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Mood is so so. Energy still low and the other symptoms (hypersensitive to noises, brainfog, chronic stress, anxiety) are still there. I have a skin rash since a couple of weeks. We gonna lower the lamictal from 400 to 300. And adding 1mg risperdal. I might lower the remeron even more since resperdal should sedate as well.
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Dx: Mix anhedonia with Bipolar II. Add some insomnia and chronic stress. Season with paroxetine and a pinch of ADD. Stir well to induce a couple of hypo/manic episodes. After the excess of energy is gone, remove the Paroxetine and serve chilled with some C-PTSD and GAD. Ready is your MDD.
Mx: To clean up the mess use lamotrigine, risperidon, mirtazapine and sertraline. Let it soak in for a while but keep a close eye on it. Meanwhile enjoy your desert of oxazepam/temazepam prn.
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