Female | 45 years old
Complaint duration: 5 month
Medications: Paxil cr, bystolic, levoxyl
Conditions: Hyperthyroidism, hbpressure
From a medication perspective, sometimes serotonin medicines actually do “poop out“. So sometimes an increase is necessary. Sometimes it may have been a poorly manufactured generic. Sometimes the body really needs a new and structurally different medication. While all these medical issues are being evaluated, would definitely strongly consider cognitive behavioral therapy with exposure response prevention. Really really really helps!
Lance Steinberg MD, Inc.
Assistant Clinical Professor
UCLA (Geffen) NPI