senior citizen counseling

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?

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.

Mental Health Related

I am not feeling well for a long time, I get irritated easily, my mood is also upset most of the time, get angry on the smallest things, i also have a habit of repeating things in my mind like checking the things i have done, from a few years i also take long time in taking shower or in the washroom, few days ago i also had acute diarrhoea around 15 days & my periods also last only for two days this month, i have a skin eczema problem also from past 4 or 5 years so my question is should I visit a mental health doctor .

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Doctors
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
Mr. Theodore  Williams - Psychotherapist
Mr. Theodore Williams Psychotherapist (Doctorate) 44 years experience Nationwide Children's Hospital
Canal Winchester, COLUMBUS
Mr. Steven J Krause - Psychotherapist
Mr. Steven J Krause Psychotherapist (Graduate) 39 years experience Nationwide Children's Hospital
Canal Winchester, COLUMBUS
Fifth by Northwest, COLUMBUS
Ms. Haley  Brickman - Psychotherapist
Ms. Haley Brickman Psychotherapist (Medical School) 6 years experience Compass Psychological Testing and Evaluation
Columbus 43219, COLUMBUS