Mental Health

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Suzain khan

He is suffering form severe depression and some family and business problems and drug addict also
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Ssri weight gain

I am on escitalopram 10 mg once daily in the night for anxiety and depression. Tried sertraline 50 mg previously but stopped as it wasn't that effective for handling my anxiety disorder. Now escitalopram whenever i was on it, has caused atleast 5 to 6 kg weight gain and i find it extremely hard to loose weight when on the drug escitalopram. I don't know what it does to my metabolism that i find it so hard to loose weight even when proper diet and exercise is followed. Please advise a solution... should i shift to another molecule or ssri which won't effect weight? Or focus more on nutrition and exercise only
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GAD,OCD, anxiety spectrum

I am taking following medications:- Escitalopram 10mg+clonezepam 0.5 mg(Nexito forte)on lunch Olanzapine 5mg(Oliza 5) 8pm Fluvoxamine 50mg (ocivox 50) at night Propranolol 40mg bd(ciplar 40) Now i am having a lot of thoughts fear of death,fear of loosing loved ones,fear of having a heart attack a lot of fears and various intrusive thoughts what medicine above can i increase in terms of dose and what time to take can i increase ocivox 50 to twice daily as it helps with decreasing the thoughts or you suggest what to do please help me
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Prescription understanding

Yesterday i visited a psychiatric hospital and i was prescribed new medication regimen but i having trouble understanding how to stop my old regimen. I have exam on 11th sat and i am very worried. I had suffered my entire childhood with fear induced vomiting daily and the fear shifted from that to now competitive exams i face. Im having panic attacks frequently and shortness of breathing. Any kindness i would greatly appreciate from any doctors out there. Please i beg you to help me. I been unemployed and failing my bank exams (ibps sbi) for 8 years now. i would greatly appreciate your kindness. please help me.
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Is it depression?

I’ve been feeling emotionally numb and disconnected for a while, with very low motivation and almost no sense of contentment even after achieving things like getting multiple job offers. I experience frequent overthinking, but sometimes my mind goes completely blank or numb, which affects my mood and ability to function. Recently, I’ve also noticed memory issues, difficulty focusing, and even trouble recalling words or conversations. I feel constantly mentally exhausted, irritable, and physically drained, along with dizziness at times. On top of this, I’m dealing with a stressful family environment where I feel controlled and unable to have personal space, which adds to my frustration and sense of being stuck. I’m confused about my career decisions, feel overwhelmed by everything happening at once, and often feel like I’m not in control of my life or moving forward, even though I am. Overall, I feel detached, tired, and unsure how to manage my thoughts, emotions, and situation.
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Not able to get up on time for classes

Hello i am in law school and i am not able to get up for my 9 AM classes and I also skip breakfast. I am on fluoxetine 20 mg, Risperidone 0.5 mg and isotretinoin 20 mg, I sleep by 1 AM and wake up at 12:30 , and tend to do doomscrolling when I wake up
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HIV related

Going through extreme ocd from last 20 years taking therapy with Uvox 200 mg and 3 mg clonotril a day as well an individual came to me after an unprotected sexual exposure and cried to me on my shoulder I had a deep cut on my thumb I wiped the individuals tear I washed my hand immediately with water but I'm worried if I could contract the virus can the individual be infectious within 24 hours of contracting the virus and does tears spread virus if it enters the blood stream someone please answer my query not able to handle my anxiousness I will be very grateful if one answers my query if this is considered a hiv exposure as I don't want to get my self tested and get into the cycle which could be compulsions and reassurances cause I have already got tested various times due to exposures which were not considered even a real exposure please kindly help me I'm living a very anxious and a troublesome life
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Bipolar lifetime medicine need to take

I have taking medicine for bipolar almost 4 years my doctor adv not to stop medicine now am fully recovered. Doctor said also your recovered but she was said minimum dose should take life time like how bp Or sugar patient took daily medicinereally it is need to take medicine lifetime
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Advice on medicine clozapine 25 mg

I have been on clozapine 25 mg since 2018.Earlier i took pacitane 2 mg with it.In between i stopped .Now I am experiencing excessive tightness at back of my head .I want to know whether tightness is side effect of clozapine 25 mg and is due to stopping pacitane 2 mg or is it due to homeopathic medicine i have taken Moschus, Calcarea carbonicum, Lycopodium, carbo vegitab, Selinium, Aumina, Acidphosphoricum.should I start pacitane 2 mg again.
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Hyperbolic Tapering of 2 benzo drugs

Respected doctors Respected Doctors, My mother has been on psychiatric medications for the past 2 years. She is currently taking Lithium 400 mg twice daily, Clonazepam 0.5 mg, and Zolpidem 5 mg at night. She is now stable, and we would like guidance on safely tapering her medications using a gradual (hyperbolic) tapering approach. I am concerned about the risks of dependence and withdrawal, especially with long-term use of these medications. Greatly appreciate your guidance on how to safely taper with 5 percent cuts. If there are doctors in Hyderabad with experience in tapering, that would be very helpful. Or open to online consultations as well. Thank you for your time and support.
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