Questions & Answers

Q&A

Answered by Dr. Parth Nagda

How much of medications should I take for schizophrenia without it affecting my professional life?

Hello, Welcome back to icliniq.com. I understand your concern. Could you let me know if you still have any symptoms, or whether you are completely well with the medicines? You mentioned that for the past year, you have been doing well, so it is assumed that there are no active symptoms at present. Tablet Aripiprazole 40 milligrams is a relatively high dose, and I generally do not recommend exceeding 20 to 30 milligrams. If you are stable, I suggest reducing the dose to 30 milligrams for four weeks, followed by 20 milligrams for another four weeks.

July 1, 2026

How to control randomly triggered suicidal thoughts?

Hello, Welcome to icliniq.com. What are your symptoms exactly? If they are depressed, then the treatment with an SSRI (selective serotonin reuptake inhibitors) is ideally given for six months or so. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do not wish to eat, have difficulty sleeping, and may experience anxiety, tiredness, headaches, etc. In bipolar illness, there will be a period of these depressive symptoms, and then after a period of normalcy, the reverse happens. That is, you feel unusually happy for no reason, there are episodes of spending money excessively on things which you do not need, or maybe excessive use of alcohol, other illicit drugs, sex, irritable behavior, decreased need for sleep, and still feeling fresh, grandiose talks and ideas, many non-goal-directed activities, etc.

June 25, 2026

Is a toddler's crying and stubborn behavior normal?

Hello, Welcome to icliniq.com. At this age, a lot of children tend to throw tantrums and try to asses their independence. That is why many people colloquially call it the terrible twos. It is just a passing phase and it will pass and he grows up. For now what you can do, is when he throws any tantrum, do not pay attention to him.

June 19, 2026

Due to betrayal, I am completely stressed out. Please help.

Hello, Welcome to icliniq.com. You have clear depressive symptoms. It happens due to reduced levels of certain neurotransmitters such as serotonin which reduce the stress handling capacity of the brain. Medicines help to replace chemical deficiency and correct the imbalance. Counseling will on augment or add to the effectiveness of the medicines but it cannot replace it.

April 30, 2026

Is it safe to withdraw my bipolar medication?

Hello,Welcome to icliniq.com.Normally, after the first episode of bipolar illness, medicines are advised to be taken for one year and stopped slowly. After a second relapse, it is advised to stop for two or three years and then restart. For the third relapse, it is to be continued lifelong. If you have taken them regularly as you have said, you can try reducing them slowly over the course of four to six weeks, and if you feel that symptoms are recurring, you might need to go back to the previous dose you felt comfortable on.

April 2, 2026

How do I manage sleep deprivation and anxiety due to stress?

Hi, Welcome to icliniq.com. I understand your concern. First of all, I would like to reassure you that your current symptoms are a result of anxiety and sleep deprivation. People with schizophrenia usually do not have insight or awareness into their illness and tend to have many other troubling symptoms as well. Anxiety can cause a wide range of physical symptoms due to being hyper-alert all the time and constantly scanning for danger.

March 24, 2026

I often forget things with anxiety and behavioral change. How to deal with it?

Hello, Welcome to our portal. You seem to have a mixed anxiety-depressive disorder, This is very common and about 10-15 percent of people have this problem. It is also very easily treatable. You will need to visit a psychiatrist and he will prescribe you SSRI (selective serotonin reuptake inhibitors) type of medicines such as Escitalopram 10 mg, or Fluoxetine 20 mg, etc., which will help with your problem. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life.

April 25, 2025

Can anxiety medications be combined?

Hello, Welcome to icliniq.com. I understand your concern. I have found the tablet Fluoxetine more effective in my practice than the tablet Sertraline, even though textbooks say that is not the case. Also, Fluoxetine helps with weight loss, while Sertraline is supposed to be neutral. There is no sedation with Fluoxetine; it has a long half-life, and patients find it more activating in reducing lethargy.

March 20, 2025

How do I help my partner with schizophrenia?

Hello, Welcome to icliniq.com. Yes, those are symptoms of schizophrenia. It happens due to a chemical imbalance of certain neurotransmitters in the brain. Levels of dopamine are usually increased and medicines will help reduce the level and get it back to normal and restore the balance. Medicines like anti-psychotics are usually prescribed by psychiatrists.

July 18, 2024

Thought of getting rid of masturbation makes me to indulge excessively. Why?

Hi, Welcome to icliniq.com. Doing masturbation three or four days a week is completely normal. Also, it is a myth that masturbation causes weakness and loss of energy. But if you are doing it daily, try to engage your mind with something else which you like. Such as watching tv shows, playing games, eating, listening to music, etc.

July 2, 2024

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