Dear Doctor,I feel like my ability to distance myself and observe my own thoughts—specifically my metacognition, or the "observer effect"—has become very weak. Even when I practice mindfulness, I am unable to experience this state. In the past, I used mindfulness very effectively to manage and tackle procrastination.Could this difficulty be because my DLPFC (Dorsolateral Prefrontal Cortex) is not functioning properly?Also, how does the Mirtazapine affect my metacognition? Ii don't use this medicine now almost two yr only take one dose 7.5mg that really spike my anxiety level high i stopped it understand that at a low dose, Mirtazapine causes a histamine-1 receptor blockade, which might slow down dlPFC activity. Is there any way or alternative clinical method to reverse or clear this specific receptor blockade?Finally, are there any specialized medical checkups or diagnostic tests available to evaluate the current working condition and functional state of my DLPFC
I am seeking psychological help because I have experienced persistent overthinking, intrusive memories, anxiety, and emotional distress for the past 10 years. While I was asleep, my brother secretly accessed my phone, read my private chats, and viewed my personal photos without my consent. During that time, I was in an emotionally abusive relationship, and a married friend (my friend's brother) supported me in leaving it. I had shared one non-explicit photo with him, but my brother assumed we had an inappropriate relationship. Without asking me for an explanation, he told family members and relatives that I had a relationship with a married man and questioned my character. Recently, he repeated these allegations to his fiancée, showed my personal photo to others without my permission, verbally abused me, and continued making defamatory statements. Since then, I frequently relive these events, feel betrayed, anxious, and emotionally overwhelmed. what should i do.
I was on benzodiazepine for more than 3 months to 4 months how can I tapper or reduce the dose,first I was prescribed 20 petril beta for 3 months then I took cloba 5 mg in half for one months I am very scared I m stuck into this..can I be only on antidepressants without relying on benzodiazepine meds..
I am struggling with anxiety and dipression symptoms and it it affecting my daily life and do online psychiatrist consultation prescribe medication if I am struggling to function properly ? Also have no motivation to do anything feel disconnected from the world racing mind , overthinking, i also struggle to go outside, have head ache and neck pain to much , restlessness to much
I have symptoms of anxiety and dipression such as no motivation to do anything and restlessness, non stop self talking in mind and feeling disconnected from reality, racing thaughts , also my neck and head pains it , i sleep but do not wake up feeling refreshed and like normal , my behaviour has been changed , my ability to function normally has been affected very much I can't even focus on my study , also have habit to search symptoms again and again on internet for solution ,
But from last few months i have already started exercising so I have improved but there are still the symptoms affecting my life also i can't breath properly and I don't know the reason why this all happened but now i am exhausted and need help earlier I was happy but slowly slowly my mental health drained I don't even realised I also never had taken any meds also i can't think properly and feel little hopeless i also can't feel like my self anymore from much time also i am fit also havedone bloodtestwas nomal
