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Response to medicines depends on- 1. Diagnosis 2. Adequate dose of medicines 3. Adequate duration of treatment 4. Regular Medicines 5. Individual factors like patient's metabolism, other medical conditions etc. Resistance to medicines can be because of following factors- 1. Diagnostic confusion 2. Irregular treatment or lack of proper follow up with treating doctor 3. Inadequate dose of medicines 4. Pharmacodynamics/ pharmacokinetics 5. Internal biological resistance For Treatment Resistant Depression , adjunctive measures like changing treatment goals, psychotherapy and ECTs can

Based on your clinical history, your doctor plans the type of medicine and it's dose and duration. For first episode of anxiety/ depression/ panic, the usual maintenance phase is 6 months of asymptomatic period, after which medicines can be gradually tapered. But treatment may need to continue longer depending on severity and frequency of episodes. To take any decision to change medication or stop them, several factors have to be taken in account for which regular follow up with your psychiatrist is important. For second opinion, seek a proper consultation with another psychiatrist and take along your previous prescriptions.

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Imagining things, seeing or hearing things that normally people can't, behavioural disturbances like unprovoked anger or irritability, fear, suspiciousness can be symptoms of serious psychiatric illness. False, firm beliefs that someone may want to harm/ hurt, that people constantly talk about one or are trying to do something harmful, with or without hearing strange voices that only the patient an hear is called paranoid psychosis.It is a neurochemical disorder and needs proper evaluation and treatment by a psychiatrist.

Response to medicines depends on- 1. Diagnosis 2. Adequate dose of medicines 3. Adequate duration of treatment 4. Regular Medicines 5. Individual factors like patient's metabolism, other medical conditions etc.Please discuss with your psychiatrist regarding vomiting issues

Based on your clinical history, your doctor plans the type of medicine and it's dose and duration. For first episode of anxiety/ depression/ panic, the usual maintenance phase is 6 months of asymptomatic period, after which medicines can be gradually tapered. But treatment may need to continue longer depending on severity and frequency of episodes. Treatment for Recurrent Depressive Disorder , psychotic disorders, Bipolar Affective Disorder and OCD usually lasts for much longer.To monitor any potential side effects and to take any decision to change medication or stop them, several factors have to be taken in account for which regular follow up with your psychiatrist is important. For second opinion, seek a proper consultation with another psychiatrist and take along your previous prescriptions.