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Psychotherapy and Mental Health Questions

What To Treat First?

A person who has a very screwed up childhood presents himself for treatment without talking about the childhood and because of doomsday thoughts and ideations is pronounced bi-polar. This person in the last three years has never taken an antipsychotic medication and has been under stress that a psychotic person would never be able to handle. A deep depression lingers after the "supposed manic incident" Which should now be treated, the long ago incident or the pronounced depression being felt now?

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Disclaimer

  • Dr. Dombeck responds to questions about psychotherapy and mental health problems, from the perspective of his training in clinical psychology.
  • Dr. Dombeck intends his responses to provide general educational information to the readership of this website; answers should not be understood to be specific advice intended for any particular individual(s).
  • Questions submitted to this column are not guaranteed to receive responses.
  • No correspondence takes place.
  • No ongoing relationship of any sort (including but not limited to any form of professional relationship) is implied or offered by Dr. Dombeck to people submitting questions.
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  • Always consult with your psychotherapist, physician, or psychiatrist first before changing any aspect of your treatment regimen. Do not stop your medication or change the dose of your medication without first consulting with your physician.

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