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 had my past trauma related to break up and I don't know why almost every night I got flashbacks and I used to cry after that it's been four months dealing with it
Whenever I found myself alone everything comes to my mind
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.
Hi Doctor I have anxiety and depression feeling regarding my past failures and I'm presently preparing for upsc.Exam is ahead.My fear and anxiety leads to shivering of my lips and sweating in hands
Hey !
It is related to my mother , she is 57 as of now.
Diagnosed with Sugar ( type 2) , blood pressure ( anxiety related as suggested by a cardiologist), Vertigo ( sometime ago but now she is doing good with it.
Hyperthyroidism ( also diagnosed by the same cardiologist as he is general physician too)
For the last 3 years , she has had excessive religious OCD which is now impacting her daily life. She only talks about God and knowing all this she can't stop thinking about which further let her feel restless and anxiety driven by this. She is not on any medication related to this and no prior appointment to any psychiatrist. I am in a dilemma what to do as of now , as it is hard seeing her like this.
Further, she washes her more often now, the contamination issue is there, also she talks in a very depressing tone thinking she would never be getting out of this. Suggest
