### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I a disabled, single father, and I have no vehicle. Part of my disability is due to back surgeries, and the other part Is for my mental state. I ve been diagnosed with bipolar mixed with anxiety and depression. I currently take meloxicam, baclofen, and hydrocodone, for arthritis, muscle spasms, and back pain. I haven t seen a psychiatrist since my surgeries because I was already taking xanax depakote and celexa, and I didn t know how that would act with the amount of pain meds I had to take. Its been a couple years since I have taken anything for my stress, and I m afraid I ve let the stress and anxiety build up too high. I ve been moody, paranoid, having loss of memory majorly, and find myself nervous and confused. I would like some advice because I absolutely need the medications I am on right now, but o also need the others as well, especially for anxiety. I am raising two children on my own. I need the pain meds and muscle meds just to get up and clean and cook and other things, and I need to be back on mental meds so I don t stress so much over bills and things and the kids, and so I can be calm with them and others around me, and so I m not so nervous in public. I am sending this message from my phonr because I have no computer, and I have no transportation. Could you tell me what you would do if you were in my situation please? Thanks for taking time to read this. Alan Ripley

### output:

Dear Alan Ripley. First let me express my condolences for the situation you are in. To answer your question I Suggest you see a psychiatrist and get back on those pills immediately as the all the symptoms you are describing are due to the condition you have been diagnosed with. May I also suggest u join a support group or talk to someone every day who can get your mind off your worries medications you are taking for the. Back pain are absolutely essential, and I would not recommend you discontinue any. However, I do suggest that you discuss the possibility of cross-reactions with your psychiatristFinally Mr. Alan you have two child Chat Doctor.  Be strong every day for them. I wish you well