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Health Q&A
First time Anxiety Ocd like in teen boy

If a 13 yo who had acute anxiety episode with distressing thoughts like what if some negative creature existed, what if someone did harm to me, for 4 days, first time in life, taken to psychiatrist on 5th day, who counselled and gave etilaam 0.25 for 7 days and sos and ssri flunil 10 for 45 days... he has taken 30 days of ssri till date in morning 10am. His anxiety went off immediately after a day of etilaam although he had drowsiness and slightly low bp from it. He is taking ssri now but he has been having disturbed sleep and daytime yawning and light fatigue especially in evening... he's unable to focus and study for more than 8 to 10 minutes in a stretch,  he starts yawning and takes break. So focus seems to have reduced... also slightly hyperactive behavior at times. He used to study till late night before but now seems fatigue and focus less but he is enjoying watching shows, searching online different things etc. Is this long term ssri unnecessary for him as he has no anxiety now

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.

Exam preparations stress

I am preparing for government job. I feel like I stuck in some cycle because now a days a random thought come in mine like for complete theory for a particular subject I should also do that source but I also know that it add too many things in syllabus like I have to cover mcqs and other subjects also and when I thought these are only thoughts but my mind can't able to get focus. My bp go to 170 to 180 like today and head feeling like very heavy and pain starts other sensations like pain in hands starts . What should I do because things and subjects get changed every time but cycle of this thing remain same.

OCD problem

I have severe OCD. i was taking uvox cr 200 mg, risdone ls at night and clonotril 0.5 mg at night but to no effect. So my doctor changed the medicines and gave me serta 100 mg twice a day, clonil sr 75 mg, risdone ls twice a day and rexipra forte 20 mg at night. What i have seen is that except risdone ls all 3 contain serotonin. Will my body be able to process this much serotonin? Should i take this medicines or change it? Pls help me

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