Hi, The best way ahead would be a detailed clinical interview to understand the symptoms and your comprehensive history.  For a personalized plan, find me by searching "Dr Abhinav Tewari Neuropsychiatrist Lucknow" on Google Maps — my details are listed there.  ẄĤÃŤŠÅPP available on nine⁹ four⁴ one¹ five⁵ three³ nine⁹ four⁴ three³ seven⁷ nine⁹ Kind Regards, Dr Abhinav Tewari Consultant Neuro-Psychiatrist MBBS (A.I.I.M.S., New Delhi) MD (Psychiatry) (A.I.I.M.S., New Delhi) DNB (NBEMS)

Kindly reach out for therapy sessions

"Hi there, I understand that seeking help can feel overwhelming, but you’ve already taken the first brave step. I can guide you with a clear treatment plan tailored just for you, so you can feel better and regain control over your life. You can reach me directly on WhatsApp for quick support on seven zero eight two zero two two zero six two."

Hi.. consult online for treatment

Hey It sounds like your anxiety has stayed with you for a long time and is now blending with exhaustion and overthinking. See the self-talk you mentioned isn’t uncommon in people who’ve lived with anxiety for years it’s often your mind’s way of processing thoughts aloud when there’s too much mental noise inside. It doesn’t mean you’re “losing your mind,” but it does signal that your brain is overloaded and craving regulation. Solution is that you Start by rebuilding structure: regular sleep time, daily physical activity, and limited caffeine. When you catch yourself talking to imaginary people, gently shift to writing those thoughts instead let journaling replace verbal release. And about the medication if every time you stop after a month, the anxiety returns, it’s worth reviewing that plan with a psychiatrist rather than quitting abruptly. Therapy will help you manage the anxiety patterns, sleep cycle, and overthinking at the root. Take therapy. You can connect with me on nine two six six seven two six zero six five