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Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
Hi there Dr Phil. My name isXXXXX
Hi Lewis. Nice to meet you
I'm reading your post
I think you need the aripiprazole plus an SSRI
The SSRI will balance the depression
You need the aripiprazole for the other symptoms and the SSRI for depression
These drugs are commonly used together
That is interesting to hear. what type of ssri would you recommend?
I prefer citalopram. Less side effects
ok that's great to know. I was hoping you'd say that as I read they are very effective for balancing things out.
Yes that is correct
And those two meds play well together
In the long term do you think I would find it difficult withdrawing from them say after a year? Apparently the meds maintain the chemical imbalance.
Not if you wean off slowly
Most people get into trouble when they stop abruptly
Ok that gives me some peace of mind. Just another quick question; I often am rather suspicious of things and have this strange interest in finding the Truth about situations. Is this just a symptom of my psychosis or could it be something else such as schizophrenia?
In all honesty it could be schizophrenia or schizoaffective disorder
Time will tell
For example I was really worried about taking the
you still there?
sorry i was really worried about taking the tablet because I'd seen something about it causing shortened life span. As I said in my health history I have quite a trend of suspiciousness. what other symptoms would I have to have to be diagnosed with schizophrenia?
you would need active hallucinations plus negative symptoms
negative symptoms are like withdrawal from society, lack of motivation, depression, etc
I do withdrawal from society and my activities such as choral singing when off the tablets, plus suffer from severe lack of motivation and moderate to severe depression.
That could be the start but you also need active delusions or hallucinations
Right, I don't have those. I don't really have any other questions but thank you for your clarification over my prescribed medication.
you're welcome :)
Did I do excellent work Lewis?
yes you did. Its a really great service JustAnswer. I really rate it highly because of experts like yourself.
That is good to hear
would you mind click the excellent face for me Lewis?
yes i will.
Hi Doc, I wanted to know about the safety of Aripiprazole as a drug to be used for a year. Can you summarise an overview of some studies to give me an idea. In choosing an anti-psychotic I am concerned about choosing the safest drug scientifically validated as I'm aware the dopamine theory hasn't been proven and thus brain toxicity is a risk. I am still rather concerned with this idea of tuning my brain chemistry despite being prescribed it by a psychiatrist in good faith. I can't keep stop thinking they must be acting in big pharma's interests and not mine. Any idea why I keep going over the same subject with this? Best Wishes
That is consoling thank you. with a >5% risk in all phases that seems very small indeed. what excellent pharmacists. Plus being done over 52 weeks is exactly what I needed. So I do not need to worry about the safety.
I have noticed an increase in energy, alertness since taking Aripiprazole for 2 days now. Could you explain why this has happened, and whether its down to dopamine being blocked.
so that would insinuate there was a prolonged overproduction of dopamine. what conditions correspond to a high production of dopamine in line with my past medical history. I have experienced lately a positive high activity phase in which I went to London with a friend and had bags of energy very unlike previously - this was when I was on Aripiprazole. Then for the following week I got really depressed and felt suicidal when off the tablet.
I'm trying to look at my symptoms of long term chronic fatigue and depression, 2 year Avolition from school post gladular fever and my affective flatening in depressive phases to see if they link to any condition. I wasn't cycling between depressed and manic phases in my last 2 years when not on medication so it can't be bipolar. And I don't think I have schizophrenia either as I haven't had prolonged delusions or halucinations.
wouldn't i have had to have prolonged delusions or hallucinations to be diagnosed with schizoprenia? when I dropped out of school prior to that I was very suspicious of things and looked at conspiracy theories a lot. It wasn't paranoia but it was quite close to that. I would say more of an inability to relax and accept things how they are.
I'm getting a bit of a gut instinct I might have paranoid schizophrenia, but of course I don't know that and really can't say for sure.
for the medical record, my father has been a marijuana user for most of his life unfortunately and has always been paranoid about conspiracy theories, or in self denial for not being very successful.
of course, that makes sense. thanks doc! been a great help.