Mental Health

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I've not been able to sleep at all.

No matter how much I try, all I get are negative thoughts about myself. I hate myself to the core. I hate myself with all of my heart. But, I'm trying to do better. I'm hitting the gym. Trying to eat right. I stopped taking my meds since none of them were helping me. I was on lithium 300mg (m and n), voxitine 10mg, clonazepam 0.5mg, clomipramine 75mg, quetapine 50mg. Nothing helped me. I constantly get suicidal thoughts all the time. I feel extremely lonely all the time. Even around people. I can't afford to spend any money on meds. But, all I need is sleep. I just need to sleep. I'm struggling with the thoughts that scream in my head when I close me eyes. I need sleep.
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Lenozep Tampering

I am currently tapering Lenozep (clonazepam). At present, I am taking 0.125 mg once every third day (with a 2-day gap). Over the past few days, I have been experiencing low energy, sleepiness, and mild muscle aches, although my mood remains stable and I do not have significant anxiety or panic symptoms. I have an important work event scheduled from 6th to 12th May and want to remain stable during this period. In this situation, should I continue with the same taper schedule during the event, or is it advisable to stop completely at this stage? Also, are these symptoms expected during the final phase of tapering, and do they indicate withdrawal or something else? Kindly advise on the safest and most appropriate next step.
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Depressed and low mood

I have been having a cloudy feeling and dizziness for the past 2 months. Last month, after consulting an ENT, they diagnosed me with vestibular migraine. I am taking Vertin and other medication. But I somehow feel depressed when alone, with an unreal and detached feeling. She asked me to consult a neuro psychiatrist. I am not sure if it's part of that vestibular migraine. I feel no excitement for life when I'm alone. Happy when I'm busy and doing some work
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Big Problem

Hello Doctor, I was taking Escitalopram 5 mg daily for about 2 months after stopping fluoxetine 40 Mg due to itching. During that time, I took the medicine regularly Flunil 40 Mg for about 8 months and symptom was controlled then, Now I have increased to Escitalopram 10 mg. I wanted to ask: - Does taking 5 mg for 2 months count as proper continuation of treatment, or is it considered inadequate/like a gap? - Will this affect the long-term control of my OCD symptoms? - Is 10 mg sufficient, or should the dose be adjusted further? Please advise. Thank you.
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Big Problem

Hello Doctor, I had taken Fluoxetine (Flunil 40 mg) for 8 months, but due to itching I switched to Escitalopram 5 mg for 2 months as advised by a government doctor, and then Escitalopram 10 mg for 5 months. Now I am taking Fludac 60 mg. I wanted to confirm: - Was my treatment continuous, or is the 5 mg phase considered inadequate or like a gap? - Will this dose reduction in between affect my OCD recovery? Please advise. Thank you.
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Stress and anxiety issue

I need counseling and stress relieving therapy I m in govt job but I don't want to go to job and I burst in tears very often
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Dialect/fluent communication issue

Hello Doctor, My main issue is communication anxiety affecting fluent communication, speaking, and verbal expression. I mainly struggle with: dialect/language switching confusion while speaking, with accent insecurity Struggle to form thoughts internally even cannot able to express them coming out smoothly. Because of this, whenever I need to speak in front of people - even in normal conversation - I become highly self-conscious and my verbal output becomes blocked (it feels like I freeze). I often feel unable to express myself verbally the way I want to. I somewhere read, it is called performance anxiety around language identity. Its Self monitoring+anxiety+working memory overload+ attention shift = speech break I need your opinion on this and a medication/treatment plan. If possible, Also provide me your contact no.
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Consistent anxiety and panic attack

I'm suffering from anxiety for the last one year and have also suffered pain attacks thrice since then. It gets normal for sometime but again occurs whenever I take a little bit of stress. Some childhood trauma also triggers that and I get constant nightmares about that and wake up anxious and exhausted. I cry and meditate which gives temporary care. I really need immediate help.
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High Prolactin due to psychiatric treatm

I am on a psychiatric treatment for irritable bowel syndrome, due to which my Prolactin level has gone very high, it is 245 and I am getting white nipple discharge from my left breast only. Is it concerning ? Which doctor should I go to, my psychiatrist, endocrinologist or gynecologist ??
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OCD issues

I have severe ocd . My symptoms are i keep asking or telling the same question repeatedly. Doctor prescribed me uvox cr 100 mg twice daily, feliz s10 at night, risdone ls and clonotril 0.5. Earlier i was not taking feliz s 10 it is newly added after taking it at night my sleep cycle breaks i wake up at night 2 times. So can i take feliz s 10 at morning?
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