Assessment and treatment of problems related to nicotine, alcohol and drugs

Health Q&A
High Prolactin due to psychiatric treatm

I am on a psychiatric treatment for irritable bowel syndrome, due to which my Prolactin level has gone very high, it is 245 and I am getting white nipple discharge from my left breast only. Is it concerning ? Which doctor should I go to, my psychiatrist, endocrinologist or gynecologist ??

Can psychosocial issues cause this

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

Big Problem

Hello Doctor, I have been prescribed Inderal 20 mg (propranolol) for anxiety-related fast heart rate in social situations. I mainly experience increased heart rate without other symptoms. I have an event (wedding) coming up, and I wanted to ask: - Can I take one dose before the event and, if needed, take another dose later the same day after the effect wears off? - What should be the safe time gap between two doses? - What is the maximum safe dose I can take in a day for this purpose? Thank you.

Suffering from depression

I am a mbbs doc having low mood, lost all interest in activities and life itself after getting diagnosed with cervical and lumbar disc bulge. I am feeling worthless and have anhedonia too. I can't eat anything as I have no appetite and only eat two times a day. I hate my job because i can't indulge myself in it. Everyday feels so exhausting and I feel like I have lost my purpose. Is there any hope left and is it possible to regain my interest as I have only a few months left for the next neet pg?

Always sad. ... ... ... ...

Im housewife and have 7yr old daughter.feel like only monetary contribution will be regarded in this society helping hand never be appreciate .now I regret every decision i took in life. life was given so many oportunity I only took wrong decision.feels like what is the purpose of life. I always been introvert since childhood.i enjoy being alone. Feels like destiny never been my side. My life is limited only  to cooking cleaning .I lost interest in everything .

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Doctors
Dr. L. Eugene Arnold - Psychiatrist
Dr. L. Eugene Arnold Psychiatrist (Medical School, B.S. Biology-Chemistry, Psychiatry Residency, MED - Education) 63 years experience Dr. Edward S. Sterling, DDS
Fifth by Northwest, COLUMBUS
Dr. Dale P. Svendsen - Psychiatrist
Dr. Dale P. Svendsen Psychiatrist (Medical School, Residency - ID, M.S., Psychiatry, B.A., Psychology, Class of 1967, Internship, Transitional Year) 59 years experience Eleonora Sikic-Klisovic, MD
Weinland Park, COLUMBUS
Dr. Richard Alfred Scarnati - Psychiatrist
Dr. Richard Alfred Scarnati Psychiatrist (Medical School, Graduated, Degree In Physical Therapy, Diploma in Physical Therapy, Master’s Degree in Health & Safety, D.O. Degree, Psychiatry Residency Certificate, Certificate Of Training, High School Diploma, Diploma in X-ray Technology, Master of Arts Degree in Health and Safety (Public Health), Doctor Of Osteopathy, Certificate of Training in Psychiatry (Residency), Graduate Medical Education in Psychiatry, Certificate of Training in Psychiatry, Physical Therapy, M.A., Health and Safety, Class of 1976, Residency, Psychiatry, Internship, Transitional Year, Medical Degree, Chief Residency in Psychiatry) 50 years experience Dr. Radhika Gollapudy, MD
Weinland Park, COLUMBUS
Dr. Nathaniel Johns - Psychiatrist
Dr. Nathaniel Johns Psychiatrist (Fellowship in Child and Adolescent Psychiatry, Chief Residency in Psychiatry, Residency in Pathology - Anatomical and Clinical, Class of 1984, Graduated) 41 years experience United Methodist Childrens Home Family Services
Columbus 43215, COLUMBUS
Dr. Renata  Fabia - General Surgeon
Dr. Renata Fabia General Surgeon (Medical School, Residency, Residency in Surgery (Gen), Chief Residency in Psychiatry, Medical degree, DO, Graduate, Fellowship 2, Internship, Residency - ID) 41 years experience The Richard M Ross Heart Hospital
Columbus 43210, COLUMBUS