Anxiety,stress Bipolar Disorder

Question

Aoa
One year phly doc ny mjy xtin cr 12.5 nuexam and epival 250 d thi baki 2 to 15 days tk ki thi epival jari rkhni thi mny rakhi ab year hogya hy symptoms ki intensity wo nh rhi jesi phly thi but kbhi tabiat upset ho jati h jo bad m thek b ho jati mjy ye epival b chorni hy mny doctor sy consult kia hy unhon ny mjy ye medicines d hyn lkin m chahti m koi b medicine na ln aur epival hi just half daily ly k stop krdn asa krna safe hy? Bcz mri body mushkil sy adjust hui hy m changes nh lana chah r plus mjy itna time medicine lny k bawajood kbhi phobias barh jaty like dar khof aur bahir nikalny sy phly bht sochti k kahin mri tbyt na khrab ho jye jb k asa har bar nh hota hy k tabiat kharab ho jaye lakin aik bad experience ho jye to phr sy khof dar beth jata iska solution btain plz m dawai ka adi nh bnana chahti khud ko.ajkal season change ho rha to tabiat mein b change arha.ye jo medicine hyn inke side effects to nh hyn? Anyone jo mjy bta sky exactly diagnosis kya hy.aur kya epival ko daily

Zainab Kausar Khan · Answer

W.salam medicine ky sath sessions lain recovery jaldi ho gi Inshah Allah, bcz medicine app ky trauma ko tu remove nahi kar sakti us ky lia sessions important hain

Asst. Prof. Mr Umar · Answer

Face to face therapy lein sath medicine isn&rsquo;t permanent solution

Ms. Shamikha Batool · Answer

Book your appointment with me.

Asif Raza Sheikh · Answer

Jahan tk bipolar ki baat hy to aap k doctor behter guide kr sakta hy k medicine kb chirni hy. Jahan tk phobias ki baat hy to aap ko kisi psychologist sy help laina chahye. Phobias medicine sy theek nehi hotay

Ms. Fakhra Faiz · Answer

book your appointment for consultation

Shaista Nasir · Answer

وعلیکم السلام،

آپ نے اپنی کیفیت بہت اچھی طرح بیان کی ہے۔ آپ کو ادویات (Xtin CR, Nuexam, Epival) دی گئی ہیں، لیکن یاد رکھیں کہ ان دواؤں کو اچانک خود سے کم یا بند کرنا محفوظ نہیں ہوتا کیونکہ اس سے علامات بڑھ سکتی ہیں یا جسم پر منفی اثرات پڑ سکتے ہیں۔

آپ کی تشویش بالکل درست ہے کہ دواؤں کے ساتھ ساتھ اصل حل تھراپی، کاؤنسلنگ اور لائف اسٹائل مینجمنٹ کے ذریعے آتا ہے۔ دوائی وقتی طور پر مدد کرتی ہے لیکن اصل healing اور control سائیکوتھراپی سے حاصل ہوتا ہے۔

میری تجویز ہے کہ آپ اپنے ماہرِ نفسیات (Psychiatrist) کے ساتھ ساتھ ایک کلینیکل سائیکالوجسٹ سے ریگولر سیشنز لیں تاکہ آپ کے مسائل کی جڑ پر کام کیا جا سکے اور آپ کا پلان ادویات + تھراپی دونوں پہ مشتمل ہو۔

مزید رہنمائی اور تفصیل سے بات کرنے کے لیے آپ میرے پروفائل سے سیشن بُک کر سکتی ہیں۔ ?

نیک تمناؤں کے ساتھ،
پسائٹ۔ شائستہ ناصر (ایم فل)
کلینیکل سائیکالوجسٹ | مینٹل ہیلتھ پروفیشنل

https://www.marham.pk/online-consultation/psychologist/multan/shaista-nasir-042-32591427,

Shaista Nasir · Answer

وعلیکم السلام،

آپ نے اپنی کیفیت بہت اچھی طرح بیان کی ہے۔ آپ کو ادویات (Xtin CR, Nuexam, Epival) دی گئی ہیں، لیکن یاد رکھیں کہ ان دواؤں کو اچانک خود سے کم یا بند کرنا محفوظ نہیں ہوتا کیونکہ اس سے علامات بڑھ سکتی ہیں یا جسم پر منفی اثرات پڑ سکتے ہیں۔

آپ کی تشویش بالکل درست ہے کہ دواؤں کے ساتھ ساتھ اصل حل تھراپی، کاؤنسلنگ اور لائف اسٹائل مینجمنٹ کے ذریعے آتا ہے۔ دوائی وقتی طور پر مدد کرتی ہے لیکن اصل healing اور control سائیکوتھراپی سے حاصل ہوتا ہے۔

میری تجویز ہے کہ آپ اپنے ماہرِ نفسیات (Psychiatrist) کے ساتھ ساتھ ایک کلینیکل سائیکالوجسٹ سے ریگولر سیشنز لیں تاکہ آپ کے مسائل کی جڑ پر کام کیا جا سکے اور آپ کا پلان ادویات + تھراپی دونوں پہ مشتمل ہو۔

مزید رہنمائی اور تفصیل سے بات کرنے کے لیے آپ میرے پروفائل سے سیشن بُک کر سکتی ہیں۔ ?

نیک تمناؤں کے ساتھ،
پسائٹ۔ شائستہ ناصر (ایم فل)
کلینیکل سائیکالوجسٹ | مینٹل ہیلتھ پروفیشنل

https://www.marham.pk/online-consultation/psychologist/multan/shaista-nasir-042-32591427,

Shaista Nasir · Answer

وعلیکم السلام،

آپ نے اپنی کیفیت بہت اچھی طرح بیان کی ہے۔ آپ کو ادویات (Xtin CR, Nuexam, Epival) دی گئی ہیں، لیکن یاد رکھیں کہ ان دواؤں کو اچانک خود سے کم یا بند کرنا محفوظ نہیں ہوتا کیونکہ اس سے علامات بڑھ سکتی ہیں یا جسم پر منفی اثرات پڑ سکتے ہیں۔

آپ کی تشویش بالکل درست ہے کہ دواؤں کے ساتھ ساتھ اصل حل تھراپی، کاؤنسلنگ اور لائف اسٹائل مینجمنٹ کے ذریعے آتا ہے۔ دوائی وقتی طور پر مدد کرتی ہے لیکن اصل healing اور control سائیکوتھراپی سے حاصل ہوتا ہے۔

میری تجویز ہے کہ آپ اپنے ماہرِ نفسیات (Psychiatrist) کے ساتھ ساتھ ایک کلینیکل سائیکالوجسٹ سے ریگولر سیشنز لیں تاکہ آپ کے مسائل کی جڑ پر کام کیا جا سکے اور آپ کا پلان ادویات + تھراپی دونوں پہ مشتمل ہو۔

مزید رہنمائی اور تفصیل سے بات کرنے کے لیے آپ میرے پروفائل سے سیشن بُک کر سکتی ہیں۔ ?

نیک تمناؤں کے ساتھ،
پسائٹ۔ شائستہ ناصر (ایم فل)
کلینیکل سائیکالوجسٹ | مینٹل ہیلتھ پروفیشنل

https://www.marham.pk/online-consultation/psychologist/multan/shaista-nasir-042-32591427,

Shaista Nasir · Answer

Wa Alaikum Assalam,

I truly appreciate your detailed sharing. From what you’ve described, you are experiencing anxiety, stress, phobias, and mood-related symptoms despite being on medications like Xtin CR, Nuexam, and Epival. It is very important not to stop or adjust psychiatric medicines on your own, as sudden changes can worsen symptoms or cause withdrawal effects.

Your concerns about dependency, side effects, and seasonal changes are valid, but the safest step is to review your treatment plan with both your psychiatrist and a clinical psychologist. Medication helps manage symptoms, while therapy provides long-term coping tools, emotional healing, and relapse prevention.

I would recommend scheduling a consultation so we can discuss your condition in detail, explore your exact diagnosis, and create a combined healing plan (therapy + lifestyle management) tailored to you.

You can book a session directly through my profile on Marham for further guidance.

Best regards,
Psyt. Shaista Nasir (M.Phil)
Clinical Psychologist | Mental Health Professional

https://www.marham.pk/online-consultation/psychologist/multan/shaista-nasir-042-32591427,

Shaista Nasir · Answer

Wa Alaikum Assalam,

I truly appreciate your detailed sharing. From what you’ve described, you are experiencing anxiety, stress, phobias, and mood-related symptoms despite being on medications like Xtin CR, Nuexam, and Epival. It is very important not to stop or adjust psychiatric medicines on your own, as sudden changes can worsen symptoms or cause withdrawal effects.

Your concerns about dependency, side effects, and seasonal changes are valid, but the safest step is to review your treatment plan with both your psychiatrist and a clinical psychologist. Medication helps manage symptoms, while therapy provides long-term coping tools, emotional healing, and relapse prevention.

I would recommend scheduling a consultation so we can discuss your condition in detail, explore your exact diagnosis, and create a combined healing plan (therapy + lifestyle management) tailored to you.

You can book a session directly through my profile on Marham for further guidance.

Best regards,
Psyt. Shaista Nasir (M.Phil)
Clinical Psychologist | Mental Health Professional

https://www.marham.pk/online-consultation/psychologist/multan/shaista-nasir-042-32591427,

Shaista Nasir · Answer

Wa Alaikum Assalam,

I truly appreciate your detailed sharing. From what you’ve described, you are experiencing anxiety, stress, phobias, and mood-related symptoms despite being on medications like Xtin CR, Nuexam, and Epival. It is very important not to stop or adjust psychiatric medicines on your own, as sudden changes can worsen symptoms or cause withdrawal effects.

Your concerns about dependency, side effects, and seasonal changes are valid, but the safest step is to review your treatment plan with both your psychiatrist and a clinical psychologist. Medication helps manage symptoms, while therapy provides long-term coping tools, emotional healing, and relapse prevention.

I would recommend scheduling a consultation so we can discuss your condition in detail, explore your exact diagnosis, and create a combined healing plan (therapy + lifestyle management) tailored to you.

You can book a session directly through my profile on Marham for further guidance.

Best regards,
Psyt. Shaista Nasir (M.Phil)
Clinical Psychologist | Mental Health Professional

https://www.marham.pk/online-consultation/psychologist/multan/shaista-nasir-042-32591427,

Sanabal Chaudhary · Answer

book your session for further discussion

Aishah Siddiqa · Answer

book your appointment

Ms. Zara Fatima · Answer

Book your online
appointment with us it would be helpful if you want in person session your all openly welcome to Gulburge medical centre
Gulburge green Islamabad for your session

Hira Hussain · Answer

book your appointment for online consultation

Sana Malik · Answer

book your appointment discuss in detail all situation..thank you...

Ms. Momna Rizwan · Answer

u can book your slot with me.

Ehsan Zafar Awan · Answer

For necessary diagnosis take a psychological session so that further treatment plan could be prepared

Faiza Aizaz · Answer

book ur session

Shumaila Munir · Answer

ap session book krvayen. is problem ka solution apko session book krany py mil jaye ga. aisy bht Sy cases Mai ny deal kiye hain AlhamdulilAllah positive result mila

Homeopathic Dr. Asifa Khanum · Answer

homeopathic medicine se use se ap ki sari medicine choot skti hain or fear bhi permanent theek ho jay ga sari zondagi medicine lainy ki zarooorat ni pary gi pareshan na hon detail bat kr lain kindly book appointment with me ap theek hony k bad ye medicine bhi chor skty hain

Kainat Khan · Answer

Take ur oppintment in offordable fee with me

Aiman Bukhari · Answer

book your appointment through marham

Ayesha Nazir · Answer

It's very great that you don't want to make yourself addicted of medicines, actually in psychological issues therapy is also mandatory to manage all the problems, you need psychological sessions and if you want than book an online appointment with me

Aliyana Khan · Answer

Jo medicines Ap ly rahee zaruri naii ke yea life time hee ap leatii rahay.. therapies and counseling sessions saa ap KY symptoms kaam hou skaty hy... appointment ly taake ham is py mazeed baat karay or ap ko solutions dea sakun.. stay blessed ?

Nisar Ahmad · Answer

It seems you have been managing anxiety stress, and possible bipolar symptoms with Xetin 12.5mg and Epival 250mg for a year but the intensity of symptoms like phobias fear and mood changes persist despite reducing Epival. Stopping or adjusting medication abruptly even to half a dose, can be unsafe and may worsen your condition, especially with seasonal changes affecting you. I strongly advise consulting your doctor before making any changes as they can assess your current diagnosis and adjust treatment safely. Professional guidance effective .

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