Mental Health

I have been having a cloudy feeling and dizziness for the past 2 months. Last month, after consulting an ENT, they diagnosed me with vestibular migraine. I am taking Vertin and other medication. But I somehow feel depressed when alone, with an unreal and detached feeling. She asked me to consult a neuro psychiatrist. I am not sure if it's part of that vestibular migraine. I feel no excitement for life when I'm alone. Happy when I'm busy and doing some work

I am from Mumbai. I went to Government Hospital, Sion Hospital, and asked my doctor if I could try Guanfacine ER because I already tried methylphenidate and atomoxetine, but both did not help much. The doctor told me that Guanfacine ER is not available in India. But in my last Practo post, many people commented that Guanfacine ER is available in India. Now I am confused. Should I try a different government hospital or go to a private hospital? I have a lot of hope for Guanfacine ER for my sleep problems, ADHD, and impulsivity. I cannot really afford private treatment, but if that is the only option, then I will somehow manage and go. Any guidance or experiences would really help. Methylphenidate didn't feel change, Atomoxetine caused Urine retention

I am having issue from last two month I feel like cry without reason have no interest in anything anger boosted hopelessness loss appetite anxiety,I was an alcoholic but not sober at the time of alcohol these symptoms were so high but not still bothering I suddenly go angry if I don't like anything feeling like broken useless ,am I bipolar or its depression and anxiety I don't feel happy at all bored and always thinking feel alone what to do am I going to be happy and confident and free from this what happend to me pls answer

31. Male. 5'6". 77 kg. Paliperidone. I am suffering from nervous shutdown symptoms since 2015. I also started suffering from symptoms like laughing alone or muttering past conversation I had on social media out loud since 2020. My parents insist me on going to psychiatrist for this. One time I misunderstood prescription and took 10 SOS eitizolam pills as I thought they would cure me out of shutdown but they were for weak hearted feeling that I was having. So after overdose I was hospitalized and during my extended stay at hospital I became aggressive so combined with my shutdown and aggression I was diagnosed with schizophrenia and put on paliperidone 150 mg. But paliperidone is making my symptoms worse. I now have ADHD like symptoms due to high dopamine blockade and hence cannot read( jump t conclusions and skip stuff which I feel is unimportant). Doctors says will take you off paliperidone after I get a job and become functional again. Is doctor correct in keeping me on paliperidone?

No matter how much I try, all I get are negative thoughts about myself. I hate myself to the core. I hate myself with all of my heart. But, I'm trying to do better. I'm hitting the gym. Trying to eat right. I stopped taking my meds since none of them were helping me. I was on lithium 300mg (m and n), voxitine 10mg, clonazepam 0.5mg, clomipramine 75mg, quetapine 50mg. Nothing helped me. I constantly get suicidal thoughts all the time. I feel extremely lonely all the time. Even around people. I can't afford to spend any money on meds. But, all I need is sleep. I just need to sleep. I'm struggling with the thoughts that scream in my head when I close me eyes. I need sleep.

I am currently tapering Lenozep (clonazepam). At present, I am taking 0.125 mg once every third day (with a 2-day gap). Over the past few days, I have been experiencing low energy, sleepiness, and mild muscle aches, although my mood remains stable and I do not have significant anxiety or panic symptoms. I have an important work event scheduled from 6th to 12th May and want to remain stable during this period. In this situation, should I continue with the same taper schedule during the event, or is it advisable to stop completely at this stage? Also, are these symptoms expected during the final phase of tapering, and do they indicate withdrawal or something else? Kindly advise on the safest and most appropriate next step.

Hello Doctor, I was taking Escitalopram 5 mg daily for about 2 months after stopping fluoxetine 40 Mg due to itching. During that time, I took the medicine regularly Flunil 40 Mg for about 8 months and symptom was controlled then, Now I have increased to Escitalopram 10 mg. I wanted to ask: - Does taking 5 mg for 2 months count as proper continuation of treatment, or is it considered inadequate/like a gap? - Will this affect the long-term control of my OCD symptoms? - Is 10 mg sufficient, or should the dose be adjusted further? Please advise. Thank you.

Hello Doctor, I had taken Fluoxetine (Flunil 40 mg) for 8 months, but due to itching I switched to Escitalopram 5 mg for 2 months as advised by a government doctor, and then Escitalopram 10 mg for 5 months. Now I am taking Fludac 60 mg. I wanted to confirm: - Was my treatment continuous, or is the 5 mg phase considered inadequate or like a gap? - Will this dose reduction in between affect my OCD recovery? Please advise. Thank you.

Hello Doctor, My main issue is communication anxiety affecting fluent communication, speaking, and verbal expression. I mainly struggle with: dialect/language switching confusion while speaking, with accent insecurity Struggle to form thoughts internally even cannot able to express them coming out smoothly. Because of this, whenever I need to speak in front of people - even in normal conversation - I become highly self-conscious and my verbal output becomes blocked (it feels like I freeze). I often feel unable to express myself verbally the way I want to. I somewhere read, it is called performance anxiety around language identity. Its Self monitoring+anxiety+working memory overload+ attention shift = speech break I need your opinion on this and a medication/treatment plan. If possible, Also provide me your contact no.

29. Male. 77 kg. 5'6". Lactovegetarian. Currently on paliperidone 150 mg monthly depot for schizophrenia and 20 mg escitalopram for OCD. I was pretty normal guy up until 2015. Just had habit of masturbation. I discounted my behavior as a response to and to lower stress of college. I was attracted to our maid at that point. I sexually abused that maids daughter. I felt horrified when that girl told my elder brother about this. I spent one complete evening in shock. After that I planned on marrying that maid to shield myself from consequences. But that plan and things collapsed in April 2016 when saw trailer of a marathi film which touches on intercaste issues. After 5 days I felt physically empty headed and spoke very little and very little expressions. Later I left work and started staying at home glued to computer. I now suffer from anhdepression like symptoms that responds to expectation, belief, reassurance, hope, new environment, placebo for example general doctor or self-medicin