Hi, my 16 year old son have been bullied by peers he was hiding not told us, suddenly he started getting panic attacks. We were not knowing what's happening with him .we start consulting a clinical psychologist and psychiatrist, I was struggling from past 3 months no any medicine was helpful. He has been diagnosed depression and panic disorder .now our doctors suggested pexep plus 25.0+05 zapiz twice a day. But theses doses seems heavy for him. At starting they were giving pexep 12.5 morning and 25.0 in evening. His attacks frequency controlled. But again his mood and other body changes like some time fear, vomiting, feeling daily urge to masturbating if he doesn't then getting discharged in night or in urine. His urine and poo colours changing to blue. He stopped medicine on his own for two days and I found him back to normal ,i am confused are these medicines really not good? My question is are these medicines are harmful can I stop giving these? As this is his growing age I don't want to put him in another difficulty. He feels very weak low not feeling like to eat as he was eating before.

Dr. Satheesh Nair SPsychologist32yrs exp

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Hi Arti No doubt your son need psychological help. Little more understanding of the condition seems needed before labelling with diagnoses of various kinds like panic, anxiety, depression etc. which may mislead the whole thing. Also jumping into medical management may not help. Sometimes if distress is high for temporary relief some minimum medication may be needed. It has to be evaluated well to know whether it is due to bullying or any such stress factors. If it is such a trauma related event, then there are good psychotherapeutic methods,eg- EMDR usually done by trainned clinical psychologists in those areas. Try to avail this. But give support, allow him to talk to your parents or somebody with whom he is comfortable. Engage him in activities, play etc. Bye Take care  

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Dr. Shashank RaikwarPsychiatrist5yrs exp

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Madaam, please consult your psychiatrist / another one (if you are not satisfied with treatment) and stop medication only if told to do so. Abrupt stopping of medication may trigger relapse of symptoms.  

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Dr. Prof. Jagadeesan M.S.Psychiatrist17yrs exp

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The medicine pexep has paroxetine which is considered proper and effective treatment for panic attacks. Some may not tolerate the same and the dose or type of medications need to be changed. Consult your psychiatrist again and explain the issues faced and revise the medications. Continue working with the clinical psychologist for cbt. Many a. Times results are seen after 6-24 months. Good luck.  

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