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How can I get rid of severe depression with anxiety?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have severe depression alternating with severe anxiety. I have tried many medicines. Currently, I am taking 40 gm of Prozac in the morning and 30 mg of Remeron at bedtime. But during the day, I am a nervous basketcase. No doctors will give me any Benzodiazepine for some reason. I have difficulty functioning enough to be productive and unable to enjoy anything in life. I need more help. I do not want to continue living this way. Earlier, I was on Buspar, Vistaril, Trazodone, Paxil, and Doxepin. Doxepin was the most helpful but did no good when I am awake. The laboratory tests performed were blood tests. Only triglycerides were elevated.
Answered by Dr. Aditya Gupta

Education:

MBBS

Professional Bio:

Dr. Aditya Gupta is a compassionate psychiatrist specializing in mental health and sexual wellness. He provides patient-centered care for conditions such as anxiety, depression, and relationship concerns, focusing on practical solutions, emotional support, and tailored treatment plans to improve overall well-being.

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome to icliniq.com.

In my opinion, you can discuss with the treating psychiatrist the following options: I suggest Increasing dose of Prozac (Fluoxetine), substituting Prozac with Prestiq (Desvenlafaxine), Wellbutrin (Bupropion) or Zoloft (Sertraline). You can also opt for concurrent CBT (cognitive behavioral therapy) sessions and Practicing a relaxation technique like breath relaxation exercises daily shall help.

Patient's Query

Hi doctor,

Thank you for your prompt response.

I have just one quick question. I have friends with similar issues and they have all been prescribed Xanax and say that it is a huge help for them. Why is Xanax not an option for me? I am aware of the risk of addiction. But I am very careful to take all my medications only as prescribed.

Answered by Dr. Aditya Gupta

Education:

MBBS

Professional Bio:

Dr. Aditya Gupta is a compassionate psychiatrist specializing in mental health and sexual wellness. He provides patient-centered care for conditions such as anxiety, depression, and relationship concerns, focusing on practical solutions, emotional support, and tailored treatment plans to improve overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Xanax (Alprazolam) or any other benzodiazepine can be used to treat anxiety for the short-term only because of addiction potential and CNS depressant effect. I do not know why it had not been considered in your particular case. But if given, it should be used only for the short term.

Medically reviewed by Dr. K. Shobana
Published At March 17, 2018
Reviewed At February 1, 2024

Education:

MBBS

Professional Bio:

Dr. Aditya Gupta is a compassionate psychiatrist specializing in mental health and sexual wellness. He provides patient-centered care for conditions such as anxiety, depression, and relationship concerns, focusing on practical solutions, emotional support, and tailored treatment plans to improve overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Aditya Gupta
Dr. Aditya Gupta

Psychiatry

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Aditya Gupta is a compassionate psychiatrist specializing in mental health and sexual wellness. He provides patient-centered care for conditions such as anxiety, depression, and relationship concerns, focusing on practical solutions, emotional support, and tailored treatment plans to improve overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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