communication skill training

Health Q&A
Do antipsychotics work region specific?

31. Male. 5'5".77 kg. Taking invega sustenna 150 mg monthly depot since June 2024 and taloprex since last week. My doctor says invega works region specific and won't affect dopamine activity in regions like prefrontal cortex. But AI says it blocks dopamine throughout the brain. Who is correct?

Anxiety problem

Iam suffering from this anxiety since last 5 years first racing heart beat it started then one year full ah nothing happened then again racing heart beat with chest pain and left arm pain it went and throughout day on and off it came my hand pain last two days like this I think foe the past five years so many times it came I thought my heart is damaged so two days back I took blood test sugar bp hol3strol is normal and also I took ecg one month ago which is also normal and also I tooklipoprotein test whi h is less than 30 which is also normal but last two daysah I was getting panicked for small reasons like my mother called out door opening sound ets iam not able to sleep and also iam suffering from ulcer I took tablets for that and also doc gave capinol 20 la for anxiety I took foe two days and then I saw the side effects and I got scared and I couldn't sleep I stopped eating I took two days and stopped side effect it will trigger heart attack like that I saw in website I scared

Hyperspeamia

I took finasteride 1 mg started stopped and the started and then finally stopped(took it for 10 days) and had a prolonged arousal which erectile Dysfunction and hyperspeamia (high semen volume). Erectile Dysfunction is gone but hyperspeamia is  still there it has been 14 days .When will my hyperspeamia go away and why this happened?

First time Anxiety Ocd like in teen boy

If a 13 yo who had acute anxiety episode with distressing thoughts like what if some negative creature existed, what if someone did harm to me, for 4 days, first time in life, taken to psychiatrist on 5th day, who counselled and gave etilaam 0.25 for 7 days and sos and ssri flunil 10 for 45 days... he has taken 30 days of ssri till date in morning 10am. His anxiety went off immediately after a day of etilaam although he had drowsiness and slightly low bp from it. He is taking ssri now but he has been having disturbed sleep and daytime yawning and light fatigue especially in evening... he's unable to focus and study for more than 8 to 10 minutes in a stretch,  he starts yawning and takes break. So focus seems to have reduced... also slightly hyperactive behavior at times. He used to study till late night before but now seems fatigue and focus less but he is enjoying watching shows, searching online different things etc. Is this long term ssri unnecessary for him as he has no anxiety now

Need Clarification About

Hello Doctor, I have a question. I don't feel afraid in crowded places, I can travel alone and talk to people normally. However, I feel anxious only when I have to talk to professionals like HR, managers, or during interviews because I feel I am being judged. Could this be performance anxiety rather than social anxiety? I would appreciate your opinion. Thank you.

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Doctors
Mr. Robert Alan Bornstein - Psychologist
Mr. Robert Alan Bornstein Psychologist (Graduate, Ph.D.) 53 years experience Ohio State Harding Hospital
Fifth by Northwest, COLUMBUS
Ms. Janice K Kiecolt-Glaser - Psychologist
Ms. Janice K Kiecolt-Glaser Psychologist (Phd, PhD in Psychology) 50 years experience Eleonora Sikic-Klisovic, MD
Weinland Park, COLUMBUS
Canal Winchester, COLUMBUS
Mr. Michael A Forman - Psychotherapist
Mr. Michael A Forman Psychotherapist (Medical School, Professional School) 49 years experience Ohio State Richard M. Ross Heart Hospital
Weinland Park, COLUMBUS
Dr. Eileen P. Ryan - Psychiatrist
Dr. Eileen P. Ryan Psychiatrist (Medical School, Residency, Chief Residency in Psychiatry, Medical degree, DO, Internship, Residency - ID, Fellowship in Psychiatry) 42 years experience The Ohio State University Harding Hospital Department Of Psychiatry
Columbus 43210, COLUMBUS