Taking adderall bid and effexor for depression. No schizophrenia symptoms. Suggestion?
Patient: Dear sir; I am a 45 y/o female RN with above average intelligence. In the last 6 months i was recently prescribed 30 mg adderall bid and effexor 325mg QD for depression, motivation and attention. While I don t have a real substantial hx of any physical nor mental dx s, my gene pool has several. ADHD , Tourette s, Asperger s, ODD, OCD, Depression, Bi-polar, Anxiety, Anger, IVDA, Polysub, ETOH. There is no schizophrenia , no suicide nor homocidal behavior. I am seeking answers to my behaviors that don t seem to be quite in-step with the general population, because I have always (mostly) brought out the worst in people, make them angry, resentful, assaultive (both physically and mentally), without meaning to at all. I am straight-forward, and am surprised when it s not appreciated and am perceived as mean. Doctor: Hello......    Thanks for your query. You have a family history of multiple psychiatric disorders while the medication prescribed appear to be for for ADHD (attention deficit hyperactivity disorder)/depressive disorder. However, the symptoms you report fit into cluster "B" personality disorder. The facts do not fit in together. I suggest you undergo evaluation of your personality profile and get back to us with the complete symptom profile and treatment records for a better understanding. Regards Dr Sundar Gnanavel Psychiatrist