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Health Q&A
Sertraline apathy issue, need better fix

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?

Stimulant and anxiety

Took yohimbine for fat loss ( for 10-15 days) and having repeatedly anxiety attacks even on anxiety meds when try to do intense physical work where heart beat rises to a certain level then also experience anxiety attack what is the actual name of this problem and is it curable? Taking meds from last 2 years and started tapering after talking to doctor and currently only taking nexito 10 mg

Loosing mental control and migraine

I need to get a support (prescription) to buy Beta-Blockers ( Propranolol). Before hectic project deadline or taking up serious challenges, I am loosing mental control and having migraine, sleeplessness, giddiness, etc.. I had a mild stroke in 2010, at the age of 38 mainly due to these psychic attack due to heavy professional deadline pressure. Mainly lack of sleep and i will be fatique within a week.

Cognitive dullness

Im am totally unable do two things at the same time..to listen and read or speak.. if im reading someone speaks it goes blank .. i have to ask them to repeat... if im listening to a speech or video.. same Problem im not focussing too hard also..

Anxiety issue

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

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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