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Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4645
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 bad news

Customer:

and some good news

Dr. Kaushik :

what happened ?

Customer:

right now

Customer:

I feel stuck inside my body

Customer:

I want to get out it

Customer:

I cant

Customer:

I feel stuck with it

Customer:

I feel I don't want it

Customer:

I feel fear

Customer:

I don't know

Dr. Kaushik :

ok.

Customer:

why like this

Customer:

have you ever heard about that?

Dr. Kaushik :

since when are you feeling like thid ?

Dr. Kaushik :

this ?

Customer:

just now

Customer:

yesterday

Customer:

I start

Dr. Kaushik :

it seems like you are having an anxiety attack

Customer:

feel less dissoiated

Dr. Kaushik :

or panic attack

Customer:

no

Customer:

I feel

Dr. Kaushik :

did you read what i mentioned above

Customer:

too much improvment

Customer:

yeterday

Customer:

I was happy all day

Customer:

yes

Customer:

I feel

Customer:

I cant dissoiat myself

Customer:

dissoiate

Dr. Kaushik :

the fear and feeling of being stuck and wanting to get out as if you are being choked

Customer:

I cant make dissoation

Dr. Kaushik :

is this what you feel ?

Customer:

yes

Customer:

I had very bad week

Customer:

I have no one to talk with

Customer:

I feel I cant breath

Customer:

I feel I cant dissociate myslef

Customer:

anymore

Customer:

I feel fear to face

Customer:

everything

Customer:

but I cant dissociate myslef

Customer:

anymore

Customer:

effexor

Customer:

is very good

Customer:

since 3 days

Customer:

I start feeling

Customer:

less dissoiation

Customer:

but once

Customer:

I start

Customer:

feeling

Customer:

I will get out dissoiation

Customer:

I felt

Customer:

scared

Customer:

too much scared

Customer:

I know it is nice

Customer:

to get out it

Customer:

but what if the same thing happened in Canada happened again

Customer:

???

Customer:

I feel scared

Customer:

so I want to get in dissection again

Customer:

or I need someone to make me safe

Customer:

or to feel safe

Customer:

I feel

Customer:

am pushing

Customer:

to get out dissction

Customer:

but am scared

Customer:

you cant imagin what happend

Customer:

in canada

Customer:

when I get out dissction

Customer:

in fugue

Customer:

let me take rivotril

Customer:

wait

Customer:

yes

Customer:

am good now

Customer:

ok I want to ask you

Customer:

I just felt

Customer:

I cant face things

Customer:

anymore

Customer:

thin

Customer:

I start feeling

Customer:

I want to get out my body

Customer:

because am faceing many problems

Customer:

I have too much things

Customer:

on my head

Customer:

too much thing

Customer:

things

Dr. Kaushik :

ok.

Dr. Kaushik :

i got it.

Customer:

so that's is normal?

Customer:

yes

Customer:

i know what am scared off

Dr. Kaushik :

this is your underlying anxiety that is making you feel like this and you re recovering with the present drugs so this sort of anxiety developing in between is expected

Customer:

am scared off

Dr. Kaushik :

but when ever this happens you can take rivoitril

Dr. Kaushik :

rivotril

Customer:

ok

Dr. Kaushik :

at dose of 0.5 to 1 mg

Customer:

ok

Dr. Kaushik :

this will go away

Customer:

i want to ask you

Customer:

something

Dr. Kaushik :

do not worry this is part of recovery

Customer:

ok

Dr. Kaushik :

yes go ahead

Customer:

the good part

Customer:

before 1 week

Customer:

i start feeling

Customer:

no reexperincing

Customer:

yesterday

Customer:

i start feel

Customer:

of blessers

Customer:

right now

Customer:

i feel

Customer:

scared

Customer:

because

Customer:

of what happened in canada

Customer:

i feel

Customer:

i want to get in dissection again

Customer:

this is will make me safe

Customer:

but i cant

Customer:

i cant get in dissction

Dr. Kaushik :

No, please do not think that way

Customer:

i try icant

Customer:

ok

Dr. Kaushik :

after all it took a while for you to come out of dissociation

Customer:

i fear what happened in canda happened again

Customer:

ok

Dr. Kaushik :

please do not apply the past to your future

Customer:

yes

Customer:

i will face things

Customer:

indeed

Dr. Kaushik :

keep reminding yourself of that

Customer:

i will be strong

Dr. Kaushik :

and be brave

Customer:

but i need to talk

Customer:

to you

Dr. Kaushik :

and take on things good or bad as they happen and come to you

Customer:

i need to tell you what happend

Customer:

there

Dr. Kaushik :

yes go ahead

Customer:

that day

Customer:

i was taking

Customer:

60mg of remeron

Customer:

i had no memory about

Customer:

how i came there

Customer:

i was in fugue

Customer:

suddnly

Customer:

i get out dissction

Customer:

i start see things around me

Customer:

i tried to conncet myself

Customer:

or to know

Customer:

how i get there

Customer:

i couldnt

Customer:

so my bring

Customer:

brain

Customer:

and myfeeling

Customer:

tell me this is not real

Customer:

which men

Customer:

Canada not real

Customer:

imgain

Customer:

you live something

Customer:

that is not real

Customer:

your feelings is wrong

Customer:

i start feeling

Customer:

like chock

Customer:

then i start feeling strang electricity in my brain

Dr. Kaushik :

I can understand your situation

Dr. Kaushik :

and it must be very hard for you to endure

Customer:

i loose consseice

Customer:

i try to run out canada

Customer:

because i thought i will get crazy

Customer:

i book ticket

Customer:

and get out

Customer:

you cant imagin that

Dr. Kaushik :

Yes it must be scary

Dr. Kaushik :

indeed

Customer:

i want to make sure that thing wont happened here

Customer:

i need to make sure

Dr. Kaushik :

no body else could have imagined what you must have gone through

Dr. Kaushik :

but now things are getting better

Dr. Kaushik :

is not it ?

Customer:

i feel better now

Customer:

i feel better

Dr. Kaushik :

you are feeling real slowly all over again

Customer:

now

Customer:

but i don't want that happened again

Customer:

what make me scared

Customer:

when my feelig

Customer:

tell me this place is not real

Customer:

just that make me scared

Customer:

that happened for 2 hrs

Customer:

am good now

Customer:

i feel am on edge

Customer:

the improvement too muc

Dr. Kaushik :

i know

Customer:

much

Customer:

i feel am keeping it

Dr. Kaushik :

it must be very hard for you

Customer:

because am scared

Customer:

of what happend

Customer:

in canada

Dr. Kaushik :

and i want to assure you that it shall not happen again

Dr. Kaushik :

but i will want you to be strong

Customer:

are you sure?

Customer:

but i don't understand why that happened?

Customer:

this why am scared

Dr. Kaushik :

and face situation no matter how bizarre, scary and tough it may be without taking pressure

Dr. Kaushik :

this is a part of your underlying conditions such as dissociation,fugue, depersonalization and ptsd

Customer:

the improvement is too much

Dr. Kaushik :

i feel very happy for you

Customer:

thank you

Customer:

realy

Customer:

i feel like am sitting on volcano

Dr. Kaushik :

and i want you to throw out all the negative thoughts

Dr. Kaushik :

from your mind

Customer:

yes

Customer:

this is effexor

Dr. Kaushik :

be positive and do not let your mind wander

Dr. Kaushik :

and feel scared

Customer:

yes

Customer:

i feel 3 days

Customer:

to 4

Dr. Kaushik :

so you are taking effexor at 150 mg

Customer:

will change me 100%

Customer:

yes

Customer:

and remeon 15mg

Dr. Kaushik :

good continue on it

Customer:

no side effect

Customer:

am thin

Customer:

i can wake up

Dr. Kaushik :

this is working for you

Customer:

no serotonin syndrom

Dr. Kaushik :

i am happy to see that

Customer:

nothing

Dr. Kaushik :

good

Customer:

i feel good

Dr. Kaushik :

great

Customer:

Effexor is strong

Dr. Kaushik :

it is indeed

Customer:

i don't know why i felt like that

Dr. Kaushik :

plus at 150 mg dose

Customer:

i feel littile shy

Customer:

of myslef

Dr. Kaushik :

see there are some questions which cannot be answered

Customer:

but i think

Customer:

i have answer

Customer:

but am not sure

Customer:

of it

Customer:

i think

Customer:

the problem

Customer:

was in fugue

Customer:

and

Dr. Kaushik :

but i can tell you one thing that you have been having anxiety at times which is too severe that it causes depersonalization

Customer:

in remeron

Dr. Kaushik :

remeron at high dose

Customer:

yes

Dr. Kaushik :

did not suit you

Customer:

i don't think this happened by it slef

Dr. Kaushik :

but at 15 mg it is working great with effexor

Dr. Kaushik :

i told you sometime back that theit combination is termed as california rocket fuel

Dr. Kaushik :

may be what you think is right

Dr. Kaushik :

but we cannot pinpoint the reason

Customer:

yes

Dr. Kaushik :

so better for you will be to avoid the precipitating factors

Dr. Kaushik :

like remeron at high dose

Customer:

ok

Customer:

yes

Customer:

and fugue

Dr. Kaushik :

and obviously stress

Customer:

so i can get out dissction

Dr. Kaushik :

try to distract yourself towards enjoyable things

Customer:

without such problems

Dr. Kaushik :

that interest you

Customer:

ok

Customer:

what do you think

Customer:

about

Dr. Kaushik :

and let the drugs take their own course to tackle your problems

Customer:

make remeon high?

Dr. Kaushik :

no

Customer:

anxiety circule is closed

Dr. Kaushik :

not to take high remeron

Customer:

or break

Dr. Kaushik :

dose

Customer:

ok

Customer:

15mg

Customer:

as always

Dr. Kaushik :

yes

Dr. Kaushik :

right

Dr. Kaushik :

you got it

Dr. Kaushik :

do not worry

Customer:

ok

Dr. Kaushik :

hopefully you shall not have to face what you faced before

Dr. Kaushik :

i shall pray for you

Customer:

yes

Customer:

but i don't think so

Dr. Kaushik :

and the drugs will take care of the rest

Customer:

i don't think so

Dr. Kaushik :

that is what i always tell you

Dr. Kaushik :

stop thinking too much

Customer:

because am at home now

Dr. Kaushik :

that is the root of all your problems

Customer:

yes i think tooo much

Customer:

too much

Dr. Kaushik :

things come around in a circle for you

Customer:

yes

Dr. Kaushik :

because you start thinking too much at one time

Dr. Kaushik :

try to apply distracting tactic and deviate your mind to something nice and pleasant when it is compelling you to wander to those scary areas

Dr. Kaushik :

which may again bring you back to that old phase

Dr. Kaushik :

does this make sense to you

Dr. Kaushik :

can you do that

Customer:

yes

Customer:

but i feel

Customer:

i want to make a wall

Dr. Kaushik :

you see you got to be strong and snart

Customer:

protect me

Dr. Kaushik :

smart

Dr. Kaushik :

do not worry

Customer:

from what happened in canda

Dr. Kaushik :

things will be alright from now on

Customer:

if i did that

Customer:

i will ok

Dr. Kaushik :

whenever you are too much scared

Dr. Kaushik :

take 1 tablet of rivotril

Dr. Kaushik :

yes

Customer:

yes

Dr. Kaushik :

you will be ok

Customer:

but the reson

Customer:

is ovoius

Customer:

i need answer

Customer:

to make sure that didn't happend

Dr. Kaushik :

you see everything started with your long standing PTSD

Customer:

yes i know

Dr. Kaushik :

and it is somehow causing all of this without your conscious awareness

Customer:

yes

Customer:

but i start thinging if i get improvment

Dr. Kaushik :

i have told you before also to find a psychologist and get started on CBT therapy or Hypnosis

Customer:

same thing will happened again

Customer:

this why am scared

Customer:

i feel i don't my body eact same thing

Customer:

react

Dr. Kaushik :

this is typical anxiety and depersonalization

Customer:

all people get out dissection without problem

Customer:

why when i try to get out

Customer:

dissction

Dr. Kaushik :

do not be afraid of what you cannot be sure about

Customer:

bad things happend

Customer:

but last time bad things happend

Dr. Kaushik :

it is not mandatory that bad things will happen again

Dr. Kaushik :

why to think negative

Customer:

yes

Customer:

but that day i thought i will die

Customer:

reealy

Customer:

you cant imagine that

Dr. Kaushik :

you see positive mindset can bring a lot of change in your thinking and it will make you bold

Dr. Kaushik :

so promise me you will adopt this approach

Dr. Kaushik :

and continue on the present drug regime

Customer:

yes indeed i will face it

Customer:

this week will be hard

Dr. Kaushik :

and take rivotril 0.5 mg to 1 mg tablet when there is too much anxiety and fear

Customer:

thin

Customer:

it will never be hard

Dr. Kaushik :

and your mind is working overtime

Dr. Kaushik :

and making you weak

Dr. Kaushik :

So you know the strategy

Dr. Kaushik :

please stick to it

Dr. Kaushik :

try doing some yoga or meditation

Customer:

yes indeed

Dr. Kaushik :

that will bring peace of mind

Customer:

yes indeed

Dr. Kaushik :

and clarity of thinking and remove fear from mind

Dr. Kaushik :

is this understood

Dr. Kaushik :

do not worry

Dr. Kaushik :

i am here to help you out

Dr. Kaushik :

so when in need and scared please do come and talk about it

Customer:

i start thing in other way

Customer:

10 times i get out dissction

Customer:

without a problem

Customer:

why i think about 1 time

Customer:

i look at 10 times

Dr. Kaushik :

yes

Customer:

and i hope i will not get crazy

Customer:

or die

Dr. Kaushik :

that is what wrong you do every single time

Dr. Kaushik :

stop that

Dr. Kaushik :

i know you can do that

Dr. Kaushik :

i hope this gives you strength and hope

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

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