I am a 24-year-old male seeking an evaluation for Adult ADHD. Looking back at my life patterns, I strongly suspect my brain operates on an executive dysfunction and dopamine-deficit model. My core symptoms are:
All-or-Nothing Focus: I struggle heavily to focus on routine or uninteresting tasks. Even if a study topic interests me initially, I abandon it the moment the novelty fades.
Hyperfocus & 0-or-100 Mindset: When a task excites me, I get intensely locked in, forgetting food and sleep. My lifestyle has no middle ground—either I give 0% effort or 100% flawless perfection (e.g., in dressing or projects).
Thriving in Crisis: I am entirely fearless and highly functional in chaotic, high-risk, or fast-paced situations (like high-speed driving or hard physical challenges) where others panic. I feel naturally alert only under high pressure.
Im going through Anxiety disorder for last 1 year . Initially I was given Paraxitine 10mg extended release for 15days by neurologist at night but resulted in partial insomnia . I was asked to taper off and try psychiatrist , adviced CBT only. Then after 10 months I'm given Desvenlafaxine 50 mg extended release at night , for last 5 days I will wake exactly 4.45 - 5 hours after taking the tablet ( i tried taking an hour early and tried , I will wake up an hour early mid sleep) . I'm troubled with sleep and fatigued through the day . Usual side effects I'm already informed exists ( constipation , dry mouth , slight dizziness ) . Is it worth switching the dosage timing to morning .
Respected sir
Sir i am 32 years old weight 81 kg 10 days ago i got married i am an ocd patient doctor gave me few medicines like, zapiz 0.5 , clonil 25, aspeito 5 and Veniz xr 150 etc. whenever i am going to have sex with my partner my sperm isn't coming from penis at all what is the problem here please help me sir ?
My husband is 37 years old. He stops drinking alcohol for about 2–3 weeks, but then starts again and drinks heavily day and night for 1–2 weeks. He genuinely tries to quit, but relapses repeatedly. During drinking periods, he has sleep disturbances, high blood pressure, uses abusive language, and makes inappropriate calls to relatives and friends.
He was previously given medication for alcohol withdrawal/craving, which helped for about a month, but the habit returned after stopping the medicine.
I am currently 5 months pregnant and living with him. I would like to know:
Which specialist should we consult?
Are there medicines that can help prevent relapse long-term?
Does he need counseling or de-addiction treatment?
What is the best treatment approach for this pattern of alcohol use?
Thank you.
I quit escitalopram on 31st march 2026 tapered it down by 2.5 mg, but on june 11 today by mistake I ate 10mg escitalopram instead, I was meant to eat propranolol. Is that serious?