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Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4661
Experience:  MD Psychiatry
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Chat please

This answer was rated:

Hi chat please
Dr. Kaushik :

Greetings !

Dr. Kaushik :

How are you doing ?

Customer:

hi

Customer:

very good

Customer:

improving

Customer:

i want to ask

Customer:

what is fugue?is it stress or depprission

Customer:

?

Customer:

and why you give me risperdal?

Customer:

because it is very good

Customer:

yes

Customer:

???

Dr. Kaushik :

Fugue is

Customer:

??

Dr. Kaushik :

neither stress or depression but it is a type of dissociative disorder

Dr. Kaushik :

which can be precipitated by underlying trauma or stress of extreme degree.

Dr. Kaushik :

Risperdal usually works for this fugue

Customer:

so then it is stress in dissction

Dr. Kaushik :

and this i say from my personal experience of treating it in many people over the years.

Customer:

it is anixety

Dr. Kaushik :

yes

Customer:

ok

Dr. Kaushik :

it is precipitated by anxiety / stress

Customer:

ok

Customer:

and risperdal

Dr. Kaushik :

so roughly you can call it that.

Customer:

what the deffrence between antipschotics and ssris?

Customer:

i never take antipschotic

Dr. Kaushik :

ssris are anti depressants and have different mechanism of action such as they act by increasing

Dr. Kaushik :

levels of serotonin and norepinephrine chemicals in the brain

Customer:

yes

Dr. Kaushik :

while on the other hand anti psychotics mainly act by bloking dopamine receptors

Dr. Kaushik :

and reducing levels of dopamine

Dr. Kaushik :

risperdal has an advantage of being a newer generation anti psychotic where it acts by blocking dopamine and serotonin receptors

Customer:

so it act faster?

Customer:

on anixety and depprission

Dr. Kaushik :

and you know what risperdal has been used effectively in dissociation and fugue.

Customer:

ok

Customer:

now mostly

Customer:

i feel people want to hit me

Dr. Kaushik :

You see this is acting faster because it is being given with zoloft .

Dr. Kaushik :

and clonazepam

Customer:

everyone want to hit me

Dr. Kaushik :

what do you mean by that.

Customer:

i feel re experince of trauma

Customer:

over and over here

Customer:

while that stops in canada

Customer:

because trauma happend here in my house

Customer:

so right now

Customer:

i feel of trauma

Dr. Kaushik :

so it means that you have more chances of recovering in Canada when you are away from the known traumatic stresor.

Customer:

over and over and over

Customer:

yes

Customer:

that was the problem

Customer:

here in jordan

Dr. Kaushik :

I believe there is a good chance for you to recover if you just try to seek Hypnotherapy or EMDR

Customer:

am living in trigger

Dr. Kaushik :

yes

Customer:

yes i will

Dr. Kaushik :

have you thought of using hypnortherapy or EMDR

Customer:

my friend i will

Dr. Kaushik :

because either can help in overcoming past trauma

Customer:

yes but after that i get back to trauma place

Dr. Kaushik :

that is the problem

Customer:

which make problem worse

Dr. Kaushik :

what can you do

Customer:

i feel re experince worse after emdr

Customer:

all symptoms is worse

Customer:

after emdr

Dr. Kaushik :

is it possible that until you have fully recover you better stay in Canada

Customer:

what i do

Customer:

yes

Customer:

but first get out fugue

Customer:

and dissction here

Customer:

then travel

Customer:

this is the plan

Dr. Kaushik :

continue taking risperdal

Customer:

ok i want to ask you something

Dr. Kaushik :

\as it seems like the answer to bringing you out of the fugue.

Dr. Kaushik :

yes please go ahead.

Customer:

is risperdal work for trauma stress?

Customer:

like reexperincing?

Dr. Kaushik :

yes.

Customer:

flashbacks..etc?

Dr. Kaushik :

with zoloft it will be a very formidable drug regime.

Dr. Kaushik :

yes

Dr. Kaushik :

all symptoms of ptsd.

Customer:

ok what dose?

Customer:

today i will go up to 2 mg

Dr. Kaushik :

now you are on 1 mg , then after 1 week up the dose to 2 mg

Dr. Kaushik :

that is good .

Customer:

today i go up

Customer:

tonight

Dr. Kaushik :

stay on 2 mg for 7-10 days

Customer:

yes

Customer:

i dont think i need more?

Dr. Kaushik :

and then further up the dose to 3 mg and then maintain on this dose.

Customer:

2mg is enough?

Dr. Kaushik :

ok.

Dr. Kaushik :

then maintain on 2 mg only.

Customer:

2mg is not enough?

Dr. Kaushik :

decision on further raising the dose can be taken after 2 weeks from now

Dr. Kaushik :

how does that sound.

Customer:

good

Customer:

but i dont think so

Dr. Kaushik :

what.

Customer:

60% of fugue out

Customer:

but fugue period

Customer:

is very bad

Customer:

but before it

Customer:

very good

Customer:

i can remember

Customer:

and people are familer

Customer:

my identity

Customer:

derlization

Customer:

much much better

Dr. Kaushik :

I believe this time it is going to be different

Dr. Kaushik :

as this drug will ensure full recovery

Dr. Kaushik :

but yes until that happens you shall have to endure his phase/ period.

Customer:

ok

Customer:

dose risperdal work on depprission?

Dr. Kaushik :

unfortunately there are no short cuts.

Dr. Kaushik :

but i feel you are responding to risperdal fast so better continue on it.

Customer:

ok dose it work on depprission?

Dr. Kaushik :

and hopefully this is going to get over.

Dr. Kaushik :

yes.

Customer:

ok good

Dr. Kaushik :

it tends to Augment

Customer:

i hv 1 last qestuion

Dr. Kaushik :

the action of anti depressants like zoloft .

Dr. Kaushik :

so this addition seems to be the right one.

Customer:

i want to make sure of something

Dr. Kaushik :

yes what.

Customer:

am sure that dissction is depprission

Customer:

depprission after anixety

Customer:

but it is depprission

Customer:

i feel something

Customer:

whenever i take 30mg of remeron

Customer:

insted of 15mg

Customer:

i feel much better

Customer:

i know 15 mg is the dose for ptsd

Dr. Kaushik :

please do not go there again

Customer:

no

Dr. Kaushik :

you have had many problems while being on 30 mg

Customer:

but 30mg i feel much much better

Dr. Kaushik :

please do not start getting obsessed wiith the 30 mg dose again.

Dr. Kaushik :

well now you have risperdal , a much better drug , that will replace remeron at 30 mg.

Dr. Kaushik :

so now you do not need 30 mg

Customer:

i see

Dr. Kaushik :

when you are also taking risperdal 2 mg

Dr. Kaushik :

do not overload yourself with the drugs

Dr. Kaushik :

they will do more harm than good.

Customer:

but 30mg is better than 15mg in deppression

Dr. Kaushik :

yes

Dr. Kaushik :

when used alone

Customer:

which mean get out dissction

Dr. Kaushik :

but you are now using 200 mg

Customer:

faster

Dr. Kaushik :

of zoloft

Dr. Kaushik :

and 2 mg of risperdal

Customer:

yes

Dr. Kaushik :

so in this case 15 mg will be effective as well as safe

Dr. Kaushik :

therefore no need for 30 mg

Dr. Kaushik :

otherwise weight gain will occurr

Dr. Kaushik :

occur.

Customer:

i see

Customer:

ok i see

Dr. Kaushik :

please it is my humble request to you

Customer:

thank you very much

Dr. Kaushik :

please do not tamper with the present

Dr. Kaushik :

drug regime

Dr. Kaushik :

it is a good one

Customer:

ok

Dr. Kaushik :

i will want you to see how it helps you

Customer:

2mg risp

Dr. Kaushik :

so please spend time on it

Customer:

200 zoloft

Dr. Kaushik :

yes.

Dr. Kaushik :

yes

Customer:

15 remeron

Dr. Kaushik :

yes

Customer:

and sport as well

Dr. Kaushik :

yes of course

Customer:

tommorow i start sport

Dr. Kaushik :

and small frequent meals

Dr. Kaushik :

avoiding oily fried meals

Dr. Kaushik :

eating green vegetables

Customer:

ok

Dr. Kaushik :

avoiding smoking and alcohol

Dr. Kaushik :

if at all you take them in the first place

Customer:

no smoking

Customer:

never dring

Dr. Kaushik :

good.

Customer:

drink

Customer:

never smoke

Customer:

ok

Customer:

thank you very much

Dr. Kaushik :

take care

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