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How is seasonal affective disorder managed?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At September 24, 2022
Reviewed AtOctober 17, 2023

Patient's Query

Hi doctor,

I am a 20-year-old male diagnosed with SAD. My Psychiatrist prescribed me Tablets Clonazepam 0.5 mg, Escitalopram 5 mg at night, and Modafinil 50 mg in the morning. He also recommended some tests (Vitamin D and B12, thyroid profile, LFT, KFT). I started taking the medicines before my test results came. The results were: Vitamin D : 14.0 ng/ml, and vitamin B12 : 204.0 ng/ml. This shows I have a vitamin deficiency, but still, the doctor recommended me to continue with Benzodiazepine and Escilatopram. I have taken them for three days. When I asked my doctor about vitamins, this is what he said: Yes, vitamin levels need to be corrected, but I thought of waiting for a week because there are more medicines on our list, and if you show symptomatic improvement in terms of mood, I thought we could reduce a few medicines or doses so that you can be more comfortable. My question is: Since there is already a vitamin deficiency, should that not be addressed before going for Benzodiazepines and SSRIs and potentially getting addicted? Symptoms: Lack of motivation, laziness, anxiety, disrupted sleep cycles, and occasional suicidal thoughts.

Hi,

Welcome to icliniq.com.

Thank you for taking help from a Psychiatrist. You may have SAD (seasonal affective disorder). Vitamin deficiency can be one of the factors for mental illness, but that does not mean that vitamins will correct your mental illness and get cured. Mental illness is due to the abnormality of neurotransmitters in the brain. Medications are used to balance these neurotransmitters. Psychiatry medications are not addictive. For example, if you have diabetes and taking medication to control your sugar, then you may need to take it for a long time. Do you think that diabetes medication is addictive? Same for psychiatric illness that is used to deal with your thoughts. If you can control your thoughts, then you do not need to take medications. You should have faith in your doctor.

Follow his advice. Thank you.

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

Dr. Vishal Anilkumar Gandhi
Dr. Vishal Anilkumar Gandhi

Psychiatry

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