Dr. Rachel McKenna, MD

First of all, I am so sorry that you are feeling so depressed and that you haven't been able to feel better. I have met many patients that did not have a good experience with their first, second or even third doctor but it does sound like you could benefit from seeing someone who can help. I wonder if you could find some support in friends or others around you. There are suicide hotlines as well that might be beneficial to give you some resources. I hope you will consider reaching out to get help because we can and do treat depression pretty well!

This is hard to answer without knowing more about the situation with your daughter, her age, the exact behaviors, whether they occur in general or just with you and other factors involved. Perhaps you could provide more information so I can better direct you?

You could be having an excoriation disorder which is a mental health issue that presents in compulsive skin picking.

It depends on whether a patient has to do detox and then a residential program. The detox is focused on ensuring safety and as much comfort as able while withdrawing from the alcohol. The residential part of treatment usually lasts anywhere from 28 days to months and is focused more therapeutically to help patients understand the factors involved in their addiction including potential self medicating and other stressors.

A combination of medication and therapy has been found to be the most beneficial for anxiety disorders including panic disorder. Best, *Rachel McKenna, MD* [image: MD-Support-Final Logo-01.jpg] CONFIDENTIALITY NOTICE: This e-mail message including attachments, if any, is intended for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Thank you.

It sounds like you would probably be best served to have a psychiatric assessment to make a formal diagnosis and provide you with treatment options and recommendations to help you get on a path to feeling better! Best, *Rachel McKenna, MD* [image: MD-Support-Final Logo-01.jpg] CONFIDENTIALITY NOTICE: This e-mail message including attachments, if any, is intended for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Thank you.

We usually don't recommend mixing Alcohol with Seroquel. The dosing of your Seroquel and how much alcohol you are talking about all factor into this as well but without discussing those details, it is best to avoid use until you can discuss further with your doctor. Best, *Rachel McKenna, MD* [image: MD-Support-Final Logo-01.jpg] CONFIDENTIALITY NOTICE: This e-mail message including attachments, if any, is intended for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Thank you.