bipolar disorder, Dr. Paul Markovitz  Q. I AM CURRENTLY ON 20 MG PROZAC AND HAVE BEEN ON IT FOR AT LEAST 9 YEARS. I ALSO HAVE THE PRESCRIPTION, SERZONE 100 MG. AND WAS TAKING THAT ON A DAILY BASIS. I TOOK ONE PILL A DAY OF EACH. FOR THE LAST TWO OR THREE YEARS, I HAVE BEEN MUTILATING MYSELF. NOT SO DRASTIC AS CUTTING MYSELF, BUT SCRATCHING MYSELF TO OPEN WOUNDS. THESE ARE ON MY ARMS, ANKLES AND SCALP. IT HAS BECOME AN OBSESSION. THE DOCTOR I SEEN FOR THE PRESCRIPTIONS I'M ON IS A REGULAR PRACTIONER. I WONDER IF I SHOULD SEE SOMEONE BETTER ADVANCED IN MY TREATMENT. ALSO, COULD MY MEDICATION I'M ON NOW BE CAUSING THESE PROBLEMS. MY AGE IS 60 YEARS OLD, AND AM MARRIED. MARRIED BUT UNHAPPILY. PLEASE GIVE SOME SUGGESTIONS.

  A. See a good psychiatrist skilled in treating self-injury. It should be a simple matter to get you on the right medications once your entire history and physical make-up are known. If you have a university-based medical school hospital around, that is a good place to start.