How can depression and anxiety be treated?
Patient: My adult son has delusional disorder and has been on Risperdal he doesn t feel it is working the best for him, he has low motivation, had high weight gain, depression, memory loss and extremely unhappy. There is diabetes in our family history. He is also on celexa for depression and another drug for anxiety (not sure name of it). What would you recommend as an alternative antipsychotic. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.  In delusional disorder the person suffering from it do not have insight to know that he is getting better or not. He believes these ideas to be true. If you feel the delusional belief is not coming even after giving Risperidone to a maximum tolerable dose for adequate period of time; then his drug can be changed to some other antipsychotics. Risperdal can be prescribed. To be noted is all antipsychotics are equally efficacious and they are chosen according to patient profile.  Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rohit Kothari