Im unable to fall asleep even though my eyes are tired and my body is exhausted. All sorts of thoughts keep on flying in my brain, keeping me awake all the time. Those thoughts aren't negative or depression related thoughts, just random stuff. I lay in my bed for hours are still can't fall asleep.
I took psych meds, Escitalopram and clonazepam in 2020 bcz i was stressed, then i quit it after three months bcz i became hypomaniac. since then i have mood instability, memory issues, physical pain, and no attraction to girls.
Now in 2025 i again consulted Psychiatrist, he said its GAD + bipolar and its tricky to treat and now i am on 5 psych meds and still have zero libido.
Wtf should i do, should i just die, I am 28 and i am just an mbbs not mbbs md, and dont even have good job.
Also i have IBS kind of problem now, where i am always bloated and fart more than usual, who will stay with me, i think i will always be lonely.
How is it possible that just social anxiety and usual exam stress got converted to such a big problem, i never had bipolar episode when i am not under influence of ssri, but when i take ssri i become hypomaniac. How is it possible, could it be that after tapering in 2020, my brain went into new state of low dopamine and low serotonin low gaba?
I feel this strange constant feelings of fear and worry in my chest without any strong reason. Always afraid and worried idk why. I am also always in a panic state (sort of) like my nervous system is always on alert I react quickly and turn my head around really fast, etc. and then i calm myself down by breathing slowly but the feelings are persistent and stay.
I also feel stuck in repetitive thoughts and no matter how hard I try I cannot escape, the only relief I get is when I am done thinking and for some time I feel relieved only to be stuck in another loop later.
I also fidget a lot and that makes me hard to focus on anything, I stop it forcefully and focus but then I go back to doing it again.
The only things that help are breathing slowly (temporarily) and listening to a static tone like constant tone of a bell or similar.
What is happening with me? Why am always afraid? Are these all related to same thing or are these different problems? And do I need medicine?
Current Medicines
Dveniz (Desvenlafaxine) 50 mg – 1 tablet at night. Agar Desvenlafaxine ki dose miss ho jaye, to brain zaps aur dizziness ho jati hai.
Main Problems
Social Anxiety
Group me bolne me hesitation
Social situations me self-consciousness
Performance Anxiety
Presentation, meeting ya group discussion me bolne me difficulty
mind blank i. a hesitation
Fear of being judged
Situational Anxiety
Specific situations me anxiety badh jati hai (meeting, group discussion, public speaking, authority figures se baat karna)
Important Points
Mere physical symptoms (heartbeat, sweating, shaking, tremor) bahut kam ya almost nahi hote.
Problem mainly internal hai:
Hesitation while speaking
Anticipatory anxiety (event se pehle hi sochna)
kya koi medc problem solve kr skti long term ke liye jese paroxetine
I was on benzodiazepine for more than 3 months to 4 months how can I tapper or reduce the dose,first I was prescribed 20 petril beta for 3 months then I took cloba 5 mg in half for one months I am very scared I m stuck into this..can I be only on antidepressants without relying on benzodiazepine meds..