Mental Health

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.

My wife has psychotic depression. It started on Feb 2022. That time she took treatment (oral medicine) for more than one year and completely recovered and had a normal life. After that again on Nov 2024 she developed same symptoms of psychotic depression and then took medicine but this time she did not complete her medication as she recovered and became normal. Just like more than 5 times she develops the symptoms and gets medicine till the symptoms stays. After becoming normal (after 20-30 days) she lefts medicine. Now also she is having the same symptoms and having medicine. So how to stop the psychotic depression coming again and again. Please help.

Hello Doctor, For over 20 years, despite psychiatric treatment, I have had episodes of burning in my head, palms, feet, and near my ears, along with a urge to pass motion. My hands and feet may suddenly become cold, followed by intense fear/panic and an urge to escape. These episodes are triggered by minor stress, sad memories, or sometimes occur without any trigger. I also feel detached from reality, as if I am living in a dream and not fully conscious. I feel persistently depressed, negative, and unmotivated. I constantly worry about losing my parents and often wonder how I will cope with life. I have taken Ativan, Tryptomer, Nexito, Venlor XR, Olaset, Prexep, and Serta, but my symptoms remain. I feel better only when sedated, which is not practical for work. Could these symptoms be due to anxiety/depression alone, medication effects, or another medical problem (heart, diabetes, thyroid, vitamin deficiency, liver, kidney, or nerve disorder)? What should I do?

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?

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?

Hi Dr. I'm really worried. I recently saw a local psychiatrist for recurrent panic attacks & was prescribed Clonazepam 0.25 mg SOS. Today @ clg I had one of the worst panic attacks I've had, even though there was no obvious trigger. I took 1 tab exactly as advised, but it didn't seem to help. The attack lasted around 20–30 mins. I've been getting these attacks even w/o stress. I've already had cardio tests (ECG/Echo, etc.), and they were normal. I'm not sure what to do now. Should I continue with the same psychiatrist or consult you? I can visit offline in Hyderabad if needed. Pls advise.

Since childhood I have had lots of difficulties in processing and when I took online multiple tests of autism from the professionals website it came out positive. So is there any Psycologiest who can help me analyze and verify the same so I can start my therapies .

Hello Doctors, I am an adult seeking a comprehensive online assessment for possible Autism Spectrum Disorder (Level 1) and/or ADHD. I have experienced lifelong difficulties with social communication, sensory sensitivities, executive functioning, attention, memory, and daily functioning. These traits have been present since childhood but were never formally evaluated. Unfortunately, when I have tried discussing this before, some doctors dismissed my concerns simply because I am an adult, saying I am "too old" to have autism or ADHD. From what I understand, many adults are diagnosed later in life, especially if they learned to mask their symptoms. I am looking for a psychiatrist or clinical psychologist who has experience with adult autism and ADHD assessments and is open to conducting a thorough evaluation online using appropriate diagnostic methods, rather than ruling it out based on age alone. If you provide such assessments or can guide me, I would really appreciate your response

I am drinking alcohol from last 17 years. Now i am having helth issue like anxiety, sleeping issue, less appetite so now i want to leave it completely. So is there any medication for same. As without alcohol i am unable to sleep

I think I'm suffering from anxiety and panic attacks. I can't attend interviews confidently even I know everything. I suffered from depression previously due to financial and my parents pressure.