Recently Answered Questions
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Can I hear my heartbeat while I am anxious?
Query: Hello doctor,I am preparing for a competitive exam. For the last one year, I can hear my heartbeat (initially all the time) later mostly when I try to sleep. I have since started yoga, running, which helped me tremendously, but for a couple of months, I have not gotten back to running (with the exam... Read Full »
Answer: Hello, Welcome to icliniq.com. You are possibly describing palpitation (when you are able to feel your heartbeat). It may be related to excessive anxiety. It is not uncommon for stress and anxiety to increase when you are preparing for a competitive exam. You are already following the right approach... Read Full »
Is there any alternative for Benzodiazepines in treating anxiety and PTSD?
Query: Hello doctor, I am 26 years old and suffer from severe anxiety and PTSD. For about five years, I have been on a variety of Benzodiazepines. Right now, I am on 2 mg Xanax four times a day. It is better than nothing, but I have built up such tolerance benzodiazepines hardly work for me. I know the on... Read Full »
Answer: Hello, Welcome to icliniq.com. As you rightly commented, Xanax and other Benzodiazepines are not helpful in the long term management of anxiety as they cause dependence. You become tolerant, and they do not work. At best, Benzos can be used sparingly for the short term only. Barbiturates are no lo... Read Full »
What is the treatment for PTSD, depression and anxiety?
Query: Hello doctor,What is your recommendation for someone with PTSD, depression, and anxiety? Read Full »
Answer: Hello, Welcome to icliniq.com. If a person is suffering from PTSD (posttraumatic stress disorder), depression and anxiety, they will probably need a combination of medication and psychological therapy to manage their condition. Lexapro (Escitalopram) is a good antidepressant that can be helpful in... Read Full »
How to control the involuntary movement of lips?
Query: Hello doctor, Whenever I talked to someone face to face, my left half of the upper lip moved more than the rest of the lips. I got conscious of it. It happens more when I get conscious. I feel it is in my mind and I can totally control it but I lose patience. Some days it is better, and some days i... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand the concern behind your query. It looks like there may have been some twitching/tremors of your upper lips due to some stress, anxiety or tiredness. It appears that gradually you have been overthinking about it leading to a vicious cycle of more str... Read Full »
What is the recommended dose of Mirtazapine for treating anxiety and social phobia?
Query: Hello doctor, I am suffering from anxiety and social phobia. I consulted my psychiatrist to use either Citalopram or Mirtazapine. I doubt to take Citalopram because I know this causes sexual side effects more often than Mirtazapine does. However, regarding Mirtazapine, I read various things online ... Read Full »
Answer: Hello, Welcome to icliniq.com. 1. Both Citalopram and Mirtazapine are good choices for managing anxiety and social phobia. 2. If you are worried about sexual side effects, Mirtazapine will be a better choice. 3. Both Citalopram and Mirtazapine can take up to four weeks for the therapeutic benefi... Read Full »
Is it safe to take 10 mg of Citalopram twice daily instead of 20 mg once daily?
Query: Hello doctor, Is it fine and safe to take 10 mg of Citalopram twice daily instead of 20 mg of Citalopram once daily? Read Full »
Answer: Hello, Welcome to icliniq.com. Citalopram tablets are recommended to be administered as a single daily dose either in the morning or evening. The usual dose is 20 mg daily but can go up further up to 40 mg daily. I presume you have been prescribed Citalopram to manage depression or anxiety or rela... Read Full »
Does increasing Lexapro dosage cause a temporary increase in anxiety?
Query: Hello doctor, I have been taking Lexapro 10 mg for the past five years and recently I have increased the dose to 15 mg. After the dosage increase, there is an increase in my anxiety level. Will increase in antidepressant dosage cause a temporary increase in anxiety? Read Full »
Answer: Hello, Welcome to icliniq.com. An increase in antidepressant dosage can potentially cause short term agitation, increased anxiety until your body gets used to the new dosage. Lexapro (escitalopram) is an effective medication to treat anxiety and depression. The usual dose is 10 mg once daily. ... Read Full »
Why am I always obsessed with sexual thoughts and anxiety?
Query: Hello doctor, I have been suffering from OCD, specifically ROCD. I feel anxious all the time, and I have a thought of being with my partner always. Moreover, when I see a woman, I am attracted easily and thinking about her consequently. I feel the urge to tell my partner about it. In my past, I wa... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand that you are feeling challenged by these OCD (obsessive-compulsive disorder) symptoms. By nature, OCD tends to wax and wane in response to life's stressors. OCD can be managed by a combination of medication, CBT (cognitive behavior therapy), and lif... Read Full »
How do I have a control over my thoughts and stop overthinking?
Query: Hello doctor, I am having anxiety towards bats. I remember touching them once two or three years ago. But now I am overthinking about it. Right now, I am having a lot of stress regarding upcoming exams as well. Please help. Can rabies be manifested after 2 to 3 years? I have taken anti-rabies sho... Read Full »
Answer: Hi, Welcome to icliniq.com. From your query, it is apparent that you have high anxiety levels, which is distressing you. As you rightly said, you are overthinking here. It looks like your upcoming exams may have increased your stress levels, which can exacerbate any underlying anxiety. Is there any ... Read Full »
Can anxiety pay way for a habit of head twitch?
Query: Hello doctor, I am concerned about a head twitch. I have gotten in a habit for seven months of twitching my head. If I am consciously thinking about what I am doing, I can stop it. However, it is extremely difficult and I feel an overwhelming impulse to do it, similar to how one would feel when cra... Read Full »
Answer: Hello, Welcome to icliniq.com. From your description, it looks like you are experiencing a motor tic. Do you have any other symptoms? How old are you at present? You mentioned this tic started befor seven months. Have you experienced any tics before? Any vocal tic? Tics can be suppressed tempora... Read Full »