Answered by Dr. Manjunadh M

Answered by Dr. Manjunadh M

Trouble sleeping with anti-anxiety medicines. What to do?

Hi doctor,

I am 47-year-old male suffering from anxiety disorder and being treated for OCD specifically. I was prescribed Zoloft 100 mg (Sertraline) a year ago. But after three months, I transferred to Prozac 40 mg (Fluoxetine) together with Risperdal 0.5 mg (Risperidone). This has been going on for the last nine months. I also take Micardis 80 mg (Telmisartan) and Lipitor 10 mg (Atorvastatin). I am less anxious, but I have lately started sleeping too much and losing concentration and focus. It is affecting my studies a lot. I came back to university after 20 years. When I am awake, I will come up with any excuse to procrastinate my studies and usually end up spending hours on my OCD-related daydreaming and rituals. A friend, who is a health professional, recommended Adderall to help me concentrate and fight the obsessive thoughts. I halved my Prozac dose to sleep less than my regular 9 hours to 10 hours, hopefully. I took an appointment with my psychiatrist two weeks from now, but I have midterms next week. My GP trusts my judgment. I could probably see her sooner than my psychiatrist. Should I ask her about Adderall?

21 May 2024 - 1 min read

What can be done if a child engages in sexual activity with another child and exhibits concerning behavior?

Hello doctor,

My son is 7 years old. He is unusual. He was caught under the covers with another boy, and my son had his penis out of his pants, and the boy was going to perform oral sex on him. I inquired my son whether he had ever been touched. He said yes to his friend, who is also seven years old and in the same class. My son stated that the other boy urged him to pull his pants down again, and he caressed his buttocks and penis. My son has since begun to play with his poop. What should I do? This is disturbing me a lot. Please help.

26 Apr 2024 - 1 min read

What are the ways to to revert the penis skin back?

Hello doctor,

My penis skin has become too tight and it is difficult to revert it. Can you please provide me a solution for this?

26 Apr 2024 - 1 min read

Does penile injection therapy work better than drugs?

Hello doctor,

I am a 35 year old male. I have been suffering from erectile dysfunction and have tried PDE-5 inhibitors. They work, but they do not give results anymore. I quit smoking, a few years ago, when I was diagnosed with ED. My morning erection is also not as strong as it used to be. Many check-ups in the past have revealed that my lipid profile and fasting blood glucose are normal. I tested low-normal on testosterone on many occasions, around 285 ng/dl to 330 ng/dl. I have recently started using Enanthate 50 mg every third day with 0.25 mg of AI on the day of injections, as taking 250 mg bi-weekly was giving too many highs and lows. The decision to self-administer testosterone replacement therapy was made because medications have not been helpful. I am about to get married and would be on short vacation. I do not want to start the consultation at that time and waste whatever little time I will have. I would like to try penile injection therapy. Can I be prescribed that if I visit a specialist in person? Would it be an expensive treatment?

23 Apr 2024 - 1 min read

How can I help a friend with delusions and nightmares?

Hello doctor,

My friend undergoes frequent delusions and nightmares about some men raping her. She is 20 years old now. When she was around 10 years old, she went to a wedding ceremony. She made friends with a boy much older than her. He took her to someplace on the very same day telling her something nice and all. Then she saw four to five boys standing outside a dark construction site. She fainted then and after that, she only remembers waking up. She says that all these are coming back now because she is curious about what happened to her that night. Her delusions and nightmares were triggered by a rape scene she was seeing in a daily soap recently which made her remember the incident.

What is worse is that if she gets to know what happened that night, and if it is really something that bad, she might commit suicide or hurt herself. Recently while I was at her place, talking about these problems, suddenly she felt dizzy and sat down, and then she stared intently at the entrance for at least five minutes if not ten, after which again she was normal but she does not know any part of the time when she was looking at the door and thinking something. I am very much worried about her. Please I need some advice about what can I do about and how can I help her? She is in so much of pain. Please help.

17 Apr 2024 - 1 min read

Dr. Manjunadh M
Psychiatry

Education

MD PSYCHIATRY., MBBS

Specialties

Psychiatry

Specialized Treatments

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