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Avatar universal

plz help

I am a 31 year old married guy and I have been suffering from the following psychiatric symptoms since last 10 years.I have an underlying cause of depression bcoz of failing in the career front , actually being an engineering dropout with seeing no hope for the future and also being a stammerer / stutterer resulting in tremendous anxiety lasting since last 14 years or so.

There are two angles / sides to my problem:::::

1)  FIRST PHASE  ---->  When i am not in a Psychotic state:::

In this state I am normally a very very severely depressed guy with severe anxiety and sometimes think of suicide ( even tried once in year 2000 ) .I also frequently Lough out loud without wanting to explain and also sometimes have crying spells.Its also worth mentioning here that sometimes during this Non-Psychotic state I also do a lot of household work ( both outside and inside ) with enthusiasm although there is depression in my subconscious mind.During this Non-Psychotic episode I was put on Lamotrigine 200mg , Oxcarbazepine 600mg, clonazepam 2mg, citalopram 20 mg daily, This works just ok, but not 100% satisfactory for depression and also bcoz any kind of stress / anxiety tends to throw me into a psychotic state even while taking these medicines.

2)  SECOND PHASE  ---->  When i am in a Psychotic state::
I enter into a Psychotic state ( lasting abt 10-30 days ) following coming in contact with the following pricipitating factors::
Pricipitating factors are like stress, anxiety, fear / phobia, lack of sleep, drinks more then 3 pegs. This  throws me into a psychotic state where It seems like everything is unreal, although I Don't Hear ANY UNUSUAL Voices OR SEE UNUSUAL THINGS, I get terribly anxious,suspicious and angry, severly agitated,  irritable, suffer vertigo and dizziness, Delirium, lack consiousness to some extent, get social phobia, dont want to face light, seems like my sensory orgals like the sence of touch etc are not working at all, dont want to go out of home,feel as if everything is unreal and everybody is watching me and monitoring me, i dont know where i am going, everything seems black, cannot see anyone's face properly , severe loss of short term memory and very very poor concentration.

Neuro-Psychological Evaluation ( while i was in psychotic state ) revealed the following :::

--> Low-average intellectual skills, Memory-functions are at low average levels, personality profile shows features of severe anxiety and depression and a co-existant psychotic illness - Schizoform with paranoid content.

Brain EEG / Brain CT Scan / E.N.T. Audiogram test were all normal during my Psychosis state.

Now, Sir, Psychiatrists over here in my native region are unable to diagonise my problem properly to give me appropriate medications and advice.My medicines were seldom added with some atypical anti-psychotics ( like Respiridone or Olanzapine which resulted in developing a recurrent priapism problem in me ( penile-erection lasting the entire night for abt 10 hours regularly since last 2 years ).Urologists have attributed it to Anti-Psychotic medications.Sir, I am at a total loss, I would therefore, request you to kindly guide me accordingly regarding the medicines i should be taking.I shall be ever grateful to you for this generousity.
Thanking you

Regards,
Psy123
3 Responses
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Avatar universal
Whew.... Well, I can truly understand your frustration. I have been there and still am there except that I have found a medicatin combo that allows me to experience life in relative normalcy.

I know that doctors and yourself have stated that your probelm is related to a type of Psycotic disorder, BUT I must tell you that this may not be the case.

You may be suffering from a very severe form of depression such as I do. I can relate to your symptoms because my severe depression also involved all of the same symptoms that you described. Fortunatly my Psychiatrist was not so fast to disgnose me with Psychosis.

My condition also made me feel very unattached. Kind of like I was living in a state of unreality. I felt like I was almost obserbing myself from outside myself. (it's hard to explain, but it was VERY scary) Kind of like I was not truly connected. This symptoms of my Severe depression were loaded with a strange sence of constant fear in my head. I wish I could explain it better, but the feeling was very unusual and frightining.

It was so bad that before I really understood what was going on with me, I had convinced myself that someone was actually poisioning my food and drink.  I knew in my consious rational mind that this idea was obsurd, but at the time it was the only explanation my brain could find as to why I felt so strange.

Although I have never taken any mind altering drugs like LSD, (my close friend has) and after explaining my symptoms to him, he said that it reminded him of how he felt on a bad LSD trip once back in Colledge!

On top of this strange sence of dissattachment I was also having suicidal thoughts, feelings of absolute hopelessness, dispair, dread, irrational sence of fear, and severe anxiety. So bad that I actually became completly non-functional.

My level of consentration became so bad that I could not even read a simple magazine!
Mind you, I have a confirmed and tested IQ of 132! I really thought I was going insane! In fact, so much so that I had planned to kill myself before my complete insanity took over.

I'm not sure if your condition is related to mine, but if it is then I can at least offer you some insight as to what helped me. Maybe it will also help you.

PM me is you get a chance and I will share.
Helpful - 0
Avatar universal
Hey buddy, thanks a lot for your input....my doctors arde confused between bipolar disorder and schizo affective disorder....i hope i get cured soon....by the way, is there something by means of which i can wean myself off totally from these psychiatric meds bcoz i m totally fed up....thanks again.
Helpful - 0
540310 tn?1343624120
I understand exactly how frustrated you feel. Has the doc and specialists looked at bipolar disorder? treatments for that range from mood stabilizers like lithium to anticonvulsant's like tegretol. You may not have one specific condition you could have 2 or 3 and you may need a few different medications. brain scans x ray and ultrasound aren't always accurate. i started seeing doctors shrinks pschologists when i was 6 and it wasn't til i was 23 that my 5th doctor said yes there is something wrong and clinically diagnosed me with depressive mood disorder,add,ocd and anxiety i had scans earlier this yr to confirm the clinical diagnosis. but now my moods swing from being extremely happy to suicidal i am one or the other i am currently in my worst depressed state ever.hang in there this site has saved my life your not alone.i hope i helped.
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