Mental Health

"I get a lot of dreams. Even if I sleep for a short time, I still dream. Sometimes I can't tell the difference between reality and dreams. My sleep is very disturbed, and it often takes 1–2 hours for me to fall asleep. I also have a lot of negativity about myself. Sometimes I get very scared of handling situations, so much so that suicide feels like a better option. All of this started after my marriage. What should I do?"

My wife is 24 years old. We got married on 5 March Within a week of marriage, she became extremely withdrawn, stopped interacting normally, appeared depressed, and attempted suicide by jumping from a first-floor balcony. She was admitted from 17 March  to 18 April  and was diagnosed with Acute and Transient Psychotic Disorder. She received medications and 6 ECT sessions. After discharge, she stayed with her parents for about a month. During that period, she reportedly deteriorated again, stopped eating and taking medications, and made a second suicide attempt. She was readmitted from 26 May  to 5 June. During the second admission, the diagnosis was revised to Major Depressive Disorder was added to her treatment. The records also mention possible long-standing social anxiety and possible borderline intellectual disability How much recovery is realistically possible in this case,  % recovery can reasonably be expected, and approximately how long would it take to reach maximum recovery?

Doctor, I am here because I am very concerned about extreme shifts in mood and behavior. She is 56 years old. ​She is going through very fast, intense cycles that change every 3 to 4 days. ​Phase 1 (Lasts 3-4 days): She becomes unusually happy and has an abnormal amount of energy. She talks constantly and very fast about completely unnecessary things. This isn't her normal personality. ​Phase 2 (Lasts 3-4 days): Then, almost abruptly, her mood flips. She becomes intensely angry and highly irritable. She speaks very rudely to everyone around her. During this time, she completely withdraws and refuses to do any of her normal daily work or tasks. ​This 3-to-4-day cycle keeps repeating. It is severely affecting her daily functioning and her relationships with everyone.

I have multi-month history of severe psychological and physiological distress. Psychological symptoms include severe anxiety, chronic overthinking, social withdrawal, profound ahedonia, distorted self-perception, and recurrent suicidal ideation with feelings of worthlessness. These are accompanied by significant somatic manifestations, including chronic insomnia and persistent chest pain. Furthermore, the patient reports severe pelvic pain and debilitating dysmenorrhea.

I know Guanfacine er is not Approved in india. I need special permission to import. My question 1.can Indian psychiatrist prescribe Guanfacine er? If not. 2.can usa psychiatrist online prescribe Guanfacine er?

Sir and Ma'am, Was on nexito 20,tapered and currently on nexito 5.Weight gain is the issue, pls suggest any other SSRI with no weight gain. Regards

I recently consulted a psychiatrist because I have been struggling with prolonged grief after a breakup that happened 7–8 months ago. Since then, I have been experiencing depression, loneliness, anxiety, panic attacks, insomnia, difficulty concentrating, lack of motivation, and occasional suicidal thoughts. I was prescribed Paroxetine, Propranolol, Clonazepam (as needed), and Lithium 150 mg. While I understand the purpose of the other medicines, I am feeling concerned and fearful about taking Lithium 150 mg because of its potential side effects. I would appreciate a second opinion on whether Lithium is necessary in my case and whether its benefits outweigh the risks.

I am using meloset 3mg medicine, is it a good Brand? I am worrying about quality, is it a well known brand or not?

Can Mirtazapine 30 mg tablets taken once at night cause a spike in blood pressure in hypertensive patients ?

Please tell me Which medicines are these I have Attached prescription tell me Which medicines are these