Bipolar Disorder

Previously called manic depression, bipolar disorder is a mental health condition that causes severe mood changes and unusual shifts in energy, activity levels, behavior, and thinking. It is classified into four groups, namely bipolar I disorder, bipolar II disorder, cyclothymic disorder, and bipolar disorder induced by any other condition or medication. The mood of the person with this disorder varies from being extremely energized to being very sad or feeling hopeless.

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Can I use Paroxetine for bipolar II disorder, anxiety disorder, and agoraphobia?

Query: Hello, I'm looking and would like to discuss my treatment options for my conditions. I've bipolar disorder II, social and generalised anxiety disorders, panic attacks and agoraphobia due to it. In past, I used escitalopram, venlafaxine, fluoxetine, sertraline, lithium, depakote, quetiapine,...  Read Full »


Dr. Vishal Anilkumar Gandhi

Psychiatrist

Answer: thank you for taking help from psychiatrist. you should continue medications on which you are stable at present. 1)duloxetine may be good option for you. it does not increases blood pressure. 2)tablet escitalopram takes around 4 weeks for full effect after starting medications. 3) yup,prozac can dec...  Read Full »

Please suggest the best medicine for my psychological disorders.

Query: Hello doctor, I would like to ask you about treatment recommendations (maybe a few variations) for my condition. I have bipolar disorder type II, social and generalized disorder, and panic disorder. However, I am in constant depression for one year. I do not cycle anymore if I do, my hypomania is ...  Read Full »


Dr. Parth Nagda

Psychiatrist

Answer: Hello, Welcome to icliniq.com. Thank you for your detailed query and history. With regards to your anxiety symptoms, you have tried out SSRI (selective serotonin reuptake inhibitor) and SNRI (serotonin-norepinephrine reuptake inhibitor) class of medications. So, I would like to suggest you try a...  Read Full »

Please suggest a solution to take Lithium for bipolar disorder during fasting.

Query: Hello doctor, I am on fasting for the auspicious month (dry fast), but I also have to take Lithium for my bipolar disorder. I have seen that higher Lithium concentration can cause serious damage to the kidney due to dehydration and also to the metabolism. During fasting and with keto diet the body...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. See, Lithium can be harmful if hydration is not well maintained. In such cases, we recommend to increase the amount of fluid. That is to consume a good quantity of fluid in the morning before your fast starts and to drink fluids once you open your fast in the evening, a...  Read Full »

Can bipolar disorder cause aggressive and destructive behavior?

Query: Hi doctor, My father abuses me a lot and eats a lot. He is really aggressive. He also has some memory problem due to over consumption of alcohol. Unless we give food he starts destroying things. So, I think he is suffering from bipolar disorder. What should I do?  Read Full »


Dr. Nidhi Jain Bukharia

General Practitioner, Psychiatrist, Psychologist Counsellor, Sexologist

Answer: Hi, Welcome to icliniq.com. Increase appetite, aggressive behavior and destroying things are symptoms of bipolar mania. But, in bipolar mania there is decrease need for sleep. So, it may be bipolar mania. To make a definite diagnosis, I need to know more details about his behavior. Does he...  Read Full »

Is it possible for a person with psychiatric problem to enjoy married life?

Query: Hi doctor, I am concerned about one of my relatives. She may have some psychiatric problems. First she faced a problem in her life before 10 years. She believes in different sociology and culture. She has a fantasy of smoking, drinking and living together. She does not believe in marriage. She becom...  Read Full »


Dr. Kumarshri Shriniwas Saraswat

Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist, Sleep Medicine Physician

Answer: Hi, Welcome to icliniq.com. I will summarize the clinically relevant aspects of her case. The illness started early around the age of 17 years. It has not cleared completely until yet and she has not returned to her previous personality. The symptoms are suggestive of paranoid schizophrenia o...  Read Full »

I lack energy and motivation on taking Venlafaxine for bipolar disorder. Should I increase the dose?

Query: Hello doctor, To start, I have bipolar disorder type II, social and generalized anxiety disorders. Previously, I failed to SSRI medications such as Zoloft, Prozac, Lexapro. I tried Lithium, Depakote, and Carbamazepine with no success. However currently, I take 50 mg of Lamictal and 75 mg Venlafaxine...  Read Full »


Dr. Suresh Kumar G D

Child Health Specialist, Paediatrician, Psychiatrist

Answer: Hello, Welcome to icliniq.com. It is good to know that you are responding to your current medication. Venlafaxine XR is an SNRI (serotonin-norepinephrine reuptake inhibitors) which can be helpful when SSRIs (selective serotonin reuptake inhibitors) have not been effective. I note that you have...  Read Full »

SSRI is not helping with my bipolar disorder and panic attacks. Why?

Query: Hello doctor, I have bipolar disorder, panic attacks, social and generalized anxiety disorder. I have one to three panic attacks per day, constant anxiety, and fear of leaving the house. No motivation to work, no energy, apathetic, without mood. Right now I am in a depressive episode. I previousl...  Read Full »


Dr. Parth Nagda

Psychiatrist

Answer: Hello, Welcome to icliniq.com. If your anxiety is not responsive to SSRI's (selective serotonin reuptake inhibitors), then you should consider trying TCA (tricyclic antidepressants) class of antidepressants. They will help with your anxiety and panic attacks. Apart from Tranxene and Benzodiazepin...  Read Full »

Are hourly mood swings typically seen in depression?

Query: I have been having hourly mood swings [ somtimes 10-20 minutes ] Im not sure i will be fine then im sad lke super sad and then i have this burst of energy . I cant even get out of bed . Is this normal for depression? I have been diagnosed with these: dermatillomania. Anxitey Depression with...  Read Full »


Dr. Parth Nagda

Psychiatrist

Answer: Hello. what are your symptoms exactly? If they are of depression, then the treatment with an SSRI is ideally given for 6 months or so. Basically if you are depressed, you will feel irritable, low, feel like crying, sad, don’t wish to eat , have difficulty sleep, there can be anxiety, tirednes...  Read Full »

Why do I get an alternate feeling of high and low sometimes?

Query: Hello doctor, I think I am bipolar. Just a couple of weeks ago, I felt and was told by my friends that I was more energetic and crazy than usual. Now, I feel like there is no hope, and nobody really cares. But there is also that little bit of me that is telling me that I am faking this and that all ...  Read Full »


Dr. Parth Nagda

Psychiatrist

Answer: Hello, Welcome to icliniq.com. It is a little early at your age to be diagnosed with bipolar illness. Sometimes that part of normal teenage hormones and puberty, when it is mixed with some depressive symptoms. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do...  Read Full »

What is the treatment option for bipolar 2 disorder with more depressive episodes?

Query: Hello doctor, I have bipolar disorder II and diagnosed with social and generalized anxiety disorders. Currently, my medication fails to uplift my depression. I take lithium 3x450 mg, Olanzapine 5 mg, Escitalopram 20 mg. Previously I tried Valproic acid, Carbamazepine, Topiramate, Zoloft, Prozac, C...  Read Full »


Dr. Parth Nagda

Psychiatrist

Answer: Hello, Welcome to icliniq.com. Yes, bipolar depression is difficult to treat and it can be persistent. Many people do respond to a combination of Lamotrigine and Quetiapine (popularly called as Lami-quel). It takes time to act, but it is highly effective. Currently, I would suggest that instead ...  Read Full »

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