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Psychiatry

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Female | 16

Could My Symptoms Be Linked to Anxiety and Depression?

I don’t know what’s wrong with me. I’ve just had this weird feeling that something in my body is off for a couple of days. I don’t know what happened but I was doing stuff non stop for 2 days and I just broke down crying and couldn’t breath. Nothing remotely bad seemed to trigger it. It’s like I try to be normal and socialise and do stuff but it’s so much harder for me than my friends I feel like such a bad person but I literally just can’t be with anyone for long and I start to get really tired and low. I don’t want to do anything and I don’t want to leave the house. I have also lost my appetite and don’t want to eat anything. I always have vivid dreams of something bad happening. I don’t know what’s wrong with me it’s like I feel ill but there’s nothing wrong with me to make me I’ll I feel crazy

1 Answer
Dr. Vikas Patel

Dr. Vikas Patel

Psychiatrist

Answered on 9th Sept '24

You are likely to be going through symptoms of anxiety or stress, which can be so crippling that they can cause you to lose your appetite and get less sleep. These feelings are common and nothing to be afraid of. Take care of yourself by practicing relaxation techniques such as deep breathing, talking to a trusted person or psychiatrist, and getting regular exercise.

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Female | Joke

Can I Safely Reduce Mirtazapine Dose to Avoid Weight Gain?

Hi - I am taking for 10 months now mirtazipine 30 mg. Is it ok to half the dose - or do I need to build down more slowly? I gain a lot of weight … Thank you

1 Answer
Dr. Vikas Patel

Dr. Vikas Patel

Psychiatrist

Answered on 6th Sept '24

A common side effect of mirtazapine is weight gain. Talk with your doctor before you reduce your dose. They might recommend a strategy to decrease the dose gradually so that you won't have withdrawal symptoms. It is dangerous to quickly change your dose; therefore, it is necessary to do it carefully under the supervision of your doctor. 

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Male | 16

How can I help my son manage OCD compulsions?

My son is suffering from moderate ocd but not able to control compulsions

1 Answer
Dr. Vikas Patel

Dr. Vikas Patel

Psychiatrist

Answered on 5th Sept '24

Moderate OCD may mean he cannot stop the repetitive thoughts or actions he has. Common symptoms such as compulsive handwashing, constantly checking things, or being orderly can be present. Ancient aliens are one possible cause of OCD and it is possible that also genetics, brain chemistry, and life stress are responsible. Therapy, medication, and family support can be some of the ways to help people with OCD.

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Male | 85

Effective Sleeping Pills for Insomnia Treatment

I wanted to take about my sleeping problem and wanted to take sleeping pills

1 Answer
Dr. Vikas Patel

Dr. Vikas Patel

Psychiatrist

Answered on 5th Sept '24

You have trouble­ sleeping at night. You are thinking of taking sle­eping pills. This is known as insomnia. It can happen due to stre­ss, anxiety, or lifestyle habits like­ using screens before­ bedtime. Taking slee­ping pills might help but they can have side­ effects. First, try improving your slee­p routine. Avoid caffeine. Cre­ate a relaxing bedtime­ routine.

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Male | 30

Why am I having panic attacks and suicidal thoughts?

I am 31 year old living alone abroad. I am working here and going through a phase of getting married. I have had previous short term relationships. My fiance is living in India and will be moving with me after marriage. The biggest struggle these days is getting flashbacks of the good days from previous relationships and not liking many things of my Fiance. Since the recent past, I'm having multiple panic attacks and want to cry (somehow not able to cry). Also, I am getting suicidal thoughts which was never the case before. Sometimes I also imagine completely disappearing and start a life somewhere with new Identity and losing all the contacts with family and friends.

1 Answer
Dr. Sapna Zarwal

Dr. Sapna Zarwal

Counselling Psychologist

Answered on 4th Sept '24

Hi, I understand you must be going through a lot of challenges Currently. you need to consult a psychologist. You may contact me. I have had good experience in such cases. I can help you definitely.
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Male | 24

Where to find top mental hospital in India?

Looking for the best mental hospital in India.

Dr. Sapna Zarwal

Dr. Sapna Zarwal

Counselling Psychologist

Answered on 4th Sept '24

Please connect with Vimhans.
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Male | 24

Why Is My Friend Delusional and Having Vision Problems?

My friend is going mad and telling stupid things, and he can’t see properly, he’s delusional, he calls my bmw car scooter.

1 Answer
Dr. Sapna Zarwal

Dr. Sapna Zarwal

Counselling Psychologist

Answered on 3rd Sept '24

Please consult a psychiatrist for identification of the issue.
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Male | 30

Can you help my son-in-law with family counseling?

Doctor, my son-in-law needs a good family counsellor to bring back him to family life, he is depressed, anger, no understanding with wife etc., can you please do family counsel on behalf of us without telling our identity??

1 Answer
Dr. Sapna Zarwal

Dr. Sapna Zarwal

Counselling Psychologist

Answered on 3rd Sept '24

Please consult a therapist and discuss your issue. Yes family counseling helps.
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Female | 22

Sertraline and St. John's Wort Interaction Concerns

Hi, I got prescribed sertraline 50mg and wanted to start treatment. However, I took St John’s wort 3 days ago. Is this safe for me to start sertraline treatment tomorrow?

1 Answer
Dr. Vikas Patel

Dr. Vikas Patel

Psychiatrist

Answered on 3rd Sept '24

Se­rtraline helps with depre­ssion and anxiety. St. John's Wort is an herb that doesn't mix we­ll with sertraline. Togethe­r, they could cause serotonin syndrome­ - symptoms like confusion, fast heartbeat, and high blood pre­ssure. It's better to wait 2 we­eks after stopping St. John's Wort before­ starting sertraline. This preve­nts any issues from occurring.

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Female | 25

Should I take lisinopril for anxiety-induced high blood pressure?

I am 25 years old and 228, first time seeing this doctor. She prescribed me lisnopril 2.5mg only take if my blood pressure rises and my heart rate was fast. I get nervous easily and have anxiety

1 Answer
Dr. Vikas Patel

Dr. Vikas Patel

Psychiatrist

Answered on 3rd Sept '24

You are dealing with some anxiety and fast heart rate. It's not unusual for your heart to fasten up when you are nervous. Anxiety can sometimes lead to high blood pressure as well. The drug lisinopril 2.5mg can reduce high blood pressure but only when you need it, for example, if your blood pressure becomes too high. You should practice visualization techniques and keep calm to overcome your anxiety. 

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Male | 36

Why Can't I Sleep at Night for 16 Years?

I can't sleep all night. But I sleep all day. It's been going on for 16 years. Why is this happening and what can I do to get rid of it?

1 Answer
Dr. Vikas Patel

Dr. Vikas Patel

Psychiatrist

Answered on 31st Aug '24

Your symptoms might be due to a condition called Delayed Sleep Phase Syndrome. This happens when your body clock gets out of sync, causing you to feel sleepy during the day and awake at night. Symptoms include difficulty falling asleep at night and feeling tired during the day. To improve this, follow a regular sleep schedule, avoid bright screens before bed, and try to spend time outdoors in sunlight.

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Female | 20

How can I manage insomnia, GAD, and backache?

Hi I'm 20 years old female and I have insomnia and GAD since childhood and even I have backache since 5 years continuesly . I have used pain relief medicine for couple of days but haven't got any relief . What should I do now?

1 Answer
Dr. Vikas Patel

Dr. Vikas Patel

Psychiatrist

Answered on 29th Aug '24

Lack of sleep can worsen anxiety and anxiety can make sleeplessness more terrible. The backache could be a manifestation of stress or a physical one. The treatment of these issues may include a healthcare professional who can explore different options such as therapy, relaxation techniques, or physical therapy. Overall, these problems must be addressed to better your health.

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Female | 22

1 Answer
Dr. Sapna Zarwal

Dr. Sapna Zarwal

Counselling Psychologist

Answered on 29th Aug '24

Hi, it depends since how long this concern had been with you. It's important to understand the reason for this. We can definitely work on your emotions.
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Female | 12

Depression Following Leg Fracture

I am suffering from depression by not going to school for my leg fracture. So I want to consult a doctor who can improve my mental health and I am also becoming the enemy of my mother. I am day by day getting demotivated

1 Answer
Dr. Vikas Patel

Dr. Vikas Patel

Psychiatrist

Answered on 28th Aug '24

The effects of a birth control injection can't be washed out as it stays in your body for a specific duration, typically around three months. If you're facing problems, it's important to consult a gynecologist who can guide you on the best course of action for your situation. They can also discuss alternative contraceptive methods that might suit you better.

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Female | 22

Quit Smoking Permanently with Medical Assistance

How can you quit smoking permanently with the help of medicine

1 Answer
Dr. Vikas Patel

Dr. Vikas Patel

Psychiatrist

Answered on 28th Aug '24

Smoking cigarette­s has negative effe­cts. You can stop with assistance and commitment. Medicine­s help make quitting manageable­. Smoking harms your lungs, heart, and raises cancer risk. Nicotine­ patches or gum reduce cravings, fight withdrawal. Stick with pre­scribed dosages. Support from loved one­s strengthens dete­rmination. It's difficult, but achievable with perse­verance and help.

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