Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health
This answer was rated:

I have been prescribed tegretol 100 mg bid for depression

secondary to chronic pain....
I have been prescribed tegretol 100 mg bid for depression secondary to chronic pain. I have absolutely no motivation, and my daughter has had to remind me to bathe. I never want to leave my house! I am sleepy all the time, and the only emotion I feel is sad...is this normal?
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 1 minute by:
5/2/2012
Doctor Rao
Doctor Rao, Doctor
Category: Mental Health
Satisfied Customers: 641
Experience: MBBS,MD,DPM,MRCPsych
Verified
Doctor Rao : Going through your Q. Will answer soon. Thank you
Doctor Rao :

Hi

Doctor Rao :

I can understand how difficult is to deal with depression and chronic pain

Doctor Rao :

I understatnd you are currently on tegretol and Milnacipran

Doctor Rao :

please confirm

Doctor Rao :

Hi, after going through your medication and your question it does appear that your Depressive symptoms possibly might not have responded fully to the medication.What you are describing as low/ no motivation,self isolation,excessive tiredness leading to exhaustion are some of the biological symptoms of Depression. We do know that chronic pain can worsen or cause depression.Chronic pain also is significant life style changing problem which complicates the depression process. You need to take few steps. 1.You need to see your Doctor to optimize the medication dose.This can be done by looking at your medication,dosage and also Tegretol dose,if it is prescribed for low mood. 2.You might want to see chronic pain specialist if not already done,so you can explore further options if the pain is not under control(as we do know this can contribute to low mood) 3.The best evidence so far for Depression is the combination of antidepressants with Cognitive behavioral therapy.So, it is important to look in to this option if practically possible.4.If excessive sleep is a problem you can request to review the medication to consider less sedative options like Prozac 5.Lastly it might be useful to discuss with your doctor about Cymbalta as an antidepressant because it has shown efficacy in Fibromyalgic pain,neuropathic pain,chronic low back pain. However it is important to avoid poly pharmacy if possible.So, please look in to simplifying the medication regime appropriately with a combination of psychological therapy(CBT).I hope you find this answer helpful.If you agree with this answer.Thank you

Customer: I just wanted to add that the "flat" mood and zero motivation started with the Tegretol. I actually felt better taking Milcinapran 50 mg b.i.d. It is just that my Attending Psychiatrist seems not to find this to be an acceptable alternative.
Doctor Rao : Hi, If your timeline of side effects were correct(confident that low mood started following introduction of medication) you can explain the situation tot he Psychiatrist and I am sure they would take that in to account. May be one thing that helps is you keeping a Mood diary for some days with documenting your mood between 0 to 10 at least twice daily as a record of your pervasive low mood. Then you can consider the options I discussed above. I wish you good luck.Thank you
Doctor Rao
Doctor Rao, Doctor
Category: Mental Health
Satisfied Customers: 641
Experience: MBBS,MD,DPM,MRCPsych
Verified
Doctor Rao and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Ask Doctor Rao Your Own Question
Doctor Rao
Doctor Rao
Doctor Rao, Doctor
Category: Mental Health
Satisfied Customers: 641
641 Satisfied Customers
Experience: MBBS,MD,DPM,MRCPsych

Doctor Rao is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

4,021 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

More than twenty years of expertise in counseling, psychological diagnosis and education

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
I'm depressed just finished my divorce yesterday feel so sad
Hello, I'm depressed just finished my divorce yesterday feel so sad how to get over it faster no energy my eyes tell on me. My X is who wanted it he has abusive and acts like the victim and blames me … read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
Im struggling alot about handling. Strws. Sad and i dont
Ever since i was little i always struggled with waking up sad and then bursting into tears for no reason… read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
I feel this feeling of guilt and sadness and I'm not sure
I feel this feeling of guilt and sadness and I'm not sure why Would you happen to have an explanation for that … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
768 satisfied customers
I feel sad so much I need help dealing with how I feel
I feel sad so much I need help dealing with how I feel because it's affecting with my relationship with my boyfriend and my happiness in general… read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
170 satisfied customers
Second opinion] OKMH98-130 I've been very sad and in a bad
second opinion] OKMH98-130 I've been very sad and in a bad state of mind ever since my mother figure passed away last year. I suffer from insomnia ever since. Loss of interest in daily activities. I p… read more
Juliet Cooper
Juliet Cooper
Doctorate of Psychology
29 satisfied customers
OKMH98-130 I've been very sad and in a bad state of mind
OKMH98-130 I've been very sad and in a bad state of mind ever since my mother figure passed away last year. I suffer from insomnia ever since. I've been sad often. I noticed my mood is better when I'm… read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
I am 54 and sad and lonely, just like the lady I am reading
I am 54 and sad and lonely, just like the lady I am reading about right now. … read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
I am so sad and exhausted. My baby brother dies April 2015,
I am so sad and exhausted. My baby brother dies April 2015, 18 months later i list my Mom. I had been her caterer … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
170 satisfied customers
I was dx with add, ocd tendencies and anxiety 10 years ago.
I was dx with add, ocd tendencies and anxiety 10 years ago. I stopped the adderal.meds bc if the crash they caused. I hear there is a time release that works good but in a new state and need doc tnst … read more
llw26
llw26
Private Practice
Doctoral Degree
11 satisfied customers
I am looking to add supplements to my diet. Specifically
Hi. I am looking to add supplements to my diet. Specifically L-Lipoic Acid, L-Theanine, L-Carnitine, and Cleated Magnesium … read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
My best friend "J" was diagnosed with ADD (or ADHD, I'm not
Hello, my best friend "J" was diagnosed with ADD (or ADHD, I'm not sure the difference), we are in our 40s. But I don't see her having this problem. When she was first diagnosed I just thought, oh it'… read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
I used to take Dexedrine for adult ADD the dr thinks I
Hello, I used to take Dexedrine for adult ADD the dr thinks I should go back on it. I have been having trouble running my business and growing my business and getting organized. My son also used to ta… read more
Dr. Mark
Dr. Mark
Doctoral Degree
129 satisfied customers
Im concerned that i may have ADD. It runs in the family with
Hi im concerned that i may have ADD. It runs in the family with my mother, brother and daughter. Can you tell me what assessments are necessary to do please. Im 42 and life is getting out of control w… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
For the past three years, I felt sad, I thought it was just
For the past three years, I felt sad, I thought it was just temporary, but I feel like I get worse at every waking moment, there shouldn't be a valid reason for me to feel this way, but just last year… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
Am very heart broken and sad while writing this, my 5 year
Hi Am very heart broken and sad while writing this, my 5 year old has treble in school, she had treble once we were in Iraq last year when she doesn't like a class member or a teacher she won't perfor… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
Just looking for information to see if i suffer from ADD, I
just looking for information to see if i suffer from ADD … read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
Im feeling very sad and isolated ... yes... Im on brintillex
yes... Im on brintillex 30 mg and amytryptallin at night to sleep … read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
I just started wellbutrin XL 150 mg to add with my 20 mg
I just started wellbutrin XL 150 mg to add with my 20 mg prozac (I have been on prozac for 20 years and works great, but the last few years I might be getting prozac poop-out) I feel lousy on the Well… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
768 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x