Requesting for a Correct Diagnosis

[psy123]

Dear Sir,

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

[idesofmarch]

You still may be able to get some government financial, medical help.  Get yourself well, please.

[psy123]

Thanks a lot for responding...well, I am lucky enough for the fact that I m being looked after very well by my parents although at this age of mine....financially i dont need to depend on somebody else as i have a source of income although little....but just enough to make my both ends meet.anyways, thanks a lot for responding...Sincerely, Psy123

[idesofmarch]

I'm not sure who you were looking for, I am new here and I haven't seen many doctors answering questions.  Do you have any health care/insurance?  If I were you, I would check myself into the hospital and let them know that you have been suicidal.  Bring a list of the medicines you have tried and use now. Or just bring your meds with you. Sounds like you could also get some government help financially, medically, food and housing if you need it.  Unless your wife is supplying everything you need.  Do you live with your wife? How much does she have to help you and financially and with daily personal needs like washing up or fixing something to eat? What does she suggest you do? This has to be very hard for you and your loved ones. I am sorry but  a doctor, especially on this forum, would have to see you in person and go over you and your family history along with medical conditions and medicines.  You really need to get into a hospital for a full evaluation.  Probably long term, like 30 days or more.  It is going to take time and your commitment but in the long run ir will be worth it.  Get help now, please.  Sincerely Sharon