Recently Answered Questions
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What is unipolar and bipolar disorder?
Query: Hi doctor, I am facing severe anxiety for past two months due to over masturbation. I have consulted a psychiatrist two weeks ago and he informed me that I am suffering from bipolar disorder. I would like to know whether it is bipolar or unipolar disorder? I am taking Relihexy 2 mg, Blonitas 4 mg, K... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. Severe anxiety due to masturbation and guilt could occur in both depression and bipolar disorder or schizophrenia. The difference between unipolar depression and bipolar disorder is the presence of absence of a manic episode. If there is a history of manic episode, curren... Read Full »
How do lowering the dose of Xanax plays a role in psychologial effects?
Query: Hi doctor, I have been taking 4 mg of Xanax a day to treat severe panic attack syndrome and associated high levels of general anxiety for 15 years. My doctor arrived at the 4 mg per day amount gradually and it works very well along with CBT from a therapist. Before two months, when I received the... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. There are a few clarifications and advice that I need to make. Reducing the dosage of Alprazolam results in Alprazolam withdrawal. A reduction by 25% is unlikely to be physically dangerous but the withdrawal symptoms are going to be highly unpleasant. The anxiety ... Read Full »
My sleep is very much disturbed. Can it be anxiety-related?
Query: Hello doctor,This all began about two and a half months ago when I went through an extremely stressful period. I started having trouble sleeping. The stressful period has long passed, but my sleep still is not back to normal. For the past six to eight weeks, I can easily fall asleep but wake up ever... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. This is known as an inability to maintain sleep wherein falling asleep and waking is unaltered, but multiple sleep breaks occur. You describe it as being recent in onset, persistent, started after a very stressful period, and most importantly, you are not feeling f... Read Full »
I am stressed, unhappy, and have poor social skills. Why?
Query: Hello doctor, I am a 26-year-old male. My weight is 130 pounds, and my height is 5 feet 8 inches. I grew up with great responsibility for my family, but never fulfilled it up to the mark, besides living my life in fear from society. I managed good academics and achieved some standards over time. But... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. I have gone through your query in detail and would like to summarize your current symptoms: Feeling sad, excess worries, poor cognitive abilities (memory and thinking), social anxiety (fear of people), reduced energy levels (lazy and tired), low self-confidence and feel... Read Full »
Can panic attack occur while taking antidepressants?
Query: Hi doctor, I am a 29 year old female with a 15 year history of panic disorder with medicine sensitivity. I have been on Effexor XR 75 mg for six months and have been stable. Last week my tooth was pulled out and I was put on Motrin 800. I had around two tablets for three days and it made me feel fuz... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. The heightened anxiety, panic attacks, uneasiness, hot or cold flushes, sleep disturbance, low grade fever could all be the symptoms of Venlafaxine withdrawal. Did you miss a dose of Venlafaxine? Another explanation is that these medicines that you are taking for your too... Read Full »
Why am I unable to interact with anybody?
Query: Hi doctor, I am a 23 year old male. I feel stressed and pressurized because of lack of social skills. I am not happy with my life. I attribute it to the death of my dad in a road accident three years back. Previously, my life was full of happiness. Now, I feel lonely, tired, uninterested, selfish an... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. I understand what you are going through and you have my full sympathy. According to your description, you are most likely to be suffering from depression and your doctor has prescribed Zosert (Sertraline) for the same. If you are not feeling alright yet, and are tol... Read Full »
Query: Hello doctor,I am a 41-year-old individual who has never been married, with no serious bad habits. I have always been conscious of my health and well-being and have been dedicated to my career as a software engineer. Eight months ago, I received a sudden and unexpected diagnosis of lymphoma. Prior t... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. I read your query and I understand that you are going through a challenging period. What you have described aligns with clinical depression, also known as major depressive disorder. Experiencing symptoms such as anxiety, demotivation, low self-confidence, and negat... Read Full »
Please suggest ways to overcome sleep deprivation.
Query: Hi doctor, I have a chronic lack of sleep. I cannot sleep for 24 hours. I have tried everything. Kindly help. Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. There are various causes of chronic insomnia. Every cause has its specific management. To rule out the cause, it is necessary to have a detailed history, examination, and relevant investigations are required. The common causes of insomnia are depression, anxiety, obstru... Read Full »
Why do I sleep for a long time after taking Flupenthixol?
Query: Hi doctor, I am taking tablet Lexapro (Escitalopram) 15 mg and tablet Flupenthixol 5 mg for stress and anxiety for the last six years. If I stop tablet Flupenthixol, the images and situations of people with whom I got into arguments or fights come to my mind, and I cannot get rid of those thoughts. ... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello,Welcome to icliniq.com.I suggest the following medications (consult with a specialist doctor, talk with him or her and take medicines with their consent). Tablet Flupenthixol in low doses (0.5 to 1 mg) is prodopaminergic, which improves dopamine neurotransmission. At 0.5 mg, it is actually act... Read Full »
How to prevent serotonin syndrome while taking antidepressants?
Query: Hi doctor, I am under treatment for OCD and anxiety symptoms. I have had very hard months with extreme anxiety, panic attacks and depersonalization. Now, I am on Duloxetine 60 mg (will stop in the next 7 weeks), Paroxetine 20 mg (will be reduced in the following weeks), Clomipramine hydrochloride 1... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. There is always a possibility of serotonin syndrome when two or more serotonergic antidepressants are being used. However, Clomipramine and an SSRI (selective serotonin reuptake inhibitor) like Paroxetine are frequently used together in resistant OCD (obsessive-compulsiv... Read Full »