Adult Psychiatry

Health Q&A
Anxiety problem

Iam suffering from this anxiety since last 5 years first racing heart beat it started then one year full ah nothing happened then again racing heart beat with chest pain and left arm pain it went and throughout day on and off it came my hand pain last two days like this I think foe the past five years so many times it came I thought my heart is damaged so two days back I took blood test sugar bp hol3strol is normal and also I took ecg one month ago which is also normal and also I tooklipoprotein test whi h is less than 30 which is also normal but last two daysah I was getting panicked for small reasons like my mother called out door opening sound ets iam not able to sleep and also iam suffering from ulcer I took tablets for that and also doc gave capinol 20 la for anxiety I took foe two days and then I saw the side effects and I got scared and I couldn't sleep I stopped eating I took two days and stopped side effect it will trigger heart attack like that I saw in website I scared

I am seeking guidance my mental health

Hello Doctor, . I have severe anxiety with frequent panic attacks. I also have significant mood swings and several other symptoms that make me concerned about bipolar disorder, not just mood swings alone. I have never been formally diagnosed, but I would like to be properly evaluated for bipolar disorder or any other psychiatric condition. I have also experienced obsessive thoughts/behaviors and have had suicidal thoughts in the past. Whenever I cry intensely, become very anxious, or get angry, I sometimes become unconscious for about 3-5 minutes. During these episodes I can hear everything happening around me but cannot open my eyes or move my body. I breathe normally. I also have persistent diplopia (double vision). I underwent eye surgery, but it did not improve. My ophthalmologist told me the cause is likely neurological rather than an eye problem. Recently, I accidentally overdosed on 200 mg amitriptyline.

Clarification

Hello Doctor, I would like your guidance. Today was my first day at a new company. About two hours before reaching the company, I took 20 mg of Inderal by splitting a 40 mg tablet. I have social anxiety and performance anxiety. Usually, when I have to talk to female colleagues or seniors, my heart beats very fast and I struggle to speak. Today, I still felt a little nervous when I met a female colleague, but my heart did not race, and I was able to speak calmly instead of talking very fast. I also felt much less afraid while talking to my seniors. This made me feel much more confident. Based on this experience, I realized that if my anxiety is controlled, I can perform much better. Does this mean Inderal is helping with my performance anxiety? Is it safe or appropriate to use Inderal 20 mg before important work situations, or should it only be taken under a doctor's specific instructions? I cannot afford a paid consultation at the moment, so I would be very grateful for your guidance.

Mental Health Related

I am not feeling well for a long time, I get irritated easily, my mood is also upset most of the time, get angry on the smallest things, i also have a habit of repeating things in my mind like checking the things i have done, from a few years i also take long time in taking shower or in the washroom, few days ago i also had acute diarrhoea around 15 days & my periods also last only for two days this month, i have a skin eczema problem also from past 4 or 5 years so my question is should I visit a mental health doctor .

Need Proper Guidance

I would like to explain my history before we decide on treatment. In 2024, one of my close friends died from a sudden cardiac arrest in front of me. After witnessing it, I had a severe panic episode, blanked out, couldn't speak properly, couldn't eat, and had intense anxiety. My family doctor prescribed Alprax 0.5 mg before meals, which helped me recover. Unfortunately, after 4–5 months, my family doctor passed away, and I continued Alprax on my own. Now I want to stop it safely. I have consulted a few psychiatrists who prescribed Diazepam or Tryptomer but advised me to stop Alprax suddenly. Every time I tried, I developed severe rebound anxiety, insomnia, loss of appetite, and worsening symptoms. I am not asking to stay on Alprax permanently. My only request is a gradual, supervised taper, with any long-term medicine you feel is appropriate, so I can discontinue Alprax safely without severe withdrawal or rebound symptoms