Counselling and Psychotherapy

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?

Clarification

Doctor, can reducing the physical symptoms of anxiety also help reduce psychological anxiety or fear?

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?

Feeling off balance unsteady

Sir from last 6 months I feel health anxiety in January 2026 my heart health anxiety ruled out by cardiologist and told that there is no heart issue..I joined my work but I feel continuously off balance and unsteadyness and due to this I feel anxiety. Sir/ma'am this continuous off balance issue and unsteadyness feeling forcing me not to go out..I feel chest pain and off balance with head at back side pain I feel anxious. Sir is due to anxiety and stress this unsteadyness and disbalance happening or any other cause.. is there any solution without medicine..

Clarification

Hello Doctor, I would like your guidance. Today was my first day at a new company. About two hours before reaching the company, I took 20 mg of Inderal by splitting a 40 mg tablet. I have social anxiety and performance anxiety. Usually, when I have to talk to female colleagues or seniors, my heart beats very fast and I struggle to speak. Today, I still felt a little nervous when I met a female colleague, but my heart did not race, and I was able to speak calmly instead of talking very fast. I also felt much less afraid while talking to my seniors. This made me feel much more confident. Based on this experience, I realized that if my anxiety is controlled, I can perform much better. Does this mean Inderal is helping with my performance anxiety? Is it safe or appropriate to use Inderal 20 mg before important work situations, or should it only be taken under a doctor's specific instructions? I cannot afford a paid consultation at the moment, so I would be very grateful for your guidance.

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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