School Refusal Treatment

Health Q&A
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 She manages daily activities (gym, coffee shops, online shopping, handling money) but is socially withdrawn, has no friends, and spends most of her time alone.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.

Fully stressed

I am fully stress because of work pressure and family issues. I need break from my work and should I get medical certificate for stress

Function bowel disease and IBS, fissure

Is it possible to cure Functional bowel disease or IBS with your medicine. I have been suffering from digestive problem since 5 years, now I am 33 years male. I have also a problem of anal fissure occurring tendency and once Lateral sphinctertomy surgery was done and doctor told if again fissure occurs in future and surgery needs then stool incontinence will start. I have also came to know that without SSRI all medicine causes Hard stool as a side effect especially for Irritable bowel syndrome patient. Now, how can I start treatment so that anal fissure don't occur taking anti psychotic medicine??

I am a lot of depressed

I feel anxiety always in every work day night every time my mood is never fine I have tried a lot of stuff like excercise or being with frnds nothing helps me what can I do I have suicidal thoughts I have harmed myself manytimes once I drank nirma and I was hospitalized I feel there is nothing I can do in life I don't know what's to do my brain never stops overthinking and am never happy my mood is always depressed and full of anxiety I have visited counselling nothing works for me I have left with 0 hopes asking here is my last hope now

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.

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Doctors
Mr. Robert Alan Bornstein - Psychologist
Mr. Robert Alan Bornstein Psychologist (Graduate, Ph.D.) 53 years experience Ohio State Harding Hospital
Fifth by Northwest, COLUMBUS
Ms. Janice K Kiecolt-Glaser - Psychologist
Ms. Janice K Kiecolt-Glaser Psychologist (Phd, PhD in Psychology) 50 years experience Eleonora Sikic-Klisovic, MD
Weinland Park, COLUMBUS
Canal Winchester, COLUMBUS
Mr. Michael A Forman - Psychotherapist
Mr. Michael A Forman Psychotherapist (Medical School, Professional School) 49 years experience Ohio State Richard M. Ross Heart Hospital
Weinland Park, COLUMBUS
Dr. Eileen P. Ryan - Psychiatrist
Dr. Eileen P. Ryan Psychiatrist (Medical School, Residency, Chief Residency in Psychiatry, Medical degree, DO, Internship, Residency - ID, Fellowship in Psychiatry) 42 years experience The Ohio State University Harding Hospital Department Of Psychiatry
Columbus 43210, COLUMBUS