emotional therapy

Health Q&A
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?

I am seeking guidance my mental health

Hello Doctor, . I have severe anxiety with frequent panic attacks. I also have significant mood swings and several other symptoms that make me concerned about bipolar disorder, not just mood swings alone. I have never been formally diagnosed, but I would like to be properly evaluated for bipolar disorder or any other psychiatric condition. I have also experienced obsessive thoughts/behaviors and have had suicidal thoughts in the past. Whenever I cry intensely, become very anxious, or get angry, I sometimes become unconscious for about 3-5 minutes. During these episodes I can hear everything happening around me but cannot open my eyes or move my body. I breathe normally. I also have persistent diplopia (double vision). I underwent eye surgery, but it did not improve. My ophthalmologist told me the cause is likely neurological rather than an eye problem. Recently, I accidentally overdosed on 200 mg amitriptyline.

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.

Need Proper Guidance

I would like to explain my history before we decide on treatment. In 2024, one of my close friends died from a sudden cardiac arrest in front of me. After witnessing it, I had a severe panic episode, blanked out, couldn't speak properly, couldn't eat, and had intense anxiety. My family doctor prescribed Alprax 0.5 mg before meals, which helped me recover. Unfortunately, after 4–5 months, my family doctor passed away, and I continued Alprax on my own. Now I want to stop it safely. I have consulted a few psychiatrists who prescribed Diazepam or Tryptomer but advised me to stop Alprax suddenly. Every time I tried, I developed severe rebound anxiety, insomnia, loss of appetite, and worsening symptoms. I am not asking to stay on Alprax permanently. My only request is a gradual, supervised taper, with any long-term medicine you feel is appropriate, so I can discontinue Alprax safely without severe withdrawal or rebound symptoms

Tapering of tryptomer

Husband and I were facing some mental health issues. So I consulted the doc for myself as he is not comfortable with psychiatry. The doctor suggested Tryptomer 25mg. Husband too started as he got better with the medicine..after 2 weeks he tapered down to 17.5mg then after 10 days to 10mg. Now, he is again facing issues in his health and lost interest in talking, walking, running etc. He is not ready to go to the doctor for the same. So, can I get the advice for him. What should I do with his medicine. Should I tell him to continue with 10mg or should he increase the mg? Please help.

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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