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Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4658
Experience:  MD Psychiatry
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Chat please

This answer was rated:

Hi chat please
Dr. Kaushik :

greetings !

Dr. Kaushik :

We just had a chat sometime back.

Dr. Kaushik :

Do you have any additional query ?

Customer:

Hi

Customer:

How are you

Customer:

?

Customer:

Mr

Customer:

Are you there

Customer:

???

Dr. Kaushik :

Yes.

Dr. Kaushik :

I am there

Customer:

Hi

Dr. Kaushik :

how are you doing ?

Customer:

I hv good and bad news

Dr. Kaushik :

what are those ..

Customer:

I left my home where trauma happend

Dr. Kaushik :

ok.

Customer:

And go for sea trip

Dr. Kaushik :

and ..

Customer:

For 300km

Dr. Kaushik :

ok.

Customer:

After first night I note

Customer:

Once I leave trauma place

Customer:

Anixety is much less

Dr. Kaushik :

ok.

Dr. Kaushik :

go ahead.

Dr. Kaushik :

great.

Customer:

So my body try to go out dissction

Dr. Kaushik :

that is good news.

Dr. Kaushik :

is not it?

Dr. Kaushik :

so what is the problem now ..

Customer:

But again I feel am scared to get out dissoction because if what happend last time in canada

Customer:

Yes

Dr. Kaushik :

You see you got to take chances

Customer:

This is the good news

Dr. Kaushik :

and this time it is different

Customer:

And bad news

Dr. Kaushik :

never before were you placed on the current set of drugs and

Customer:

I get out relaztion

Dr. Kaushik :

never before had you become this well

Customer:

Once I left home as well

Customer:

Derlization

Customer:

I feel much much better

Dr. Kaushik :

and never before had you developed knowledged about the cause of your illness

Dr. Kaushik :

so you have a lot of positives to go with

Dr. Kaushik :

and it is about time to fight your fear head on

Dr. Kaushik :

after all your active life is in Canada

Dr. Kaushik :

Can you do one thing

Dr. Kaushik :

Can you start righting your daily experiences in a diary

Dr. Kaushik :

mention date and time

Dr. Kaushik :

and maintain the diary every day

Dr. Kaushik :

this will help you to differentiate between what is real and what is not if dissociation develops again.

Customer:

I see

Customer:

Hi

Dr. Kaushik :

So this way at a time in future if ever you fall into fugue or dissociation then you can read and go through your notes in the diary

Customer:

Yes so there is reexperince here

Dr. Kaushik :

and learn about your daily routine and recent past

Dr. Kaushik :

the memory of which has been erased from your mind

Customer:

Yes

Customer:

I see

Dr. Kaushik :

This is just a back up plan which will come in use if at all there is dissociation again

Customer:

Yes indeed

Customer:

But I wont do that again plz

Dr. Kaushik :

but looking at the recent developments and your increasing confidence to tackle your dissociation

Customer:

It make down

Customer:

Plz dont remember me

Dr. Kaushik :

and the drugs that you are using wil surely help you to remain well

Dr. Kaushik :

So do not be scared about facing Canada and the travel and your life there

Dr. Kaushik :

After a while it seems you are getting hold over your conditions

Dr. Kaushik :

but for some more time you got to continue taking the same drugs that you are currently taking

Dr. Kaushik :

Hopefully this is going to be your victory against all of your conditions

Dr. Kaushik :

like ptsd, fugue, dissociation, anxiety

Dr. Kaushik :

derealization and depersonalization

Dr. Kaushik :

what say?

Customer:

Yes indeed but my q is

Customer:

The problem here is not depprission

Customer:

Depprission is because of anixety

Customer:

The problem is anixety

Customer:

So is I am taking the right midctions

Customer:

For rexeperincing

Customer:

When I was increase dose of remeron there was no benfits

Dr. Kaushik :

ok

Customer:

Because you need to break anixety circuile first

Dr. Kaushik :

yes

Dr. Kaushik :

you are right on that

Dr. Kaushik :

but the other day when

Dr. Kaushik :

we had a chat we discussed about use of remeron and effexor

Dr. Kaushik :

together as california rocket furel

Dr. Kaushik :

fuel

Dr. Kaushik :

were you able to use this so far

Customer:

So effexor good for rexpernicing?

Dr. Kaushik :

yews

Dr. Kaushik :

yes

Dr. Kaushik :

that is what we discussed

Dr. Kaushik :

75 mg effexor and 15 mg remeron

Customer:

Dose make weight gain

Dr. Kaushik :

that is what you need

Customer:

?

Dr. Kaushik :

not necessarily

Dr. Kaushik :

occasionally few cases have reported weight gain

Customer:

I see

Dr. Kaushik :

and personally

Dr. Kaushik :

i have not yet seen

Customer:

Very good

Dr. Kaushik :

my patients gaining weight on it

Customer:

Thank you

Dr. Kaushik :

so it is both safe and effective

Customer:

Hope I break anixety here

Dr. Kaushik :

and makes a strong combination with remeron

Customer:

I see

Customer:

Thank you

Dr. Kaushik :

so better use it fpr reexperiencing and to maintain yourself out of dissociation and fugue

Dr. Kaushik :

Take care

Customer:

Thank you

Dr. Kaushik :

I am really happy to see that you are doing much better than before

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