Mental Health

I started on lithium few months back. Is it ok to take 300 morning 300 night instead of 600 night? If i take evening only dose i can't sleep. If i take morning only dose i feel lethargic in evening

I need a psychiatrist who listens to me carefully and gives me time for approx 1 hour to diagnose me .

I am 35 weeks pregnant and had nitrobact 100 for 7 days unnecessarily for just urine sample contamination and now I am feeling guilty about having it unnecessarily without doing any urine culture or re test. Now I am so worried that it can harm my baby or can have bacteria antibiotics resistant

I am 52 years old. My periods have not stopped. I am suddenly having anxiety, phobia,zero motivation to do personal work. I am not able to sleep. Sudden heat and suffocation in the body.  Incessant worries. I don't know how to cope. I have a young daughter going yo school. My husband helps but no other medical or personal support. I am diabetic and have had angioplasty with 2 stents. Any suggestions? Thank you.

Hello doctor. I have been having a lot of fear and nervousness around people for about the last month. When people come near me or talk to me, I become very anxious and sometimes feel weak, my mind goes blank, and I find it difficult to speak normally. I also keep worrying that people are insulting or judging me, and when someone says something hurtful, I keep thinking about it for a long time. Because of this, my confidence and ability to talk to people have reduced significantly. I would like to know whether this could be anxiety/social anxiety or something else. Please assess me and advise me about treatment. I would prefer medication only if you think it is necessary. I have taken psychiatric medicines in the past, and I am currently/previously taking [write the exact names and doses of all medicines and supplements here]. Please also tell me if any of them should be stopped or changed.

I had a deep mental trauma from past 2 year and that altered my mental state after i feel sometimes ok and sometimes I fell extremely sad and loss of motivation and feeling alone and it's affecting my life

How many episodes of depression do most of the people have in their entire life time if they have diagnosed with mdd, pls help

My brother is 19 years old. We have noticed the following behavioural concerns: * He is very aggressive in normal day-to-day conversations. * His facial expressions and behaviour change noticeably when he gets angry. * He often brings up incidents from 5–6 years ago and becomes excessively angry about them. * He seems unable to let go of past issues and holds resentment. * He has difficulty maintaining friendships and mostly interacts with family. * He can be very defensive and finds it difficult to accept when he is wrong. * Sometimes he says he feels depressed. * He makes statements like, “I could have become an engineer, doctor, or whatever I wanted.” We would like to understand if there could be an underlying mental health concern This has been happening from last 2 years and as family we are being in lot of stress

I have been taking sertraline 50mg since 6 months. I wanna switch to ayurvedic. Would i get same results?? or I can take ayurvedic medicines with sertraline then quit sertraline gradually. Would it work?? Any suggestion??

Hi, I was diagnosed with hyperthyroidism(Graves Disease) in 2014-15, then was treated for a long 2 years for the same. I developed anxiety and severe insomnia that time. As per psychiatry consultation got treatment for the same with antidepressants (pexep-cr 12.5, mitraz, amital) and quitipine 25mg(sometimes 12.5mg). Psychiatric treatment was continued upto Nov+2018. Things improved over time. After that till now I was overall fine. But now again the sleep problem has started. I'm currently taking levothyroxine for my hypothyroid. Once graves disease was treated it was identified as hasimoto thyroditis with anti tpo of 870. Currently sleep problem constantly since 3 weeks. My thyroid TSH levels are now 2.85(thyronom dose is 62.5mcg), Ft4 is 1.67, ft3 is 2.64) but sleep is not coming on its own. I have consulted psychriatist and has been prescribed mirtaz 7.5 for 10 days and zolphidem 5mg. It's now 5th day but I can't still sleep with these medicines. What to do in this scenario?