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.
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.
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
I would like to explain my history before we decide on treatment. In 2024, one of my close friends died from a sudden cardiac arrest in front of me. After witnessing it, I had a severe panic episode, blanked out, couldn't speak properly, couldn't eat, and had intense anxiety. My family doctor prescribed Alprax 0.5 mg before meals, which helped me recover. Unfortunately, after 4–5 months, my family doctor passed away, and I continued Alprax on my own. Now I want to stop it safely. I have consulted a few psychiatrists who prescribed Diazepam or Tryptomer but advised me to stop Alprax suddenly. Every time I tried, I developed severe rebound anxiety, insomnia, loss of appetite, and worsening symptoms. I am not asking to stay on Alprax permanently. My only request is a gradual, supervised taper, with any long-term medicine you feel is appropriate, so I can discontinue Alprax safely without severe withdrawal or rebound symptoms
Taking Desvenlafaxine (Dveniz) for ~5 years (currently 50 mg ) and tried therapy earlier but not benefited. Main symptoms: social, performance and situational anxiety, day time sleepiness ,fear of judgment, hesitation while speaking in groups/meetings, persistent internal anxiety , overthinking, brain fog, poor attention/concentration, distractibility, forgetfulness, careless mistakes, slow processing, mental fatigue, procrastination, low self esteem, irritability, low confidence ,impulsive decisions, emotional impulsivity, occasional blurting out answers and losing things. These symptoms significantly affect my work and daily functioning. I would like evaluation for adult ADHD, anxiety disorders, depression, sleep-related disorders, and other possible causes of brain fog/fatigue, along with advice on further treatment options.
