Questions & Answers

Q&A

Answered by Dr. Sathya Prakash

How do I manage insomnia while taking Mirtazapine?

Hi, Welcome to icliniq.com. A number of issues need to be addressed here. Before we talk about medicines, it is important to give much attention to sleep hygiene as your medications. Regarding the medicines, Zolfresh (Zolpidem) is a medicine that has a short duration of action and starts working immediately. A key condition for Zolfresh to work well is that you lie down soon after you take it.

June 22, 2026

Will psychotherapy help for hair‑pulling disorder?

Hi, Welcome to icliniq.com. It is true that habit reversal training psychotherapy works very well for your condition (trichotillomania-urge to pull out one's own hair). Considering all the emotional and physical impact that this condition has had on you, I think spending on therapy is more than justified. Your emotional and physical well-being also has a cost, and it is worth much more. A shortcut method that is partially effective is to start Fluoxetine at 20 mg and gradually increase the dose.

February 23, 2026

Is head heaviness related to head trauma in the past?

Hi, Welcome to icliniq.com. Since you are specifically pointing out one incident after which the symptom started, it is quite likely that the two are related. It is very well known that such symptoms can arise after the occurrence of a disturbing event. Assuming that you did not have any head trauma or other obvious cause for this heaviness, the correct treatment is the resolution of the unconscious psychological conflict related to the incident. This is best done in the form of psychotherapy with a qualified expert.

February 17, 2026

How can one manage headaches, irritation, and mood swings?

Hello,Welcome to icliniq.com.I have read your query and can understand your concern.This looks very much like depression. But to be sure, we want to get a few blood tests done, such as hemogram, thyroid profile, liver and kidney function tests, to rule out any other medical problems. I presume that you have not had similar problems in the past.

September 17, 2025

Is Buspirone use safe for SSRI‑induced sexual side effects?

Hi, Welcome to icliniq.com. No medicine or counseling can alter sexual orientation. Be clear about this. Any attempt to change orientation by a doctor is considered unethical by professional organizations, including the Indian Psychiatric Society, the American Psychiatric Association, and the World Health Organization. All therapies are aimed at making you comfortable with whatever your orientation is.

July 22, 2025

What could be done to manage persistent stomach issues?

Dear, Welcome to icliniq.com. First and foremost, do not be disheartened as I see patients with similar problems every day and they get better. You definitely have a psychological problem similar to depression and anxiety. My opinion is that you will need long-term psychotropic medicines to get you completely back on track. Do not be in a hurry to stop them.

June 20, 2024

Why do I get regular mood swings?

Hi, Welcome to icliniq.com. I am sorry to hear about your mother's condition. You are indeed brave to have taken on all these changes at such a young age. Your decision to seek help is absolutely right and extremely brave. Let me first congratulate you for that.

June 20, 2024

I am suffering from deep emotions. Please help.

Hi, Welcome to icliniq.com. Although what happened to you in your early childhood is beyond doubt, I would advise you to desist from making any correlation between your current problems and the abusive incidents. Like you accurately pointed out, at that age, you were unaware of the nature of the acts and therefore, it is unlikely to have caused any mental trauma. This has been demonstrated in certain scientific studies as well, although might appear awkward from a societal perspective. If you try to correlate the two too much, you will be needlessly creating and aggravating a psychological trauma.

May 17, 2024

How to deal with the separation from the boyfriend?

Hi, Welcome to icliniq.com. From what you are describing, it appears that he left you and it is irreversible. Many things in life are irreversible such as death, separation and so on. One must learn to let go and accept the loss. The more we try to hold on, the more it hurts.

April 26, 2024

Can Risperidone cause breast cancer?

Hi, Welcome to icliniq.com. Risperidone can cause a condition known as hyperprolactinemia or an increase in serum prolactin levels. This is associated with a number of symptoms, including secretion of milk from the breast, stoppage of periods, etc. The increased risk of cancer is something that you should not worry about at all. Just as there are reports of increased risk, there are also reports of decreased risk.

March 4, 2024

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