I have an adopted daughter. She is now 19 years. She has anxiety/depression issues. She attended 7 counselling sessions. She discontinued. Lazy in studies. But intelligent. On doctors advise she is on depression medication (level 10 mg and Nexito 20 mg once a day. Many a times she misses the medicine. During full moon and new moon she experiences mood swings. Some times anger triggers and she misbehaves and she damages things. She is addicted to internet. How to bail her out .Kindly advise.

Dr. Jagadeesan M.S.Psychiatrist14yrs exp

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She seems to be suffering from Borderline Personality or Emotionally unstable personality. The cause is unknown but research suggests there is an interaction between adverse life events and genetic factors. Neurobiological research suggests that abnormalities in the frontolimbic networks are associated with many of the symptoms There is a pattern of sometimes rapid fluctuation from periods of confidence to despair, with fear of abandonment and rejection. There is a particularly strong tendency towards suicidal thinking and self-harm. They have love-hate relationship with close ones. Episodes of depression are common. Transient psychotic symptoms, including brief delusions and hallucinations, may also be present. It is also associated with substantial impairment of social, psychological and occupational functioning and quality of life. People with emotionally unstable personality disorder are particularly at risk of suicide. Its course is variable and, although many people recover over time. Kindly consult a psychiatrist for remedy.  

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Dr. Sumant KhannaPsychiatrist37yrs exp

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She needs to have herself assessed. Also there is nothing to suggest a borderline personality disorder. Psychotherapy/ counseling will be of greater help. Obviously the Nexito is not working and the dose is too high. Drugs should not be the first line of management.  

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