Premarital Therapy

Health Q&A
PANIC ATTACK AND NOSE BLOCKING

Hai I am always thinking about my health ...I have health anxiety ..for small things I am fear ..if I heard any bad news etc etc ..always negative thoughts in mind...from past 2 months in sleep I am getting panic attacks..my nose is blocking because of nose block or don't know suddenly breathingless and fast heartbeat ,sweating feel like I am going to die ...so how to overcome these panic attacks and health anxiety and negative thoughts ...give proper answer I will consult in online

Lumateperone insomnia

I started lumateperone 3 days back and it's giving me really bad insomnia. I'm taking it at bedtime. Would taking it early at 6 pm help?

Insomnia, not able to sleep without meds

Hi, I was diagnosed with hyperthyroidism(Graves Disease) in 2014-15, then was treated for a long 2 years for the same. I developed anxiety and severe insomnia that time. As per psychiatry consultation got treatment for the same with antidepressants (pexep-cr 12.5, mitraz, amital) and quitipine 25mg(sometimes 12.5mg). Psychiatric treatment was continued upto Nov+2018. Things improved over time. After that till now I was overall fine. But now again the sleep problem has started. I'm currently taking levothyroxine for my hypothyroid. Once graves disease was treated it was identified as hasimoto thyroditis with anti tpo of 870. Currently sleep problem constantly since 3 weeks. My thyroid TSH levels are now 2.85(thyronom dose is 62.5mcg), Ft4 is 1.67, ft3 is 2.64) but sleep is not coming on its own. I have consulted psychriatist and has been prescribed mirtaz 7.5 for 10 days and zolphidem 5mg. It's now 5th day but I can't still sleep with these medicines. What to do in this scenario?

Concern regarding my 19 year old brother

My brother is 19 years old. We have noticed the following behavioural concerns: * He is very aggressive in normal day-to-day conversations. * His facial expressions and behaviour change noticeably when he gets angry. * He often brings up incidents from 5–6 years ago and becomes excessively angry about them. * He seems unable to let go of past issues and holds resentment. * He has difficulty maintaining friendships and mostly interacts with family. * He can be very defensive and finds it difficult to accept when he is wrong. * Sometimes he says he feels depressed. * He makes statements like, “I could have become an engineer, doctor, or whatever I wanted.” We would like to understand if there could be an underlying mental health concern This has been happening from last 2 years and as family we are being in lot of stress

Anxiety - Workout

Hi Doctor , For last 12 months I'm on Prodep & last 3-4 months I'm stable on 10 mg Prodep . Recently I starred gym & started doing exercise & weight training . I take my breakfast then Prodep 10 mg & before gym black coffee & then go for gym at 12 noon .. I do for 45 min .. once I'm back I feel some anxiety ; there is energy but also some level of anxiety and thinking which was not there before o started the gym .. now I'm confused is this post workout anxiety normal ? What's the solution . Please help .

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Dr. Ayyalasomayajula Rajesh - Psychiatrist
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