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Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4673
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 dr

Customer:

realy what happened with me is very strange

Customer:

very very strang

Dr. Kaushik :

did you make the changes in your drug regime that we discussed previously.

Customer:

yes

Customer:

but this time I want to ask you

Customer:

after trauma

Customer:

before 7 years

Customer:

after 3 days of trauma

Customer:

I start not sleeping

Customer:

at night

Customer:

then

Customer:

after that I start couldn't concentrate

Customer:

after 1 year

Customer:

I couldn't feel

Customer:

of people I know

Customer:

I take another way for my personality

Customer:

I start feel something wrong

Customer:

I cant pray

Customer:

I hv no feelings

Customer:

many memories is blocked

Customer:

and I feel it belong to another person

Customer:

I tried many midctions

Customer:

I did emdr

Customer:

today I get some memory back

Customer:

I start woundering where I was all this time!!!

Customer:

where I was

Customer:

why I forget such thigs

Customer:

things

Customer:

I start searching for my old friends

Customer:

and went to places I used to go

Customer:

these places I never been there for 6 years

Customer:

I wounder where I was?!!!

Customer:

why I dissapear

Customer:

I feel everything happened in between not real

Customer:

so please tell me what is my problem

Customer:

it is not just ptsd

Customer:

?

Customer:

what else?

Dr. Kaushik :

you are having dissociation

Customer:

ok what type of dissection?

Dr. Kaushik :

otheand fugue and derealization all of hese three clubbed together are xausing this memory loss.

Customer:

ok what type of dissociation?

Dr. Kaushik :

dissociative amnesia

Customer:

are you sure?

Customer:

why not dissociated identity?

Dr. Kaushik :

coupled with dissociative fugue

Customer:

so dissociated fugue is part of it?

Customer:

not part of dissociated idenity

Customer:

?

Dr. Kaushik :

your identity is never changed even when in fugue plus nor do you adopt a new identity in between which is hallmark feature of this condition.

Customer:

yes I feel am taking new identits has no relation with the real one

Customer:

ok

Dr. Kaushik :

it may be a complex concept to understand but I am confident about this

Customer:

ok

Customer:

now we come to the main qestuion

Customer:

am living in trauma place

Customer:

or location

Dr. Kaushik :

ok

Customer:

is there a chance to recover here or I should change place?

Dr. Kaushik :

I told you in the very beginning to leave the trauma place and seek treatment else where.

Customer:

but I can seek treatment here

Customer:

why not

Customer:

then I leave when I feel good

Customer:

or ok

Customer:

I cant do so

Customer:

?!!

Dr. Kaushik :

because while being in the trauma place you will get recoil of all those traumatic events which are associated with ptsd and are to be best forgotten.

Customer:

yes

Customer:

but I never tried good treatment

Customer:

as well as 10 guys didn't hit me

Customer:

it was just the feeling after it

Customer:

no one hit me that day

Dr. Kaushik :

I explain this to you with an example you see when a needle or thorn is continuously hurting a person then best treatment is to get that thorn out as soon as possible.

Customer:

ok

Customer:

ok what then?

Customer:

after that?

Customer:

what type of treatment you take?

Customer:

kijiji

Customer:

what type of treatment?

Dr. Kaushik :

but unfortunately you have a situation here where you are currently placed in the traumatic place so the treatment strategy is good so you better stick to it.

Customer:

I see

Customer:

but what if I can get out the problem here?

Customer:

is there a way that trauma stoped?

Customer:

no flashbacks nothing

Customer:

maybe by time

Customer:

I can get over it

Customer:

???

Dr. Kaushik :

just add 1 mood stabilizer drug like lamotrigine or seroquel for 1 month and hopefully you will be remembering a lot of things and come out of dissociation

Customer:

haloo

Customer:

yes mr

Dr. Kaushik :

yes time will also help in recovering.

Customer:

ok I want to ask somwthing

Customer:

please

Customer:

usully

Customer:

if trauma happend

Dr. Kaushik :

yes go ahead

Customer:

and this trauma was like what happend

Customer:

10 guys attack

Customer:

but no real damge

Customer:

if I leave place

Customer:

and have life

Customer:

dose ptsd stay with me?

Customer:

as flashbacks

Customer:

sleeping problem

Customer:

etc,,,

Customer:

or once I get over it

Dr. Kaushik :

no

Customer:

it never back?

Dr. Kaushik :

but you got to complete the present treatment there in Canada

Customer:

like what?

Dr. Kaushik :

effexor 225 mg/day,

Customer:

yes am taking so

Customer:

this dose

Dr. Kaushik :

remeron 15 mg/day

Customer:

no remeon 30 mg

Customer:

dailt

Customer:

DAILY

Dr. Kaushik :

, rivotril 0.5 mg twice a day

Customer:

yes

Customer:

but you know what?

Customer:

maybe if trauma proccessed

Customer:

then nothing bad happening

Dr. Kaushik :

lamotrigine or quetiapine as a an additiinal drug for 1 month.

Customer:

ok

Customer:

there is something else

Customer:

remeron give very good effect

Customer:

for depprission

Dr. Kaushik :

ok

Customer:

can I get that from other drug?

Customer:

non Effexor nor Zoloft nor any ssri give that effec

Customer:

effect

Dr. Kaushik :

you mean. to say that can depression be caused by another drug

Customer:

no

Customer:

I mean dissction

Customer:

I never get out it

Customer:

or get out it deppression

Customer:

just remeon

Customer:

take me out that

Customer:

but as you know side effect of remeron

Customer:

sleeping too much

Dr. Kaushik :

yes

Customer:

eating too much

Customer:

so if I get remeron effect

Customer:

things will be very good

Customer:

what about lamtrogin

Customer:

as you said

Customer:

lamotrigine

Dr. Kaushik :

but right now you are at low dose and secondly i ask you to add lmotrigine or quetiapine

Customer:

low dose of what/

Customer:

?

Dr. Kaushik :

which never has been done before

Customer:

no remeron am taking 30mg

Customer:

30mg/daily

Dr. Kaushik :

low dose of remeron 15 mg

Customer:

no am taking 30mg

Customer:

IF I CAN MAKE IT 15 THINGS WILL BE BETTER

Dr. Kaushik :

but we decided earlier to keep it at 15 mg

Customer:

no am taking 30mg

Customer:

if it is 15mg it will be better

Dr. Kaushik :

go down to 15 mg and see the results

Customer:

but I can do so

Customer:

no I want 30mg

Customer:

until now I didn't get out dissction

Customer:

DISSOCTION

Customer:

maybe in futue

Customer:

we hope so

Customer:

thank you very much

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