Hi, I am a 29 year old female. I am suffering from constant anxiety and depression. I have extreme mood swings and recently facing slight pain in the chest. It is affecting my physical health as well. I have been prescribed the following medication: nexito 10 etizolam 0.5 mg dicorate er 250 I want to know if these medicines are sufficient or should I take alternate treatment like therapy. Plus, are these medicines safe to take without any tests?

Mr. Saul PereiraPsychologist51yrs exp

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Your treatment is right but you must work in tandem with a therapist. These extreme mood swings are of concern and indicate possibility of bipolar disorder. 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 it 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. 

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Ms. Akansha RawatPsychologist10yrs exp

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Hi. It will be better if you take psychotherapy along with medicine. Combining these treatments programs can provide improvement in symptoms, teach the skills that will allow you to cope with your symptoms, and help you feel better. Furthermore, psychotherapy gives you the tools to cope if symptoms arise again.  

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Ms. Juhi ParasharPsychologist9yrs exp

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You can take both need to assess you situation and guide you accordingly if medicine is required or both or just therapy consult with me or any psychologist for therapy & counseling. All the very best sooner the therapy better the recovery rate.  

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Mr. Senthilkumar LPsychologist18yrs exp

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Hello Friend, Good day.. I can understand your concern. Be aware that any emotional disturbance like anxiety or stress can affect the physical body as well, because body and mind are closely interconnected. So while you take medicine, it's important to identify the root cause behind your anxious or negative thoughts. It could be due to any personal issues or relationship issues or career or job tension or financial problems or health issues. It's important to find the root causes and then adopt both medicine and psychotherapy solutions to see a permanent relief. Be positive. You will be alright soon. Feel free to reach me online for further assessment of your physical and mental symptoms to help identify the root cause and suitable recommendations.  

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