Obsessive-compulsive disorder, heridetary schitzophrinia. Symptoms treatment?
Patient: I have been experiancing SEVERE BUTTERFLYS AND very scary feeling for about a month I am unable to perform normal task due to the overwhelming difficulty it puts my mind to, I was unable to eat and woke up every morning with this feeling that last all day and night the Mental health put me on Prozac and wellbutrin cause I have bipolar 2 and obsessive compulsive disorder and add, but it did not take it away then a regular dr. put me on hydroxazine which only helped about 30 percent but now i went back and he put me on zanax and lexapro which since then it has helped since 2 days ago but my modivation level is not back I cannot seem to ever clean my house it is severly overwhelming to me is this some form of phobia there are many more symtoms I live with daily to long to go into but have got to figure out how to get my motivation back and become social again also since lexapro works on the dopamine in the brain and prozac works on the seratonin balance can i take some of each I have mother and brothers and grandfather with schitzophrinia and have at least 20 phobias thanks lucy Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.  I understand that you are going through a difficult time due to your multiple psychiatric problems. The medication which you have been started on recently is a combination of an SSRI anti-depressant (Lexapro) and anti-anxiety medication (Xanax).  It is important to take the medication as advised by your doctor striclty and not make your own treatment decisions. (By the way, Lexapro does not work on dopamine - now, this is why it is important to follow the advise of qualified specialists, rather than make such wrong assumptions and try to make your own decisions)  SSRI anti-depressants like Lexapro may take about 2 weeks to bring about their beneficial effect and so, you will have to wait for some more time till you see significant improvement.  Wish you all the best.  Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist