Mental Health

Persistent palpitations (fast heartbeat) Poor appetite, difficulty gaining weight Ongoing weight loss Sleep disturbance (both onset and maintenance insomnia) Constipation and gastric discomfort Anxiety and restlessness during the day Current prescription: Sertraline 150 mg Olanzapine (night) Clonazepam 0.25 mg (as needed) Concern / Question: It has been more than 35 days on this regimen, but my appetite, sleep, weight, and palpitations have not improved. At lower doses of Sertraline (50–100 mg), I felt partial relief with fewer side effects. Should the Sertraline dose be reduced, or should an alternative/add-on (such as Mirtazapine or Prothiaden) be considered to improve appetite, sleep, and weight along with controlling palpitations?

Doctors I have anxiety since 5 years . anxiety of dying with heart attack.i fell I get heart attacks and I will die.thats anxiety I will accept now..but nowadays whenever I get nap of sleep or some sleep in afternoon on my shop ..I can't describe what I fell ..little nap gives me anxiety I can't this happen to me when I sleep I get anxiety other wise okk ...

HISTORY & CASE SUMMARY :- This 64 years old male presented with C/o altered behavior since 1 day. The patient is k/c/o - Hypertension on regular medication. The patient was admitted and routine investigation done, serum sodium -119, serum potassium - 4.0, CBC-Hb- 14.1, WBC- 13000, platelet -3.49 lacs, HBA1C- 6.3%, Total IgE-46.16, LFT - Total Bill - 0.58, SGOT-32.6, SGPT- 16.8, RFT, urea-13.0, Creatinine - 0.76, the patient was started on 3% nacl infusion and Nat-level corrected to 127. The patient's sensorium improved and was stabilized, urine R/M- normal, USG abdomen fatty hepatomegaly (Grade-I), BPH - (Grade-I). a psychiatrist opinion was taken I/V/O - acute psychosis and advise followed. The next day serum sodium -133.0. the patient was given BZD, NS (IV fluids), antibiotics, anti-psychotic, analgesic, PPI, anti-hypertensive, antiepileptic, the patient improved gradually and is being discharged in stable condition, But in home , he continues senseless speaking

Hiii... I am 25 year old male... From few months I am facing constant sleepiness during daytime... Even though I sleep 8 to 9 hrs I feel tired and feel like I need more sleep... As a result I am unable to focus on office work and lacks concentration & motivation Plz suggest medicines to overcome it 🙏🏻

I am having moderate to severe chronic headache problem in morning time from last many years plz giv

Hi sir/mam, My father was having nexito plus tablet from some long time, but to maintain Natural sleep order he stopped that medicine from last 14 days. Is it okay to stop suddenly or does it cause any problem if stopped suddenly.

Need travel certificate to carry my medicine during my trip to Bali. Im taking 10 mg nexito for anxiety related issue

Hello doctors, I want to know the approximate cost of a QEEG (quantitative EEG) test. And is it Available in Government medical college?

How much time antidepressants will take to affect on me? I started yesterday from doctor advice. Please advise

In the past year, I’ve developed a strong fear of contamination. I avoid public restrooms, feel the need to sanitize constantly, and I wear fully covered clothes in public transport to avoid any skin contact with surfaces. Sometimes I feel like spitting if something feels unclean, and I often get the sensation that something is crawling on my skin while using blankets in hotels. I can't use utensils in restaurants without wiping them. These are just few examples. At home, I don’t feel this way at all. What is happening to me?