My 14 yr old son worries for every little thing. He gets too anxious n is unable to sleep well before exams. He gets palpitations n dizziness in stressful situations like result, or going to school if his friends are not coming. He's good at studies, enjoys playing video games n music. He's also very shy n doesn't enjoy socialising,other than with his close friends or cousins. How to help him overcome his shyness n anxiety?
I used to masturbate daily since around 2014 mainly to help myself fall asleep. It was never due to strong sexual urge or feeling horny, it just became part of my sleep routine before bed. Since 2020, after learning about sleep hygiene and using supplements like melatonin and magnesium glycinate, my sleep problem has improved a lot. I no longer feel I need masturbation for sleep, and I actually want to stop it completely. However, I still end up masturbating automatically before sleep around 6–8 times per month. I don’t even feel much sexual urge, but it feels impulsive or habitual, difficult to control, and sometimes I feel unable to think clearly in that moment. I have ADHD (mainly attention deficit + impulsivity type). Since methylphenidate cannot be taken before sleep, I wanted to ask: For this type of bedtime habit, which medicine is usually considered more helpful — Atomoxetine or Clonidine ER? Would appreciate medical guidance.
How to get rid of porn and masturbation addiction? I am excessively addicted to it and finding ways to get rid of it desperately.
Hello Doctor, My main issue is communication anxiety affecting fluent speaking and verbal expression. I struggle with dialect/language switching confusion, accent insecurity, and difficulty forming and expressing thoughts smoothly. After moving from my town to a city environment, I became more self-conscious about the way I speak. Whenever I need to speak around people — even in normal conversations — I become highly self-aware and mentally freeze, causing speech blocks and difficulty expressing myself. This anxiety usually does not happen when I am alone. I read that this may relate to performance anxiety around language identity, involving self-monitoring, anxiety, and working memory overload affecting speech flow. I also have a history of chronic bullying during school years, which may have contributed to this issue. I would like your opinion regarding this condition and a suitable medication/treatment plan. If possible, please also share your contact no. Thank you
I am a student with recurrent anxiety and depression. I took escitalopram 10mg from January 2024 to April 2025 and did very well. Eight months after stopping, anxiety returned in December 2025 due to my father falling ill. This second episode was fifty percent milder than my first. I started sertraline 50mg which is working well for anxiety and depression. However sertraline is causing emotional blunting, apathy, anhedonia and low motivation badly hitting my studies. I have no drive or spark to study despite mood being better. Two weeks ago aripiprazole 2mg was added. Since then I have worse brain fog, lethargy, apathy, small mood highs and lows daily and poor sleep. Day twenty five now with no improvement. My questions are One:Stop aripiprazole given poor tolerance at lowest dose after twenty five days. Need tapering? Two : Is bupropion 150mg better augmentation for my apathy, anhedonia and low motivation with sertraline 50mg?
Once a patient has decided that ketamine therapy might be right for them — once the addiction question has been answered and the evidence reviewed — there's almost always a quieter, more personal question waiting underneath:"What is it actually going to feel like?"It's a fair ...
The question every patient asks firstBefore patients ask me whether ketamine therapy will work for them, they almost always ask something else first:"Doctor, will I get addicted?"It's a reasonable question. Ketamine has a complicated public reputation. It's used in operating rooms ...
Around the second or third week of TMS treatment, a patient will sometimes message me — usually late at night — saying something close to this: "I'm not sure if it's the treatment or something else, but I feel worse this week than I did before we started." There is often an apology attached, ...
The first question almost every patient asks me about Transcranial Magnetic Stimulation isn't "Will it work for me?" It's "Is it safe?"That instinct is right. Anyone considering a brain-based treatment deserves a clear, honest answer — not marketing copy and not internet horror stories. The ...
In today’s digital world, smartphones have become an inseparable part of daily life. They help us stay connected, informed, and even emotionally supported. However, when it comes to parenting—especially during infancy—our relationship with technology deserves careful attention.Why ...
