Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have Complex PTSD, Bipolar 2 with a history of psychosis, major anxiety (probably due to my PTSD). I have a past history of bulemia and a current history of overeating. I had a past history of cuttiing until last night. I take 200mg of Lamictal 2x a day, Wellbutrin 75mg in the am, Klonopin 1mg, 1 during the day and 3 at night, Seroquel 75mg, Trileptal 300mg 2x a day. I started to feel a little more depressed so my psych allowed me to increase my dose of Wellbutrin to 1 1/2 tabs. I then became severely depressed, unable to get out of bed for several weeks. I cut back my Wellbutrin dose to 75mg and after about a week became hypomanic with some hallucinations. I am now experiencing quick cycling as well as major depression and self-esteem. I hurt so bad inside last night that I cut myself, superficially, but I wanted to cut all over to make the pain and voices inside stop. I also wanted to die. No plan, no desire to actually kilk myself, but a desire for the madness, so to speak end. I am coming to you for help because I have a new psych doc that I cannot get in to see for almost 2 weeks. I would go to the hospital but since I am not actively a threat to myself or others, I would be released quickly. As for now, is there anything I can to to safely change my meds dosages to help?
[|AI|]  HiT hanks for using Chat Doctor In your case, you need a good mood stabilizer like lithium or valproate. Capital and Oriental may have Chat Doctor.  Your dose of capital is very high and there is need to taper it down gradually. It could cause serious skin side effects. You can take high dose of Seroquel for control underline depression. Better to consult a psychiatrist to readjust medication and in case, you need my help, you can ask. Thanks