Hi. I think the advice that you received about your scars was very good. It would be worth seeing your GP or seeking advice from a plastic surgeon about how best to manage them. Scars do generally dfade over the long term. It seems that you had an eating disorder but it was not clear from your lette...

Hi. I have read your long and thoughtful letter. As you say, it is not really possible to give you a diagnosis without seeing you. I was concerned that you have self harmed. It does seem that you are obviously very troubled and i am sure that you should see your GP who will take your problems seriou...

This is a complicated issue. The problem with figures saying how many people are being treated for depression is that the figures might be a good sign that we are recognising more people have depression and treating them rather than the being an increase in the number ofpeople with depression. There...

Hi. I am sorry that you are being troubled by such unpleasant thoughts. It is difficult to be certain why you are having these particular thoughts and whether you are depressed. It is obviously important that you get some help with this. The most obvious place to go would be to see your GP who willb...

Hi. It can be difficult to make the diagnosis of Biploar Disorder and because it is an important diagnosis psychiatrists may want to be certain before making that diagnosis. A proportion of people who are depressed do have an elation of mood on antidepressants as they get better which then settles. ...

Hi. I am sorry that yu are having such a bad time. It seems that you have had some treatment but it has not been successful. It does not sound like you have been seen by expert psychiatric servcies - you certainly have not exhautsed the treatments available. There are a whole range of medications th...

Hi. I am sorry you are having such problems. It really should not be necessary to see someone privately. Narcolepsy is a long term condition and your medication will need monitoring. It is acondition that might be managed by the neurologists or sleep disorder specialists and so you may have fallen b...

Hi. This is a complex issue and your account is also complicated so it is difficult to answer all of it in detail. As a psychiatrist who has prescribed antidepressants to many people over many years my personal experinence is that problems with dependency and withdrawal are a very rare problem. Ther...

Hi. I think you have taken the first important step in recognising that you have an eating disorder. People who are underweight and vomiting regularly can have problems that show up on blood results but commonly the blood results are normal. There are long term effect of binging and vomiting. Many p...

Hi. I am sorry that you had a bad experience last time you saw a psychiatrist. At the appointment the psychiatrist would normally have about an hour to see you and discuss your problems. They would normally ask that you bring someone with you to act as support for you and also because it is often he...