Mental Health

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Memory problem and mental health issue

Hello Doctor, I am 33 years old male. For the last few months I have been having memory problems. I forget passwords, names and sometimes have difficulty recognizing familiar faces. I also feel confused and find it hard to concentrate. These symptoms are affecting my daily life. Please guide me about the possible cause and whether I need any tests or treatment.
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Fertisure M & Setraline 25mg can be take

Hello Fertisure M & setraline 25 mg can be taken together. For long time I am suffering from Anxiety. But due to antidepressants I am facing ED problem.. My doctor prescribed me. Is this ok
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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.
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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.
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Circadian rhythm problem

I sleep at 12-1am and have to get up for work at 6am. I sleep again in the afternoon from 4-7pm. It becomes very difficult to get up in the morning bcz of which I don't go to work most of the times.
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Always thinking

Hw to clm down the mind, it's always think a lot! i get exhausted by overthinking, effective ways or meds to cure?
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Single episode depression.

I have been suffering from depression for the past 10 years, and have been taking the  SSRI 's  for the past 3 years and I am not happy with these , even though the physical symptoms are reduced but still not able to get out of this empty feeling.
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Low energy

Hey I've been taking treatment for 'mixed anxiety nd depression' for 8 months now... Alot has been improved but the low energy problem has arrived from last two months... My b12 nd vitamin d levels have been checked they are very good... Nd also I've been taking benfotiamine 100mg, ala etc from 1 month now... Nd b12 1500mcg from 2 months every day nd 60k iu vit d weekly from 2 months... Also checked my lipids nd cholestrol, nd thyroid urine etc...My doctor increased my escitalopram by 10mg 1.5 months ago but a slight improved nd nothing happens... I Do exercises 4 times weekly... I'm a jee aspirant nd this mental health thing is taking my life away nd bcz of depression I've taken 2nd drop nd this it... I'm taking venlafaxine 75 mg in morning, 10mg escitalopram in afternoon, 10mg escitalopram nd 0.5 mg clonazepam at night.
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Hyperspeamia

I took finasteride 1 mg started stopped and the started and then finally stopped(took it for 10 days) and had a prolonged arousal which erectile Dysfunction and hyperspeamia (high semen volume). Erectile Dysfunction is gone but hyperspeamia is  still there it has been 14 days .When will my hyperspeamia go away and why this happened?
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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
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