Sir my daughter having bipolar. She under medication. Olanzapine 7.5 mg arifine 10 mg lithium 900. When she took olanzapine nd arifine she overcome from depression and do her activity good. Nw doctor told to take mood stabilizer giving nw lithium afr taking a month she is not normal. Always telling I can't understand what's going around me. Pls help to me telling. My question is whether we are treating her correctly. Y lithium is not stabilise her mood. Y becoming dull she is.

Dr. Saul PereiraPsychologist48yrs exp

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Medicines take time to give its actual results. So if that period has passed, you should go back to the doctor and describe your symptoms. Then the doctor may review the dosage or medicine too. She should also seek help from a counselor regularly and over a long time. If you do not trust the doctor?s diagnosis, you should seek a second opinion. It can be a crippling disease if not treated and if treated early the prognosis is good. Comply with all the medical prescriptions and work in tandem with a counselor for a long time and learn coping skills and techniques to handle the daily challenges you will face. There are certain adaptations that will suit you during the elation phase and there are certain behaviors that are required during the depressed phases. In the meantime you can do certain things that will give you benefits anyway. Emotional therapy will alleviate a lot of the problems faced in this condition because it is a mood disorder. You need to particularly look at your levels of anger both for its reasonableness and to express it in appropriate manner. I suspect that much of this anger may have origins in early childhood that you may never be aware of now. Talk to your parents and explore that angle. This information will help the counselor too. Also you will need to check whether there is any genetic factor involved. You must exercise regularly, eat healthily and sleep normally too. If your motivation and cooperation is good much can be achieved. You must have a time-structured schedule filled with interesting and reasonable activities and it must be monitored for compliance and delivery. The reason I say this is that many times you will be inclined to have grandiose notions and confidently believe that you can do without the medication. This will set you back many months in the treatment and delay and sabotage the recovery: forewarned you are forearmed. If this combination of medication with therapy is maintained for at least three years without any episodes or breakdowns, it is possible to taper the medication in consonance with the doctor. Bipolar is characterized by two extreme poles i.e. feeling very high (mania) and suddenly feeling very low (depression). You can ask the doctor for the symptoms he noticed in you for a personal understanding 

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Dr. Sushil Kumar SompurPsychiatrist15yrs exp

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Becoming dull is sometimes a side effect of the medication olanzapine that she is taking and very rarely seen with the use of the other two medications i.e. Aripiprazole and lithium. Please consult your doctor for suggestions or you can consult us online for further recommendations. Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, an appointment for a confidential and private consultation you may do so by contacting the help desk of Lybrate.  

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