Hii, I took weed in aug 2016 and after that I started feeling bit anxious and after 3 months of that I had a outbreak of anxiety (gad) though I am anxious from childhood. My doctor put me on paroxetine and clonazepam till june 2017 but it didn't work much though it helped me little bit. After that I was suffering without taking any medication for 1 year but after that I saw a doctor in my hometown indore and he put me on paroxetine cr but it was not working at all later he found that I have delusional disorder also with generalized anxiety disorder so he put me on risperidone but due to severe weight gain I was put on amisulpride so from dec 2018 I am on amisulpride and doing ok ok as I still have anxiety but free from delusional disorder .i have told to my doctor that please put me on another ssri but he tells me ssri increases delusional disorder so he can't do that can anyone help me what to do?
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If you have a delusional disorder, ssri is not the indicated medicine. You need anti psychotics and now you are in the correct line of treatment .the use of 'weed' triggered a psychotic disease in you ,so never think of any more use of weed. I would suggest to avoid alcohol also. Â
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I think it is clear by now that weed does not agree with your constitution. It can make it worse if you suffered from anxiety since childhood. But the deed is indeed done and there is no use crying over spilt milk. I suggest that you work with a counselor in tandem with the medication and learn some skills, techniques, and tools to deal with your anxiety. Your childhood contribution will also need to be investigated. Anxiety is all about abnormal fear and it could do with some contribution from your upbringing. Perhaps you experienced strict parenting; or you were intimidated by dire consequences for failure; perhaps you were brought up believing that you were not as good as others; perhaps you were forced to show undue regard for elders and felt inferior around them, etc. You must immediately seek help from a counselor in this regard. In the meantime you must do certain things to build your constitution physically, spiritually, emotionally, and mentally. Mental stability can be achieved by learning a few skills in handling emotions in an appropriate manner. Stress management skills, which have a lot to do with expressing emotions, will need to be a major part of your recovery program. Emotionally you need the help of a counselor and that will help you tremendously to move from anxiety to normal fear. Please persevere and cooperate through all the support you need and you will come through successfully. Develop your body?s health by physical fitness through exercise, good rest (sleep), and a proper diet. Any way what you need to focus on is to do vigorous exercise of the aerobic kind for the heart?s fitness; meditation for the brain?s fitness; sleep for a well rested mind and body; a sound spiritual well being for good confidence and stability; and a diet with lots of vegetables, fruits, and whole grains. Vigorous exercise, especially of the calisthenic kind, will make your heart, which is a muscle, grow larger; and then your heart will need to beat less often and you will respond to the anxiety with a calmer disposition. If your mind, constitution, and your emotions are in check and fit, you will never be disturbed again. You need to attend personality development courses, personal grooming courses, conversational skills courses, and definitely a good education will empower you to boost self-confidence and by default self-image. Learn never to compare yourself with others: you are unique and there is only one of your kind, ever. If you let that sink in and appreciate who you are truly, you will go places.Â
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He has been treating reasonably well, there are medications which can be given in delusional disorder with anxiety, which doesn't worsen the delusions. You need to consult again and ask him. Good luckÂ
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That's right. Trust your doctor. Â
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You need is relaxation therapy's. Â
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Anxiety is a common symptom is many psychiatric disorders. Just to elucidate - delusion with cause distress and might cause anxiety itself. There is a possibility that your delusion is minimal, but it's still there below threshold and causing you anxiety. Let your psychiatrist assess that. Secondly, there are non-ssri options for anxiety - both medications and psychotherapy. Â
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Oh dear. Seems things are jumbled up. The first thing you need to do is get rid of these diagnoses from your head. Go for a consultation and start narrating your problems in simple words without any jargon. As if narrating a story. We need to start afresh. Â
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