Mental Health

:Why is dopamine from masturbation considered different from dopamine from sugar or Instagram? Psychiatrists often say that frequent dopamine spikes from things like sugar, Instagram scrolling, or other highly stimulating activities can be harmful or reinforce addictive behavior. So I’m confused: why is dopamine released during masturbation considered “not bad” or normal? Is the dopamine itself different, or is the issue actually about the pattern of reward, frequency, and compulsive behavior rather than dopamine simply increasing? Could a psychiatrist please explain this in simple terms?

I was born with a birth mark like thing on my right cheek and my nose is also large. I was pointed out this throughout my childhood and initially i didn't notice but slowly i started paying attention. And now it's all i think about. Even if people say i should stop worrying about it, i can't move forward. I constantly feel jealous and unhappy that everyone else looks fine but my face is totally asymmetrical, weird and i hate that I'm unable to accept it. I get extremely anxious of going out especially if i know people might take photos because if i see them then i get really down and i start zooming in and feeling bad the whole night. I have told my family i want to surgically fix my face but they are not ok with it, even I'm worried about pain and what if doesn't go well etc. I feel trapped because i can't accept myself and that's wrecking my nights and sometimes i feel fine and suddenly if i see my own reflection i go back to feeling depressed, i just hate myself. Please help

My delivery was on 28 April and after 40 days i started to feel anxiety type symptoms and feeling swinging sensation under feet on standing and now i feel only when i noticed but now i feel nervous in middle of night or in day two three times and always thinking that i will not be okay in future or something will happen to me or i will die and who will look after my children ...such thoughts and i started crying...i feel anxious all of sudden in night when i wake up ...kindly suggest reasons and cure

I have true ADHD, and one of my problems is difficulty sleeping because my mind keeps having racing thoughts and doesn’t feel calm. Would atomoxetine help reduce these racing thoughts and make my brain calmer, potentially improving sleep? I know atomoxetine can cause insomnia in some people, especially if taken at night. Has anyone with ADHD experienced improved sleep after starting atomoxetine, or does it generally make sleep worse? I would also like to know whether taking it in the morning is usually preferred. Or my science is pseudosciences?

I Have Generalised Anxiety Disorder Taking Meds from Past 10 Months now i want to Taper Them Off Completely

Doctor, does Inderal 20 mg or Inderal 40 mg work for performance anxiety? Please help me. I have no money for a medical consultation. I'm asking for your guidance on humanitarian grounds. Thank you.

Hello Doctor, I have been experiencing a problem for a long time. I do not usually feel afraid of ordinary people, but whenever I have to talk to a professional woman (such as a receptionist, HR staff, bank employee, hospital staff, or office employee), my heart starts beating very fast. I repeatedly think that if I do not know something or make a mistake, she will judge me, think I am uneducated or foolish, or humiliate me. Because of these thoughts, I feel extremely anxious and nervous before approaching them or speaking to them. This problem also happens in banks, hospitals, offices, reception desks, and other professional settings. Could you please tell me what mental health condition these symptoms may be related to and what treatment or therapy would be most appropriate? Thank you.

Hi, I am suffering from a lot of work stress from last 2 years . So I am in a lot of debt and to clear that debt I have to take new debt 2-3 months and this causes me a lot of stress, other than that I am a happy person, content in life, full of wisdom, and I consider myself a thinker not a doer, so from last 2-3 years I am facing this anxiety but it was never that much that I have to consult a doc but now when I am not stressed in the moment but still sometime I feel that I will never be able to come out of this debt and that causes a lot of anxiety and this happens when I am due on the payments of the debt otherwise I am a normal guy. Is it mental problem or just money stress ? To deal with it I try to find signals from god in the form of religious books or posts on social media. So again my question is is it just money stress or mental problem . Other than money problems I don't have any other issue with my life and because of this stress I have become very lonely in life.

I had taken only one escitapram 10 mg precribed by psyctarist for anxiety but next day during masturbation suddenly my ereection get loose and from throic area of back cold sensation came and after it my ed perist for 1 year and only 1 escitapram 10 mg I took why it happens and why cold sensation came from back and why 1 year not improving however I took only 1 escitapram

I've been suffering from Acid reflux from past 1 year and recently had endoscopy everything normal but GI doctor prescribed Placida for 1 Month which I didn't use due to fear dependency of the Anxiety tablets and Now after 1 month doctor prescribed Nexito Forte for more 1 more month. I told him I used Placida for 1 month. Doctors Please help me to in the situation should I start taking Placida or Nexito Forte. Earlier couple of months back I've used trika .25 Mg for 1 month. Thanks in Advance.