Hi, Welcome to icliniq.com. Do not get disheartened. Most probably all of your symptoms are related to performance anxiety, (have to rule out all medical cause for anxiety-like thyroid, hypertension, serum calcium). The most important thing is to have faith in yourself, what you have done in whole year will reflect in your exam results, do your best right now otherwise hard work which you have done in whole year will be wasted because of your current anxiety. Do not be afraid of thoughts of failure in the exam, if not succeeded in this year, do more hard effort again.
Hello, Welcome to icliniq.com. Your sister is suffering from conversion disorder, and the common name is hysteria. In hysteria, the patient does not have a physical basis for her symptoms. But at the same time, she is not doing willingly. It is a kind of protective mechanism of the brain, when the brain has a problem or face some dilemma, and if there is no way to get rid of it, tension rises in brain, mind choose a unique path to overcome this problem, converts the problem in acceptable symptoms, patient gets attention, her stress declines for some time.
Hello, Welcome to icliniq.com. If you think that your sexual need is increased by Concerta (Methylphenidate), I have a few advice for you, which you should discuss with your psychiatrist. Can he slightly decrease the dose? Till your symptoms of ADHD (attention-deficit hyperactivity disorder) does not flare-up. Add some second-generation antipsychotic like Risperidone which ultimately increases your prolactin level and decrease sexual urge. Avoid porn and do not watch such type of videos.
Hello, Welcome to icliniq.com. I can understand your problem. First of all, it must clear to you also that it is harmless practice, which is done by almost 100%male and 70% of females in there lifetime. I mean it common in your age. Do not feel guilty, this activity will not affect your married life, you will be able to produce children.
Hello, Welcome to icliniq.com. Decrease in concentration, suicidal thought, fear of failure, and sleeplessness are features of a depressive episode. Why did you stop the medicines? Did you take the medications in the proper dose, and is there any episode similar to the illness has occurred previously? I think you should again start Nextio Fort (Escitalopram and Clonazepam) for the adequate duration, and if not improved, some second-generation antipsychotic can be added, or try cognitive behavior therapy. For sleep you can take help of sleep hygiene to wake up on fix time irrespective of sleeping hours. Avoid coffee or other stimulating agents, have a brisk walk, avoid food before three hours of sleep, and you can take a shower with lukewarm water.
Hello, Welcome to icliniq.com. If he has a fear of something (based on experience) like failed in proper sexual intercourse, he will try to avoid that, because he thinks that it is going to be abandoned, and going to face humiliation in front of you. So he thinks it is better to have no sex, no desire. So in management part first relax him, conquer his trust that you love him even without sex. Now start working on a treatment.
Hello, Welcome to icliniq.com. The rule of thumb in psychiatry is to prescribe medicine for an adequate duration and adequate dose, before considering it ineffective or plan to change. If your doctor has previously tried one medication for proper dose and duration now, he can add another drug, so it depends on how you are responding to medicine? So it might be possible that if you did not respond to one medicine your doctor keeps adding medicine to your prescription. If you are not in a depression or not a rapid cycler, Sertraline can be tapered down. If you are in remission, Lamotrigine can be slowly stopped.
Hello, Welcome to icliniq.com. It seems he is not in touch with reality, like calling the police for ear pain. Can you tell since when he has ear pain and how it started? Since how long has has such odd behavior and sleep problem? Does he express any other odd behavior? Is there any history of substance abuse or truancy? He might be suffering from adult ADHD (attention-deficit hyperactive disorder), depression, anxiety and ATPD (acute and transient psychotic disorder). The management depends upon the disorder he is suffering from. Thank you.
Hi, Welcome to icliniq.com. I can understand your problem. You are suffering from depressive episode. Your issues like being negative, sad, tensed, tiredness, decreased interest, weakness, decreased emotional control, sleepness, the eating problem are the core symptoms of a depressive episode. I have a few questions for you.
Hello, Welcome to icliniq.com. All problem you mentioned are core symptoms of depression are sadness, low mood, lethargy, disturbed sleep, low self-esteem, irritability, suicidal thoughts, decreased concentration. I think you should consult a psychiatrist, personally. Usually, there is insomnia in depression, but some time hypersomnia also possible in atypical depression. You do not need different medicine for all of your problem they will be solved just by antidepressant medication.
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