Mental Health

31. Male. 5'5".77 kg. Taking invega sustenna 150 mg monthly depot since June 2024 and taloprex since last week. My doctor says invega works region specific and won't affect dopamine activity in regions like prefrontal cortex. But AI says it blocks dopamine throughout the brain. Who is correct?

I’ve been going through a very difficult period emotionally, and it has started affecting me mentally and physically. I’ve been feeling extremely overwhelmed, emotionally exhausted, and unable to cope with things on my own. I’ve been crying almost every day and having difficulty sleeping. I keep overthinking and finding it very difficult to function normally or get through the day. Recently, I’ve also been having suicidal thoughts, which is why I feel that I need professional help. I would like to consult a psychiatrist and understand what I’m going through and get appropriate help.

I was hoping to get a GID certificate ( I already do have one from another psychiatrist but my endocrinologist requires 2 certificates from 2 different psychiatrist!

I am facing certain issues mentally which is difficult to explain and just want some guidance to help me moving with the life

I have been struggling with social anxiety for several years, but it has become much more severe over the last few years. It is now affecting both my personal life and my work. I often avoid social interactions and make excuses to get out of social situations. I feel anxious while talking to people on the phone, speaking in office meetings, attending office get-togethers, or even having normal conversations. During these situations, I become extremely nervous. My voice becomes shaky, I feel very awkward, and it feels like all my energy is drained. I have to put in a lot of effort just to continue a basic conversation, and because of my anxiety, I often feel that the conversation does not go well. I genuinely want to socialize and talk to people confidently, but my anxiety holds me back. Over time, I have lost a lot of confidence, and my motivation has also become low because of these difficulties. Is this something that can be treated successfully? Thank you.

I have been struggling since around 9th grade. Before that, I was focused, disciplined, and performed well academically. After a sudden decline in my studies, I never felt like I truly recovered. Since then, I feel like I am just existing rather than living. I feel emotionally numb and rarely experience happiness or other emotions. I constantly avoid important tasks and distract myself with other activities just to let time pass. I often lose track of dates and time, and sometimes everything feels unreal, almost like a dream. I was previously diagnosed with Generalized Anxiety Disorder (GAD) and Mixed Anxiety and Depressive Disorder. At a later follow-up, ADHD was considered but not confirmed. I was prescribed Sertraline 50 mg, Inderal LA 20 mg (Propranolol), Arip MT 2 mg (Aripiprazole), and later Atomoxetine 10 mg. I stopped taking the medications because I felt they were not helping enough.

I have disease or don't know what to call it forgetfulness how to cure it? I'm not anymore ambitious person. I feel full tired when I someone suggest me to do something. I'm not feeling to do anything from inside. Guide me to the best of best place where I can satisfy myself and my family as well. Even in jobs also I don't have stability already I left so many jobs. Also I don't have stability with girlfriends I lost so many girlfriends from few years. Why these all things are happening with me and why I'm not feeling well with anyone. Already I have been consulting with physiological doctor for my need of sleep. What to do where to go whom to ask. There are somany Questions in my head.

I am 2022 passout mbbs doctor. Can anyone tell me what should I do, I have had very difficult life, since childhood I have had severe social anxiety spent whole life as a lonely person. I took treatment in 2020, escitolopram for this anxiety, but instead of helping me it made me hypomanic, it was stopped. Since then I am facing all kinds of issues like chest tightness, pain and worst is bloating and excessive farting. Last year I got diagnosed as bipolar, since 1 year I am taking this medicines, but no use, bcz I can't increase ssri as it destabilizes my mood. I am currently taking lithium 750 mg, lamotrigine 150 mg, escitalopram 15 mg, propranolol 40mg. How can I live next 30-40 years like this, especially bloating issues now I am completely isolated due to this. I am not able to understand what to do. Can ssri withdrawal lead to this, bcz i didn't have mood issue or physical symptoms before 2020.

If a 13 yo who had acute anxiety episode with distressing thoughts like what if some negative creature existed, what if someone did harm to me, for 4 days, first time in life, taken to psychiatrist on 5th day, who counselled and gave etilaam 0.25 for 7 days and sos and ssri flunil 10 for 45 days... he has taken 30 days of ssri till date in morning 10am. His anxiety went off immediately after a day of etilaam although he had drowsiness and slightly low bp from it. He is taking ssri now but he has been having disturbed sleep and daytime yawning and light fatigue especially in evening... he's unable to focus and study for more than 8 to 10 minutes in a stretch,  he starts yawning and takes break. So focus seems to have reduced... also slightly hyperactive behavior at times. He used to study till late night before but now seems fatigue and focus less but he is enjoying watching shows, searching online different things etc. Is this long term ssri unnecessary for him as he has no anxiety now

Hello Doctor, . I have severe anxiety with frequent panic attacks. I also have significant mood swings and several other symptoms that make me concerned about bipolar disorder, not just mood swings alone. I have never been formally diagnosed, but I would like to be properly evaluated for bipolar disorder or any other psychiatric condition. I have also experienced obsessive thoughts/behaviors and have had suicidal thoughts in the past. Whenever I cry intensely, become very anxious, or get angry, I sometimes become unconscious for about 3-5 minutes. During these episodes I can hear everything happening around me but cannot open my eyes or move my body. I breathe normally. I also have persistent diplopia (double vision). I underwent eye surgery, but it did not improve. My ophthalmologist told me the cause is likely neurological rather than an eye problem. Recently, I accidentally overdosed on 200 mg amitriptyline.