Seeking Guidance on Telehealth Appointment for Medication Adjustment
Hello everyone, I hope this message finds you well despite any formatting issues, as I'm composing this on my mobile device. I’m a 30-year-old female, and I’ve been grappling with depression and anxiety since I turned 20. I was prescribed Lexapro for several years but had to discontinue it due to insurance complications. Currently, I am back on a regimen of Prozac at 40mg. Recently, I've been consulting with a psychiatrist who diagnosed me with ADHD alongside a mood disorder. About a month ago, I began a new medication routine, which includes 15mg of immediate-release Adderall (not taken today since it's a non-work day), Prozac 40mg, and Lamotrigine at 50mg. Today, I encountered a triggering situation that led me to lose control momentarily, resulting in impulsive behavior. I ended up calling a friend multiple times (who I have since apologized to), and my thoughts were racing as I craved immediate resolution. It felt as if I was not in control of myself. Since I can't see my psychiatrist until Wednesday, I'm contemplating a Telehealth appointment this evening, which would come at no cost to me. Would that be advisable to discuss potential adjustments to my medication, or should I simply wait until my scheduled appointment? I’ve been striving to navigate my mental health diligently, especially since I'm beginning to feel a bit more balanced lately. Additionally, I want to clarify that I do not harbor any suicidal or harmful thoughts about myself or others. Thank you for your time and support!
Answers (1)

6/15/2025, 10:40:36 PM
OpenHealth AI
It's great that you're taking steps to manage your mental health and seeking support during challenging times. Based on what you've shared, it sounds like you're navigating a complex medication regimen and experiencing some distressing moments.
Main Points:
- It's understandable to feel the need for immediate support after experiencing impulsive behavior.
- A Telehealth appointment could be a beneficial opportunity to discuss your current medication and any adjustments needed.
- Prioritize strategies to manage emotional responses in the short term while awaiting professional input.
Explanation:
You're currently on a combination of Prozac, Adderall, and Lamotrigine, which can cause various side effects and interactions, particularly in moments of stress. The impulsive behavior you described might indicate that your current regimen needs reevaluation. It's commendable that you're proactive in addressing this by considering a Telehealth appointment.
Next Steps:
-
Consider the Telehealth Appointment: Since it’s at no cost to you and could provide immediate support, it's advisable to use this opportunity to discuss your feelings and any adjustments to your medication with a healthcare professional. They can help assess whether any changes are necessary based on your recent experiences and overall treatment progress.
-
Reflect on Triggers: Keep a note of any specific situations or feelings that lead to impulsive behavior, as discussing these with your psychiatrist can give them valuable context for fine-tuning your medication.
-
Daily Self-Care Practices: While waiting for your appointments, focus on self-soothing techniques—deep breathing exercises, mindfulness, or grounding techniques can help manage racing thoughts and impulsivity when they arise.
-
Stay Connected: Continue to reach out to supportive friends or family members. Sharing your feelings can provide relief and validation during difficult times.
You are doing important work in managing your mental health, and addressing your needs with your healthcare provider is a key part of that journey. Remember, it’s okay to seek help whenever you need it. Let me know if you have further questions or need more specific strategies.
Related Questions
Migraines and Estrogen Levels
What are the implications for an individual who experiences migraines accompanied by an aura and simultaneously has low estrogen levels? This describes my own circumstances as a 30-year-old female. Is it true that I must avoid estrogen in all its forms due to my history of migraines associated with aura, even if my estrogen levels are deficient? I would be grateful for a detailed clarification on this matter, thank you.
Concerns About Medication Regimen for Rheumatoid Arthritis
I’m a 28-year-old male, standing at 5 feet 8 inches and weighing 186 pounds. Recently, I was diagnosed with rheumatoid arthritis just two weeks ago, although I’ve been experiencing symptoms for approximately two months. I've begun treatment without utilizing any recreational drugs. Here’s my current medication list, which I feel may be excessive: - Leflunomide 20 mg: once daily - Hydroxychloroquine 200 mg: once daily - Methotrexate 25 mg: taking three pills every Saturday - Folic acid 5 mg: consuming two pills every Sunday - Prednisone 20 mg: I take one pill in the morning and half a pill at night for three weeks, with one dose already taken. After that, I plan to move to half a pill in the morning and half at night. - Omeprazole 20 mg: one pill each day before breakfast Initially, my regimen was more straightforward, consisting of: - Leflunomide 20 mg: once daily - Hydroxychloroquine 200 mg: two pills per day - Prednisone 20 mg: one pill during the day and one at night for four days, followed by one pill during the day and .75 at night for four days to adjust to the current dosing. At that time, I began to notice gradual improvements, although progress was slow. However, upon returning to my physician, adjustments were made to both the dosages and medications. I’m now questioning whether my current medication load is typical or if it indeed feels like too much. Thank you for your insights!
Could Mirena Be Impacting Her Libido? (F25)
Greetings everyone, I’m a 27-year-old male currently in a two-year relationship with my girlfriend, who is 25. Throughout our time together, we have experienced a significant lack of intimacy, and this has always felt complicated. My partner has a history of sexual trauma, which undoubtedly influences our situation, and we’re actively working through it in therapy while also considering any medical factors that might be involved. One aspect I've been contemplating is her long-term use of the Mirena IUD since she became sexually active. I’m beginning to question whether this might be a more significant contributor to our intimacy issues than we previously considered. I recognize that psychological factors like trauma can certainly impact libido, yet it feels as if there's an absence of any innate desire — I would expect to see some signs of attraction if it were strictly psychological. In her prior relationship, the age difference was notable, leading me to speculate that physical intimacy was possibly more about control than genuine longing. She recently observed that her interest in sex seems to peak around ovulation. Although this doesn’t consistently translate to action, it appears her body reacts positively to the hormonal changes during that cycle, which makes me wonder if the Mirena is stifling her libido at other times. With a hormone panel coming up soon, I’m eager to gain some insights before her appointment. - Can a hormone panel effectively indicate if Mirena is influencing her libido? - Have any of you encountered situations where Mirena contributed to a significant decrease in sexual desire, even for those who previously adjusted well to it? Any medical insights or personal stories would be greatly appreciated. Thank you for your help!
Concerns About Girlfriend's Health: Abdominal Pain and Bleeding
Hi everyone, I'm reaching out for some insights regarding my girlfriend, who is 23 years old. She was recently treated for a urinary tract infection and was given Nitrofurantoin 100mg. Unfortunately, she only took the medication for four days because of side effects, and, thankfully, her UTI symptoms resolved shortly after. However, about a week later, she began to feel severe discomfort on her side, near her kidney, and today she's also experiencing cramps in her lower abdomen along with some vaginal bleeding that is brown in color. While I understand this may not be common, is it possible that the medication triggered this reaction? If the medication isn’t the cause, what else might be responsible for these symptoms? Notably, her menstrual cycle is expected to begin in approximately 12 days. Any advice would be greatly appreciated!
Struggling with Breathing Issues and Regrets
At 19 years old, standing at 171 cm and weighing 64 kg, I find myself reflecting on my own foolishness. I feel quite incompetent at times. Earlier this year, in March, I hosted a party at my place where plenty of beer was consumed. In the aftermath of the festivities, I found myself cracking open a can late at night, though I failed to finish it. I carelessly left it perched on a shelf in my bedroom, hidden from plain sight. Fast forward to early May, I began experiencing troubling breathing difficulties. My mind misguidedly linked these issues to my asthma tendencies, compounded by my heavy smoking habit, leading me to the resigned thought, “My time has come; my father was right all along.” It wasn't until two weeks ago that I finally noticed that forlorn can of neglected beer sitting on the shelf. The wretched odor emanating from it was indescribable. Over the past three months, I had been tirelessly cleaning my room, utterly baffled by the persistent stench (what was I thinking?). Upon tossing the can, I was surprised to find that my breathing improved significantly within just three days, which was both alarming and embarrassing. My concerns, however, extend beyond physical ailments; I find myself troubled by mental health issues as well. I believe I will recover from this lapse in judgment, but I feel the need to discuss my concerns with a healthcare professional. I want to know whether seeking the advice of a lung specialist would be a useful step.