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

### input:
I have Bipolar Type 2 Disorder, am, Clinically Depressed, have Anxiety and Panic Attacks along with Insomnia and a heart problem called PSVT. As long as I take my meds for everything, I m fine., I m FINE. I started smoking when I was 9 years old, smoking them by the pack by the time I was 11 years old, and at, at age 13 I would split a Carton of cigarettes with my roommate. (5 packs). I still split a carton with my roommate, and I smoke 2 to 2 and a half packs a day. I ve tried the the highest dosage of the Nicotine Patches and Nicotine Lozenges together, but they still Didn t stop my cravings. When I asked my Primary Care Doctor to put me on Chantix, he wanted clearance from my Psychiatrist Chantix. Why does he need clearance from my Psychiatrist to put me on Chantix, and what side effects could I experience with taking Chantix with my Bipolar Disorder, Depression, Acute Anxiety Disorder, (Anxiety & Panic Attacks,) Insomnia, and PSVT? I will be looking forward to your answer. Thank You Very Much Kathryn Williams

### output:

Degree understand your concerns went through your details. I can understand your emotions, but I am not going to sympathize because sympathy may make people more weak. In opinion, you should consult the psychiatrist for the whole of your treatment because I am worried about your mental disorder. For nicotine addiction Varnishing is now a proven remedy. Talk to your psychiatrist about this. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck.