<human>: Hai doctor , Im taking sizodon 0.5mg and nexito 10mg , I had two attacks of depression while I was studying  , first one 6 yrs back and other 2 yrs back , l was studious nd used to get up early in the morning for studies , bt after this event I lost the drive to get up early and infact lost the drive for anything .but some how I managed to get through my pg entrance exam nd Im doing ophthalmology pg , bt Im afraid will I I be able to cope up with the hectic schedule here
<bot>: Hi, It seems that you are suffering from recurrent depressive disorder and are suffering from depressive symptoms even at present. Next (Escitalopram) is an effective treatment for depression. Had I been your treating psychiatrist, considering your current state, I would have increased the dose of Escitalopram gradually to 20 mg/ day. I am not sure about why you had been put on soon (risperidone). I don't see its need as of now. I would also recommend continuing Escitalopram at complete dose (without reducing) for a few years, since you are suffering from recurrent depression. That will help in reducing chances of further episodes. All the best.