I am a student with recurrent anxiety and depression. I took escitalopram 10mg from January 2024 to April 2025 and did very well. Eight months after stopping, anxiety returned in December 2025 due to my father falling ill. This second episode was fifty percent milder than my first. I started sertraline 50mg which is working well for anxiety and depression.
However sertraline is causing emotional blunting, apathy, anhedonia and low motivation badly hitting my studies. I have no drive or spark to study despite mood being better.
Two weeks ago aripiprazole 2mg was added. Since then I have worse brain fog, lethargy, apathy, small mood highs and lows daily and poor sleep. Day twenty five now with no improvement.
My questions are One:Stop aripiprazole given poor tolerance at lowest dose after twenty five days. Need tapering?
Two : Is bupropion 150mg better augmentation for my apathy, anhedonia and low motivation with sertraline 50mg?
I am currently feeling very irritable, short-tempered, and restless. My mind does not stay calm or peaceful. I am unable to feel happy or relaxed, and often get a feeling of wanting to cry. I feel mentally exhausted.
Additionally, I have a strong fear of arguments or conflicts. When someone else argues or raises their voice, my heart starts pounding (palpitations). I constantly feel that it would be much better if no one argues with me. This fear is also affecting me badly.
I have been suffering from anxiety, body shivering,and al my heart beat is getting fast than normal. I have been facing this problem after my marriage...I feel heaviness on my chest
I am currently feeling very irritable, short-tempered, and restless. My mind does not stay calm or peaceful. I am unable to feel happy or relaxed, and often get a feeling of wanting to cry. I feel mentally exhausted.
Additionally, I have a strong fear of arguments or conflicts. When someone else argues or raises their voice, my heart starts pounding. I constantly feel that it would be much better if no one argues with me. This fear is also affecting me badly.
Hello doctor my son was facing adhd with moderate autism he is now 5 nd half years he is under psychiatry doctor treatment.. at one n half years he is facing fits. He doesn't have any hearing problem..and therepy also continue from last 2 years he is under treatment.. initially we recommend neuro doctor but doesn't see any kind of improve but recently hardly 2 months we change doctor psychiatrist.. medicine doctor has given levipil 250 and sizodon 1mg .. he is very hyperactive and facing sleep problem .. hardly 4 to 5 hrs is sleep problem gets cure please suggest what should I do for proper sleep .. for physical excercise at home half n hr I am giving therepies.. but still he doesn't feel tired what should I do is adhd with autism gets cure ..