Questions & Answers

Q&A

Answered by Dr. Avinash Choudhary

Does depression in middle age feel different than young age?

Hello, Welcome to icliniq.com. Thank you for reaching out. The physical symptoms you are describing are known as the neurovegetative symptoms of depression. These symptoms are part of major depressive disorder itself. With increasing age, they may feel more intense because ageing can also cause some degree of body pain, mental slowing, and generalised weakness.

July 20, 2026

Can schizophrenia be mistaken for schizoaffective disorder?

Hello, Welcome to icliniq.com. Thank you for reaching out. I can understand why this change in diagnosis feels confusing and worrying. Please be reassured that it is not uncommon for the diagnosis to change over time as doctors gather more information about how a person's symptoms develop. The difference between schizophrenia and schizoaffective disorder is based on a specific pattern of symptoms over time, not just on having individual symptoms.

July 19, 2026

Can I have a normal dating life with UC at age 27?

Hello,Welcome to icliniq.com.I have gone through your query and understand your concern.First of all, it is important to know that stress can exacerbate ulcerative colitis symptoms; therefore, your overall well-being and emotional stability are essential in any relationship.You are currently physically stable, and your symptoms, when well-controlled, are not necessarily a major concern for a partner in a meaningful and understanding relationship. There is no immediate need to disclose your medical condition during the very first few meetings.

July 19, 2026

At 39, can my depression affect my physical health?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. The physical symptoms you’re describing are the neurovegetative symptoms of depression. These symptoms are part of major depressive disorder itself. With increasing age, these symptoms feel doubled because aging also causes some level of body pain, mental slowing and generalized weakness.

July 18, 2026

What are the ways to manage depression in older adults?

Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Post-retirement depression is very common and affects people who have been reluctant to give up their status. These symptoms are consistent with depression and require drug therapy and CBT (cognitive behavioral therapy) as well. Family support is also important in this situation.

July 17, 2026

At 27, can my relationship stress trigger schizophrenia?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. It is usually best to share this information after some mutual trust has developed, but before the relationship becomes very serious or before marriage. You do not need to describe every hallucination, paranoid thought, hospitalization, or frightening episode immediately, because this may overwhelm or scare your partner. Instead, it is better to focus on your current level of functioning, your insight into the illness, treatment adherence, stability of symptoms, and the kind of emotional support you may need as a human being.

July 17, 2026

Why does ADHD cause constant impulsive buying at 29?

Hi, Welcome to icliniq.com. I have read your query and understand your concern. Impulsive buying is very common among adults with ADHD (attention-deficit/hyperactivity disorder). In ADHD, some brain circuits work differently, typically resulting in an increased desire for novelty, emotional relief, and a greater need for dopamine stimulation. Dopamine is implicated in reward, pleasure, and addictive behaviors, which can result in patterns such as recurrent impulsive purchasing.

July 17, 2026

Why is my father’s tardive dyskinesia so debilitating at 43?

Hello, Welcome to icliniq.com. I have read your query, and I completely understand why this has been so distressing for your family. Tardive dyskinesia can be emotionally and physically exhausting, especially when the involuntary movements begin affecting everyday activities such as eating, speaking, and social interaction. In many patients, the visible nature of the movements can, unfortunately, become more socially disabling than the original psychiatric illness itself. It is reassuring that his psychiatrist has already transitioned him to Quetiapine and started Valbenazine.

July 16, 2026

Can I stop schizophrenia medicines if they have been stable?

Hi, Welcome to icliniq.com Treatment guidelines are different for first episode schizophrenia and multiple episode schizophrenia. The duration of treatment also varies and health agencies have different durations for first-episode schizophrenia. Most guidelines recommend continuing treatment of first-episode schizophrenia for at least two to three years following complete resolution of the acute episode and stabilisation of symptoms. This is because even if a person feels good there is still a risk of relapse of the illness if medication is stopped too soon. For those with multiple episodes or ongoing schizophrenia, long-term or lifelong treatment with antipsychotic medication is frequently recommended to reduce the chance of recurrence and maintain daily functioning.

July 16, 2026

How does someone at 22 cope after a full manic episode?

Hello, Welcome to icliniq.com. I understand your concern. It is very common to feel confused, embarrassed, or emotionally unsettled after a first manic episode, especially at a young age and in a university environment. Many individuals need time to adjust emotionally after recognizing how differently they behaved during the episode. Bipolar disorder is an episodic illness, where most individuals go back to their usual functioning between episodes and lead productive lives both academically and socially.

July 16, 2026

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