Adult Psychiatry

Health Q&A
Tapering of tryptomer

Husband and I were facing some mental health issues. So I consulted the doc for myself as he is not comfortable with psychiatry. The doctor suggested Tryptomer 25mg. Husband too started as he got better with the medicine..after 2 weeks he tapered down to 17.5mg then after 10 days to 10mg. Now, he is again facing issues in his health and lost interest in talking, walking, running etc. He is not ready to go to the doctor for the same. So, can I get the advice for him. What should I do with his medicine. Should I tell him to continue with 10mg or should he increase the mg? Please help.

Medicine psychiatrist

Taking Desvenlafaxine (Dveniz) for ~5 years (currently 50 mg ) and tried therapy earlier but not benefited. Main symptoms: social, performance and situational anxiety, day time sleepiness ,fear of judgment, hesitation while speaking in groups/meetings, persistent internal anxiety , overthinking, brain fog, poor attention/concentration, distractibility, forgetfulness, careless mistakes, slow processing, mental fatigue, procrastination, low self esteem, irritability, low confidence ,impulsive decisions, emotional impulsivity, occasional blurting out answers and losing things. These symptoms significantly affect my work and daily functioning. I would like evaluation for adult ADHD, anxiety disorders, depression, sleep-related disorders, and other possible causes of brain fog/fatigue, along with advice on further treatment options.

Are they ug psychologist or pg psycholog

I am from Mumbai and have a question about government medical college hospitals like Nair, KEM, and Sion. These hospitals have separate Psychiatry and Psychology departments. The psychologists who provide therapy there—are they postgraduate (M.A./M.Sc. Clinical Psychology) trainees/interns, or undergraduate psychology students? I know some of them may be interns, but I'm not sure whether they are UG or PG interns. I only want therapy from a qualified postgraduate psychologist. Can anyone familiar with these hospitals clarify how this works?

Severe social anxiety affecting my work

I have been struggling with social anxiety for several years, but it has become much more severe over the last few years. It is now affecting both my personal life and my work. I often avoid social interactions and make excuses to get out of social situations. I feel anxious while talking to people on the phone, speaking in office meetings, attending office get-togethers, or even having normal conversations. During these situations, I become extremely nervous. My voice becomes shaky, I feel very awkward, and it feels like all my energy is drained. I have to put in a lot of effort just to continue a basic conversation, and because of my anxiety, I often feel that the conversation does not go well. I genuinely want to socialize and talk to people confidently, but my anxiety holds me back. Over time, I have lost a lot of confidence, and my motivation has also become low because of these difficulties. Is this something that can be treated successfully? Thank you.

DUAL DIAGNOSIS (ADHD+OCD)

I guess I have ADHD and OCD both. I distract easily and I enjoy different things at different times, sometimes I like to draw, sometimes I love gardening, sometimes, I like to buy books , sometimes I like to do some random electric work and these things are so random. And I also like organised things like i don't like to sit on my study table unless it is well organised, sometimes i have random thoughts like i forget to switch off the bulb ,gas etc Please help me.