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Need an advice for my depression

M

mrdad1993

Member
Joined
Jun 17, 2021
Messages
5
Location
Milan
I am hiv positive since 2015. My diagnosis is: bipolar depression, adhd, lack of impulse control, ocd. My depression is genetics and i have mother and my sister with depression. I am in cure and at the moment I'm taking: zoloft, wellbutrin and lithium carbonate. The lithium is effective but sometimes gives me dermatitis, and a little pain in ear although I take a very low dosage. I have immune system at low level because of hiv and my energy level are low, and I continue to follow the therapy. I need very often supplements to deal the fatigue of daily tasks. With wellbutrin i feel sometimes numb and slow in talking. Hiv gives me lack of focus and sometimes memory problems. I would improve my cognition, reasoning better. Some patients has advices to me taking Ritalin for adhd and tiredness and for bipolar Lamictal. I'm undecided about what to do, which is whether to keep going to my current psychiatrist, that is private , or go to a public, also because I should have the best care because I suffer a lot and I think I deserve them after so many years. Even for HIV, I would like to find better therapy because sometimes I have side effects. I pray to find a suitable solution for me. Family doesn't support me as I want, but I love them although everything. What do you recommend? Thank you for your attention and help. Have a nice evening.
 
A

Aurelius

Well-known member
Joined
Aug 14, 2018
Messages
585
As with many countries the quality of public health services in Italy seems to depend on the locality in which you live. Milan (Municipality of Milano and Partners) boasts that 'particularly in the Milano area, the public health system provides high-quality services to all, no matter their economic resources. Even if you already have private health insurance, it is advisable to apply for public health care coverage'. So perhaps, if you can afford to, you should do this - then you will be able to compare the quality and level of private and public services and make your choice from there.

In terms of medication, you really need to seek the best professional medical advice - especially as you are on a complex set of medications and need to be extremely careful about 'unwanted' and potentially 'dangerous' drug interactions.
 
S

SFGuy

Well-known member
Joined
Mar 28, 2021
Messages
249
Location
California
I like your plan to seek out the best HIV care and the best psychiatric care you can get.

Where I live, we're lucky. We have access to psychiatrists who are familiar with HIV and medical doctors associated with the med school that pioneered HIV treatment.

If you can find such specialists in Milan, it is best to have them in charge of your medical and psychiatric treatment. I hope your family doesn't prevent you from finding the right doctors.

I respect your determination to seek medical and psychiatric care you trust.
 
M

mrdad1993

Member
Joined
Jun 17, 2021
Messages
5
Location
Milan
Thanks guys for the advice you give me. I am very grateful. I am getting along well on this forum and feel supported. I will find the best treatments. I wish life could change for everyone
 
C

Comorbidity

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Jul 19, 2021
Messages
334
Location
London
Get a proper bipolar diagnosis, a lot of what you list are symptomatic of bipolar 2, I am of the belief that a great many people diagnosed with ADHD are actually presenting with hypomania, the up side of bipolar 2

Do you get euphoria? I've had extreme and wonderful fill the entire room and have people following me around insisting I must have Ecstasy bouts of euphoria, but in psychiatry terms what they generally mean is feeling very up, buoyant, overly confident, giddy, excitable, there can be randomly making irregular noises because you're excited involved

Do you have periods in which you feel you have loads of energy and find yourself doing lots of very good work in volume and quality, more extra curricular activity, not sleeping very much, but never feeling tired and you're mind is racing, sometimes in an unfocused way, quickly switching from one subject to another or diverting onto a tangent mid sentence and losing your thread

When you start a new job or project, do you find you get oversized joy and satisfaction in every small goal or achievement, and that it seems to accelerate you just a little bit more with each one and make you want the next one and start to aim higher and higher?

if you have any of these things, when you have them, do you find yourself speaking or thinking a fair amount faster (or even typing or writing), and when speaking do you have what they call pressured speech, you speak a little louder (which people can think is a little aggressive and you're trying to talk over them) because all these thoughts are racing into your mind so quickly you have to get them out and sometimes literally blurt them out, very quickly
 
M

mrdad1993

Member
Joined
Jun 17, 2021
Messages
5
Location
Milan
Yes, i speak sometimes faster like under pressure and in addition I say more words than are necessary. Thanks for your explanation, very useful. Thanks a lot
 
C

Comorbidity

Well-known member
Joined
Jul 19, 2021
Messages
334
Location
London
Yes, i speak sometimes faster like under pressure and in addition I say more words than are necessary. Thanks for your explanation, very useful. Thanks a lot
have a conversation with your psychiatrist about it, they don't always ask the right questions or ask the questions in a way that you can understand what they mean or are trying to ascertain
 
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