Mental Health

Have mental health questions? Ask a psychiatrist online

Ask an Expert,
Get an Answer ASAP!

Ive been diagnosed with ptsd anxiety and manic depression i…

Customer Question
ive been diagnosed with ptsd...
ive been diagnosed with ptsd anxiety and manic depression i am currently taking 3 medications just to try and function daily ive been on same meds for 8 yrs now there not working anymore ive told my doctor he just increase dosage now im maxed out on some im really suffering please help me
Submitted: 3 years ago.Category: Mental Health
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 3 minutes by:
6/11/2015
Mental Health Professional: Dr. Z, Psychologist replied 3 years ago
Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 10,643
Experience: Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
Verified
This website DOES NOT constitute treatment and only provides information and advice. For treatment (therapy and/or medications) you must go to a licensed professional in your area. Please note that anything said here is not private or confidential, as this is a public forum.
Hello, I am so sorry that you are struggling with these symptoms of your PTSD and Bipolar Disorder (formerly called Manic Depression), I cannot imagine how difficult this is for you. I would like to ask you a few questions to get a better idea of what you are looking for, so that I can better assist you.
1. You mention that you are looking for help, but what exactly do you require help with? Are you looking for alternative medication ideas, treatment ideas, etc...?
2. What medications and doses are you currently using? And what previous medications and doses have you tried before?
3. You stated that you have currently been on your medication regimen for 8 years and they are not working anymore, when they were working did they alleviate your symptoms completely?
4. Are you currently undergoing any form of therapy in combination with your medication regimen?
Ask Your Own Mental Health Question
Customer reply replied 3 years ago

yes they did work abilify 15 mg trazadone 150 mg zoloft 200 mg zanex 0.5 three times daily is there any other drug combos that might help me ive been having more than usual suicidal thoughts

Mental Health Professional: Dr. Z, Psychologist replied 3 years ago
Thank you, ***** ***** tell me is the Trazodone used as a sleep aid medication (do you usually take it at night before going to bed)? Or are you using that to treat your anxiety and depression?
Ask Your Own Mental Health Question
Mental Health Professional: Dr. Z, Psychologist replied 3 years ago
Thank you for your responses as that helps me to better understand your situation. So your Zoloft is definitely at the highest dose, so switching to another antidepressant would be prudent in this case. Suitable antidepressants with great effectiveness are Lexapro and Remeron. Your doctor would have to gradually taper you off the Zoloft (typically reducing by 25mg every 7-14 days) and introduce and increase the other antidepressant. Also I want you to know that you have not maxed out on Abilify yet, as the maximum dose for Abilify is 30mg, so your doctor should consider increasing the Abilify to 20mg and then possibly increase upwards to 30mg after 2 weeks on 20mg/day. The Abilify increase should help to reduce these suicidal thoughts fairly fast. If your doctor does not want to increase the Abilify than switching to another atypical antipsychotic would be helpful; Latuda, Seroquel, or Geodon should be considered as all of these have great properties in treating depressive symptoms and preventing Mania as well. The Xanax can also be increased if your anxiety is very problematic, but I caution this because Xanax is a Controlled Substance and very physically addictive, so an increase will just cause more of an addiction. Or your doctor can consider switching you to Klonopin which is just as effective as the Xanax in terms of potency, and has a much longer half-life, so you only need to take it twice a day instead of 3 times a day. This may provide a greater 24/day coverage than the Xanax.
As for the Trazodone, I am not sure if you are using this as a sleep aid medication or as a treatment for your depressive/anxiety symptoms, so when you can get back to me on that, I would be happy to include that in my analysis of your medication regimen.
I hope this answers your questions and gives you some guidance on this issue. I truly wish you all the best and I hope that any future changes to your medication regimen lessen your symptoms. Please let me know if you have any questions or concerns as I am happy to assist and support you regarding this issue.
*If you are satisfied with my answer, I would appreciate it if you can provide me with a positive rating so that I can receive credit for helping you today. Thank you
Ask Your Own Mental Health Question
Was this answer helpful?
Ask Dr. Z Your Own Question
Dr. Z
Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 10,643
10,643 Satisfied Customers
Experience: Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.

Dr. Z 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
What does high levels of serotonin in the blood indicate
What does high levels of serotonin in the blood indicate does it indicate bi polar… read more
Dr. Ed Wilfong
Dr. Ed Wilfong
Licensed Psychologist
Doctoral Degree
1,524 satisfied customers
Is there a negative interaction when smoking marijuana with
Is there a negative interaction when smoking marijuana with depakote 500 mg and lamictal 25 mg for bipolar disorder? and what will happen if I did smoke marijuana? I never had any problem smoking befo… read more
Dr. K
Dr. K
Psychiatrist
Doctoral Degree
358 satisfied customers
I have been diagnosed with ocd and anxiety and was put on
Good morning. I have been diagnosed with ocd and anxiety and was put on paxil which didn't work only made symptoms worse and then was put on Prozac which really made things worse so then we settled wi… read more
Ashleigh
Ashleigh
Neurodevelopmental Psychologist
Master of Education in Educational Psychology
19 satisfied customers
I'm 52 years old and married to a mixed bipolar man, I was
Hi, my name is ***** ***** I'm 52 years old and married to a mixed bipolar man, I was diagnosed with ADHD about 25 years ago and I also have other mental health and physical problems and have been on … read more
Dr. RK
Dr. RK
Physician
Doctoral Degree
2,537 satisfied customers
I have suffered from depression and anxiety (situation) for
I have suffered from depression and anxiety (situation) for a long time. I want to get pregnant so stopped my anxiety med still on welbutrin. My psyc does not believe In Xanax. How can I get a small d… read more
Ashleigh
Ashleigh
Neurodevelopmental Psychologist
Master of Education in Educational Psychology
19 satisfied customers
What is the difference between ultra rapid bipolar and
What is the difference between ultra rapid bipolar and borderline personality disorder? … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
1,049 satisfied customers
Help copping with Bipolar / GAD girl friend. Too much to
Help copping with Bipolar / GAD girl friend. Too much to explain by text as well hard for me to express things by text as well, would like to talk by phone.Some time ago talked to LeahMSWuofm… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
1,049 satisfied customers
I have a history of Bipolar disorder mainly depressed. And
i have a history of Bipolar disorder mainly depressed. And avoidant and borderline personalty traits. My mood has been sent into a tail spin recently.. Just tired of these "pinballing" thoughts that w… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
I was diagnosed with anxiety disorder and insomnia Is it
I was diagnosed with anxiety disorder and insomnia Is it severe enough to get me state mental hospital??… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
4,143 satisfied customers
Been having slight bouts of anxiety lately. Sometimes I can
Been having slight bouts of anxiety lately. Sometimes I can have shortness of breath and rapid heartbeat … read more
Kelisa Volson
Kelisa Volson
MA
1 satisfied customers
Is -e supplement really a good supplement for anxiety or
Second opinion] Is SAM-e supplement really a good supplement for anxiety or depression? Doe it have any harmful side effects? It seems to help people that have mild anxiety and slight depression sympt… read more
Dr Rossi
Dr Rossi
Doctoral Degree
1,564 satisfied customers
I have a question about anxiety. How does enough anxiety
I have a question about anxiety. How does enough anxiety cause emotional apathy? How can I get rid of emotional apathy and increase sensitivity instead of decrease? … read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
My husbands mother had bipolar. In the past few years he has
my husbands mother had bipolar. In the past few years he has been irritable, mentally abusive, always working, stopped paying bills, and seeing escorts. However, he still manages to keep his job. coul… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
I need help dealing with my anxiety and depression. It
I need help dealing with my anxiety and depression … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
1,049 satisfied customers
What are the symptoms of bipolar disorder. I was diagnosed
I was diagnosed but gp but my symptoms fit anxiety depression … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
1,049 satisfied customers
Is it possible to be bipolar and schizophrenic at the same
Is it possible to be bipolar and schizophrenic at the same time? Google say no by definition, whereas I hear some doctors say yes. Is there a clear answer?… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I have been treated for bipolar, but the treatments have not
I have been treated for bipolar, but the treatments have not helped me. I feel like I'm in a fog, concentration is nonexistent now. I have been studying for a while now, spending hours reading and res… read more
llw26
llw26
Private Practice
Doctoral Degree
11 satisfied customers
I'm a Bipolar 36 year-old male with severe anxiety and
I'm a Bipolar 36 year-old male with severe anxiety and depression. What is the best anxiety medicine I should be taken? I've taken Clonazepam for 8 years and it no longer helps. Would another drug lik… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,798 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