Patient: Ten years ago I was in a fight with someone and was hit in the head by a punch. But after that, something was wrong, the whole person’s psychology and thinking were completely changed, distracted, dizzy, poor memory, poor concentration, physical fatigue, and even inability to express themselves, and compulsive thinking, just like the manifestation of neurosis. But you just can’t make yourself feel like a normal person. It’s like living in an unreal world, very hazy feeling, time feeling blurred, nervous to talk, can’t say, also dare not say, the nerves to the outside world a little paralyzed feeling Several years, to many hospitals, nothing effective, very painful, very annoying (real psychological performance, can’t control), it’s torment. If you are depressed, you can sleep, you feel tired, you don’t have a low interest, you keep holding your breath, you have a sense of hatred, and you are always in the most painful fear of whether your brain has been beaten into organic disease. If the anxiety bar, now just eat a month of alprazolam, is also feeling the effect, but still can not be completely. Last year, I started to go to Beijing Valium Hospital to eat Chinese medicine and western medicine at Dr. Wang Yanheng’s until now, and it was a little effective. But fluoxetine has side effects and makes people feel sleepy. Now I’ve been off the medication for more than a month. Western medicine is still eating. In 2010, I had several tests, the first EEG was moderately abnormal and the second was mildly abnormal. After the MRI 3.0T showed that the ventriculotemporal horn was enlarged bilaterally, but no other abnormalities were found. I am very worried about whether there is any organic problem in my mind, and I am very troubled because when there is something wrong, my concentration is not good, my memory is not good, and occasionally when I have abnormal thoughts, I forget about them. I don’t know if it’s a psychological problem or an organic one. I can’t stand it anymore, I’m about to collapse. I hope you can tell me what’s wrong, what treatment is needed to cure it, and how long it will take to cure? Because it has been affecting me for ten years. In addition to psychiatric patients like me, you are the only psychiatrists who understand us, thank you to Yang Lejin of the Psychiatry Department of Shandong University Qilu Hospital.
The psychological department of Shandong University Qilu Hospital Yang Lejin: It is recommended not to stop taking medication without permission, your symptoms need to be controlled by medication, your onset has a very clear psychological trigger, it is recommended to combine psychological treatment on the basis of medication.
Patient: Doctor: I’ve been taking imported Prozac for a year and a half, and I heard from my doctor that the drug is outdated and only cures up to 60% of the disease. Can I listen to her and switch to another drug? If so, what are the best antidepressants available?
Yang Lejin, Department of Psychology, Qilu Hospital, Shandong University.
It is recommended to discuss the next treatment strategy with your primary care physician. Generally, after 6-8 weeks of applying a certain antidepressant drug to evaluate how the effect is not satisfactory, you can consider increasing the dosage or switching to other antidepressant drugs, or combining other medications. Each antidepressant has its own characteristics and indications, for example, paroxetine has a stronger anti-compulsive effect, sertraline has a relatively high safety profile, and citalopram or escitalopram has a small interaction with other drugs and a relatively high safety profile. But the treatment of mental illness drugs only play an auxiliary role, the main or late psychological treatment, about these psychological treatment approach you can read my article may be beneficial to you:.
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