How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4661
Experience:  MD Psychiatry
Type Your Mental Health Question Here...
Dr. Kaushik is online now
A new question is answered every 9 seconds

I have suffered extreme anxiety and depression for 7 years

Customer Question

i have suffered extreme anxiety and depression for 7 years ,it started 1 night when i smoked sum pot and i got realy paranoid this is not the first time this has happened,anyway i was with 5 of my friends and they started humiliating me and critizing me this made the situation more intense,the next morning i woke up and was still paranoid i thought that weeds strong i took of f and headed for home inever wanted to see those people again i felt like an time went on i was goin 2 work and goin 2 partys ,when people gave me a hard time or crtized me i began 2 really panic then i started to think these people were in on it 2 i begun 2 get very suspicous and paranoid 2 the point i had 2 leave my job ,i had a mental breakdown i stayed at home for two years i didnt know what was wrong with me ,i have been on very medication from respirodone 2 zoloft i still have severe anxiety that i can barely function i take pain pills and drink heavily 2 feel normal what shall i do please help
Submitted: 8 years ago.
Category: Mental Health
Expert:  Dr. Kaushik replied 8 years ago.

Hi there ,

Welcome to Just answer !

I am really sorry to know about what you had to go through , but i believe the real culptrit here had been your pot abuse , anyways it is still not late , so i will suggest you to discuss the below mentioned treatment regime for Anxiety and Depression with your psychiatrist/ psychologist / doctor and also attain abstinence from alcohol.

1) 1 anti depressant such as either Effexor XR ( venlafaxine extended release ) or Paxil CR ( paroxetine controlled release ).Any one of these two is to be chosen and started , both are long actiing anti depressants ,which work throughout the day , and have least side effects due to their slow release into the system.Let your doctor decide the dose and time of intake of the chosen anti depressant , preferably it is to be taken once a day only , as either of them are slow release tablets ..

2) 1 anti anxiety drug such as Klonopin ( clonazepam ) or Ativan ( lorazepam ) , to be started as a single daily dose , which is to be increased slowly to twice a daily dosage . Ask your doctor to start you on a low dose first and slowly raise the dose over 3-5 days .

3) 1 mood stabilizer such as either Lithium or Valproate , preferably lithium as it works well in depression which does not react to anti depressants alone , as in your case as it seems , so addition of lithium to effexor XR or Paxil CR will not only help you in coming out of depression , but will also prevent your mood fluctuations and paranoid thoughts.

The above mentioned drugs need to be continued for atleast 4-6 months , without any default / fail , as only then will they be able to help in treating your Depression and anxiety.

Also , psychotherapy ( counseling in lay terms) is a good additive therapy along with drug therapy which is mentioned above , but , you start on this later once your symptoms have improved a bit with the use of drugs mentioned above, and it is quite likely that the drug therapy alone is sufficient in treating your condition of depression and anxiety .

So, i suggest that you discuss the above mentioned regime with your Doctor / psychiatrist and get started on it , and i am quite sure that it will be able to treat your condition .Also , i will request you to attain abstinence from alcohol as it will impair / block the positive effect of these drugs , plus it is bad for your health.

I wish you best of health.

I hope my answer serves your query according to your satisfaction.

PLease press the ACCEPT button if you are satisfied with the answer as only then will i be credited for the service.