My sister is 26 and lives in India. Over the past 3 years, after our mother passed away in an accident (she directly saw the body), her behavior has changed.
She manages daily activities (gym, coffee shops, online shopping, handling money) but is socially withdrawn, has no friends, and spends most of her time alone.
She has developed suspicious thoughts, especially about our cook. She says clothes kept in the balcony will get spoiled if the cook looks at them and believes the cook should only cook and not see her belongings. She also repeatedly tells us not to share our address or personal information.
She sometimes zones out and her conversations are hard to follow. She gets irritated if we suggest seeing a therapist or psychiatrist.
No prior psychiatric treatment. She lives with our father; I live in the USA. Please advise how to help her, especially since she resists treatment.
Hello doctor, I’ve been dealing with a constant self-awareness problem for a long time. I keep noticing my thoughts, body sensations, and especially my eye contact, which makes me uncomfortable in social situations.
This started around 4 years ago when I was in 11th class and went through a phase of depression. At that time, I had issues like sleeplessness, overthinking, and constantly analysing my thoughts.
I also had very high phone usage earlier (which I have now reduced), but I feel my attention is still stuck inward. My main problem right now is difficulty with natural eye contact and excessive self-awareness.
I would like guidance on how to manage this and feel normal again.
Is it possible to cure Functional bowel disease or IBS with your medicine. I have been suffering from digestive problem since 5 years, now I am 33 years male. I have also a problem of anal fissure occurring tendency and once Lateral sphinctertomy surgery was done and doctor told if again fissure occurs in future and surgery needs then stool incontinence will start. I have also came to know that without SSRI all medicine causes Hard stool as a side effect especially for Irritable bowel syndrome patient. Now, how can I start treatment so that anal fissure don't occur taking anti psychotic medicine??
I’ve
been in a relationship with my girlfriend for over three years, and we end up fighting almost every other day. We both love each other deeply, but my difficult past—something she’s aware of—still seems to affect our relationship.
At times, I feel like her expectations of what a boyfriend or future husband should be are beyond what I can realistically meet. I’ve been giving my all to make things work, but I’ve reached a point where it feels like love alone isn’t enough, and the relationship itself is starting to feel overwhelming.
One of the hardest parts is how she reacts when I say no—her responses can be quite intense, and it often makes me agree to things just to avoid conflict. Yet, during calmer moments, she’s caring and clearly wants a future with me.
That contrast leaves me feeling confused. I don’t feel consistently respected, and over time, it has affected my self-respect and confidence.
Hello Doctor,
I have been taking Paroxetine CR 12.5 mg for the last 1 month for premature ejaculation, general anxiety, and mild depression. Earlier I was using Proxy CR 12.5 by Wilwin Laboratories, which was working well for me.
Since that brand was not available, I switched to Paxidep CR 12.5 by Sun Pharmaceutical Industries about 4–5 days ago. After switching, I feel it is slightly less effective and I am experiencing more anxiety than before.
I am also having daytime drowsiness that interferes with my daily routine, and regular stomach disturbance with loose stools.
Is it okay to switch between these brands since both contain Paroxetine CR 12.5 mg? Do different brands sometimes feel less effective? Should I continue this brand for some time or try to find the previous one?
Thank you.