop depprission??

Dr. Kaushik :

so your mind refuses to be reminded of the trauma which you sustained years back

Dr. Kaushik :

that is why it does not want to feel like it is Amman

Dr. Kaushik :

you got to start risperidone sooner or later whenever you are prepared

Dr. Kaushik :

i have mentioned this to you before also

Dr. Kaushik :

but you did not pay attention to my suggestion

Customer:

yes but this is not what I meant

Dr. Kaushik :

please exp-lain

Customer:

am taking too much midcines

Customer:

ok

Customer:

now I don't feel

Dr. Kaushik :

yes

Dr. Kaushik :

got it

Customer:

if I take rivotril I feel again

Dr. Kaushik :

that was the plan

Customer:

then the problem is anixety

Customer:

we need to work to reduce anixety

Customer:

if I need everthing get back normal is that's right?

Dr. Kaushik :

yes

Dr. Kaushik :

you are right

Customer:

ok good

Dr. Kaushik :

that is why i have suggested you rivotril

Customer:

ok now second qestion

Customer:

zoloft

Dr. Kaushik :

which is very effective against anxiety

Customer:

and effexor

Customer:

Zoloft am taking for 6 month

Dr. Kaushik :

ok

Customer:

to reduce anixety

Customer:

I want to know for how long anxiety can reduced?

Customer:

with zoloft

Customer:

??

Customer:

I mean the max effect

Customer:

?

Dr. Kaushik :

i feel that zoloft

Dr. Kaushik :

has been used for quite a long duration

Dr. Kaushik :

now

Customer:

yes

Dr. Kaushik :

and if it has to reduce anxiety it must have reduced it by now by max

Customer:

ok

Customer:

Effexor?

Dr. Kaushik :

further improvement with this drug in anxiety cannot be expected

Dr. Kaushik :

yes

Customer:

is it max?

Dr. Kaushik :

as far as effexor is concerned it is a new drug in your regime

Dr. Kaushik :

it can be raised to 225 mg

Customer:

yes I raised it 1 week before

Dr. Kaushik :

per day preferably in two divided doses of 150 mg in the morning and 75 mg in the evening for maximum effect

Dr. Kaushik :

and it shall take 3-4 weeks to give you maximum effect against anxiety

Customer:

in genral

Dr. Kaushik :

if it has only been 1 week

Customer:

Effexor need 2 month?

Dr. Kaushik :

around 1 month

Dr. Kaushik :

from the day it was made optimal

Dr. Kaushik :

that is 225 mg dose

Customer:

I see

Customer:

so I am expeticing more then

Dr. Kaushik :

in some people effects mey be earlier while in some effects may get delayed by a week

Dr. Kaushik :

yes

Dr. Kaushik :

you got to be patient

Customer:

ok

Customer:

my last qestion

Dr. Kaushik :

i will want you to come down the dose of zoloft to 100 mg

Dr. Kaushik :

since it has done what it could have done

Customer:

ok

Customer:

I want to ask

Customer:

why there are symtoms of something didn't excist?

Customer:

why I feel reexperincing

Customer:

and etc...

Customer:

while nothing is real?

Dr. Kaushik :

it is part of PTSD

Customer:

why am not normal person?

Dr. Kaushik :

because you experienced trauma in the past

Customer:

yes

Dr. Kaushik :

and it still haunts you this way

Customer:

but now there is nothin

Customer:

nothing

Customer:

no thritend

Customer:

is there a way that ptsd cured?

Customer:

by time?

Dr. Kaushik :

yes

Customer:

since there was no real danger>?

Dr. Kaushik :

time heals old traumatic memories

Customer:

no one hit me

Dr. Kaushik :

but you may need help in the form of therpy

Dr. Kaushik :

therapy like CBT

Customer:

yes indeed

Customer:

look

Dr. Kaushik :

WHICH IS NOT LIKE EMDR

Dr. Kaushik :

which i know triggered it all

Customer:

I wont do any change in midcines

Customer:

at all

Dr. Kaushik :

yes

Dr. Kaushik :

that is right

Customer:

ok?

Customer:

I have another qestiuon/?

Customer:

remeron

Customer:

remeron is big big problem

Dr. Kaushik :

ok

Customer:

nothing bring me out dissection except 1 tablet

Customer:

30mg

Customer:

I tried ssris and snris for 4 years

Dr. Kaushik :

ok

Customer:

non do anything

Customer:

just 30mg of remeron

Customer:

help me

Customer:

but side effect

Customer:

is horrbile

Customer:

what ever you d

Customer:

do

Customer:

nothing stops it

Dr. Kaushik :

can you come down to 22.5 mg

Customer:

I don't want to loos the effect also

Dr. Kaushik :

by taking 15 and 7.5 mg tablets

Dr. Kaushik :

since there is no tablet of 22.5 mg

Customer:

I can

Customer:

but imrovment wont be good

Customer:

improvment

Dr. Kaushik :

no but we want to have a dose which will fix your dissociation and avoid side effects

Dr. Kaushik :

we can only know this unless we try

Customer:

I tried useless

Customer:

it is ok mr

Customer:

this is the only problem we have now

Customer:

in future we find solution

Customer:

for that

Dr. Kaushik :

ok

Customer:

mean while it is ok

Dr. Kaushik :

that sounds good

Customer:

thank you mr

Customer:

very much

Dr. Kaushik :

take care

Customer:

I will add rivtoril

Dr. Kaushik :

yes

Customer:

.5 twice?

Dr. Kaushik :

that is essential

Dr. Kaushik :

yes

Customer:

ok

Customer:

from today I do so

Customer:

thank you

Dr. Kaushik :

please do that

Dr. Kaushik and other Mental Health Specialists are ready to help you

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