Therapy for Austimo

Health Q&A
Overthinking, rumination

I’ve had overthinking issues since childhood, but for the past 3 years it has become very severe and mainly focused on my relationship. I tend to interpret things in the worst possible way and keep doubting meanings (e.g., whether something said is really about me). I overanalyze past chats and events and feel a constant urge to mentally check things, but never feel satisfied. It gets so intense that I lose control over my thoughts, can’t focus on anything, and feel nauseous most of the time. Whenever a new doubt appears, my mind gets overwhelmed and I can’t think clearly. I also feel that if I wasn’t in a relationship, my mind would fixate on something else. What should I do about this?

Behavioral changes -

My sister is 26 and lives in India. Over the past 3 years, after our mother passed away in an accident (she directly saw the body), her behavior has changed. She manages daily activities (gym, coffee shops, online shopping, handling money) but is socially withdrawn, has no friends, and spends most of her time alone. She has developed suspicious thoughts, especially about our cook. She says clothes kept in the balcony will get spoiled if the cook looks at them and believes the cook should only cook and not see her belongings. She also repeatedly tells us not to share our address or personal information. She sometimes zones out and her conversations are hard to follow. She gets irritated if we suggest seeing a therapist or psychiatrist. No prior psychiatric treatment. She lives with our father; I live in the USA. Please advise how to help her, especially since she resists treatment.

Understanding between drug forms

If bupropion SR twice is not much effective than bupropion XL twice than why does doctor prescribe XL at once like 300 mg basically I want to ask that can we take Bupropion XL 150 twice a day if it is not causing any issue??...

Paroxetine

Hello Doctor, I have been taking Paroxetine CR 12.5 mg for the last 1 month for premature ejaculation, general anxiety, and mild depression. Earlier I was using Proxy CR 12.5 by Wilwin Laboratories, which was working well for me. Since that brand was not available, I switched to Paxidep CR 12.5 by Sun Pharmaceutical Industries about 4–5 days ago. After switching, I feel it is slightly less effective and I am experiencing more anxiety than before. I am also having daytime drowsiness that interferes with my daily routine, and regular stomach disturbance with loose stools. Is it okay to switch between these brands since both contain Paroxetine CR 12.5 mg? Do different brands sometimes feel less effective? Should I continue this brand for some time or try to find the previous one? Thank you.

Struggling with Sound Sensitivity

I am 21 years old. For the past 8 years, I get very irritated by the sound of chewing food, and for the past 1 year, the sound from my mother’s throat also irritates me a lot. It makes me very angry, and sometimes when I hear her voice, I feel like ending my life. I want to sit and talk with my mother, but I am unable to do so. I feel like this will never get better. I have now completely given up.

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Doctors
Dr. L. Eugene Arnold - Psychiatrist
Dr. L. Eugene Arnold Psychiatrist (Medical School, B.S. Biology-Chemistry, Psychiatry Residency, MED - Education) 63 years experience Dr. Edward S. Sterling, DDS
Fifth by Northwest, COLUMBUS
Dr. Dale P. Svendsen - Psychiatrist
Dr. Dale P. Svendsen Psychiatrist (Medical School, Residency - ID, M.S., Psychiatry, B.A., Psychology, Class of 1967, Internship, Transitional Year) 59 years experience Eleonora Sikic-Klisovic, MD
Weinland Park, COLUMBUS
Dr. Richard Alfred Scarnati - Psychiatrist
Dr. Richard Alfred Scarnati Psychiatrist (Medical School, Graduated, Degree In Physical Therapy, Diploma in Physical Therapy, Master’s Degree in Health & Safety, D.O. Degree, Psychiatry Residency Certificate, Certificate Of Training, High School Diploma, Diploma in X-ray Technology, Master of Arts Degree in Health and Safety (Public Health), Doctor Of Osteopathy, Certificate of Training in Psychiatry (Residency), Graduate Medical Education in Psychiatry, Certificate of Training in Psychiatry, Physical Therapy, M.A., Health and Safety, Class of 1976, Residency, Psychiatry, Internship, Transitional Year, Medical Degree, Chief Residency in Psychiatry) 50 years experience Dr. Radhika Gollapudy, MD
Weinland Park, COLUMBUS
Dr. Nathaniel Johns - Psychiatrist
Dr. Nathaniel Johns Psychiatrist (Fellowship in Child and Adolescent Psychiatry, Chief Residency in Psychiatry, Residency in Pathology - Anatomical and Clinical, Class of 1984, Graduated) 41 years experience United Methodist Childrens Home Family Services
Columbus 43215, COLUMBUS
Dr. Renata  Fabia - General Surgeon
Dr. Renata Fabia General Surgeon (Medical School, Residency, Residency in Surgery (Gen), Chief Residency in Psychiatry, Medical degree, DO, Graduate, Fellowship 2, Internship, Residency - ID) 41 years experience The Richard M Ross Heart Hospital
Columbus 43210, COLUMBUS