Trichotillomania Treatment

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 She manages daily activities (gym, coffee shops, online shopping, handling money) but is socially withdrawn, has no friends, and spends most of her time alone.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

What should I do???

I had anxiety since I was 15, but after 6 months of medication I feel better, I want to change, but I do nothing all day, don't study at all, just procrastinate all day long, I am worried if things go like this what would happen in future, it's weird now I can't believe in anything I believed so much in God prior but now I can't believe in him too, I wake up lake, eat junk, don't study, sleep too much, don't have any hobby, I want to change what can I do , plz help me!!🙏🙏🙏

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??

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. 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
Mr. Theodore  Williams - Psychotherapist
Mr. Theodore Williams Psychotherapist (Doctorate) 44 years experience Nationwide Children's Hospital
Canal Winchester, COLUMBUS
Mr. Steven J Krause - Psychotherapist
Mr. Steven J Krause Psychotherapist (Graduate) 39 years experience Nationwide Children's Hospital
Canal Winchester, COLUMBUS
Fifth by Northwest, COLUMBUS
Ms. Haley  Brickman - Psychotherapist
Ms. Haley Brickman Psychotherapist (Medical School) 6 years experience Compass Psychological Testing and Evaluation
Columbus 43219, COLUMBUS