system
What medication is suggested for mood swings,anxiety and insomnia?
human
My 13 year old daughter was diagnosed with a mood disorder, fluctuating, bipolar when she was 11. I have been suffering from anxiety disorder so i have not taken her to the psychiatrist, only a family member has taken her and my son a few times. When he consulted them he was aware of my situation as he has worked with us as a family for over a year before i got sick. When he saw my children last he said they need therapy, that he could not continue to help them, that therapy would be best, i am frustrated as i cannot go with them to get a new consult, i am the only one who has done all the foot work and go them the help to begin with so anyone else could not take my place. I am currently trying to help both my son and daughter, as my daughter's bi-polar has been increasingly worse. she tried reaching out to the psychiatrist twice and he has not returned any messages. She cries a lot and her insomnia is terrible. I feel she is suffering as a result of no medication, she was on meds before, but had reactions. I feel helpless and angry. what can we do to help her till she see's a doctor, what can be done to get her on anything?
gpt
Hello,Quetiapine is a good drug for bipolar patients espically- females. It is a mild drug with least side effects conpared to other conventional mood stabilisers. The drug is usually started in a dosage of 25mg and increased by 25 mg after a gap of  a week till desired reaponse is achieved. The maximum disage is around 300mg. You can discuss the drug with your doctor once and may proceed. With preoper meds she will definitely get better . You have mentioned that she cries a lot- may be due to current depressive phase..so, if after giving quiteapine she is not fully out of her sadness phase, she might need a separate anti depressant for sometime along with quietiapine.Please talk to the doctor regarding above points. Get her Hb%, TSH & B12 levels also.Wish you good health.Dr. Manisha GopalMD Neuropsychiatry.