Depression, phobias, obsessive-compulsive disorder, anxiety, bipolar disorders, post-traumatic stress disorder, schizophrenia, and disorders of sleep, sexual, eating, and substance use can be managed by cognitive behavior therapy. The psychotherapist gives CBT or cognitive behavioral therapy, which is a form of talk therapy or psychotherapy. It helps get to know the mental health condition and get rid of contradictory thinking or incorrect thinking, thereby appropriately responding to difficult situations.
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I am struggling hard with bulimia and binge eating. Please help.
Query: Hi doctor,I am a 17 year old female struggling hard with bulimia and binge eating. My mom is anorexic, and so is my grandmother. I suffered from low weight until I started binging which has been going on for almost a year. I purge sometimes, and I am terrified of how much weight I continue to put on... Read Full »
Answer: Hi, Welcome to icliniq.com. According to your height, your weight is average. In bulimia, CBT (cognitive behavioral therapy) is helpful. If Prozac (Fluoxetine) is not working, then you have to increase the dose of Prozac or shift to another medicine. It is a learning process so that you have to chan... Read Full »
How to get cured from recurrent OCD?
Query: Hello doctor, I have an obsessive compulsive disorder. When I was taking Uvox for four years, it was all fine. Now it relapsed, and I am taking Uvox before I used to take Stalopam. Can I get back to my healthy life and go office rgularly where I have to do brain work for nine hours? Please let me ... Read Full »
Answer: Hello, Welcome to icliniq.com. OCD responds well to medication (SSRIs - selective serotonin reuptake inhibitors) and psychological therapy (CBT - cognitive behavioral therapy). I presume you are on Fluvoxamine which is useful in OCD. You need to be monitored by your doctor to optimize the dose and... 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 »
I get paranoid and scared when I am alone in a dark room. What should I do?
Query: Hello doctor, If my wife sleeps before me, I get paranoid and then cannot sleep till morning. I am generally paranoid when I am alone or in dark, otherwise. everything is normal with me. When I was a kid around 6 years old, I was attacked by a relative who was supposed to be possessed by a ghost. ... Read Full »
Answer: Hello, Welcome to icliniq.com. The best option is to consult a psychiatrist or clinical psychologist in-person, for a detailed evaluation. CBT (cognitive behavioral therapy) can then be used for treatment. Practice relaxation techniques like breathing exercises daily. PMR (progressive muscle ... Read Full »
Why do I have dryness in my eyes after laser surgery in the eyes?
Query: Hello doctor, I am a 36 year old male. 17 years ago, I began experiencing high levels of anxiety and depression. I was put on Zoloft. After about five years, I was moved to Lexapro as Zoloft was not working. After being on Lexapro for five years, I was moved to Pristiq. After 5 years on Pristiq, ... Read Full »
Answer: Hello, Welcome to iclinq.com. I have gone through your query and understand your concern. It is true that SSRIs (selective serotonin reuptake inhibitor) make the person emotionally blunt when on a long term use. In your case, SSRI (Zoloft and Lexapro) and Pristiq (Desvenlafaxine) are ineffective ... Read Full »
My 30-year-old suffers from an anxiety disorder. Is it curable with medicines?
Query: Hello doctor, My 30 year old daughter is suffering from anxiety disorder and washes her hands two to three times, as she fails to remember. Also, she faces the same problem during a bath. But with reasoning, she is trying to overcome. We are trying hard by talking to her to reduce her fear and compu... Read Full »
Answer: Hello, Welcome to icliniq.com. From your description, it appears to be a case of OCD (obsessive compulsive disorder). It can be treated with both medications and psychotherapy, although the best result is when both modalities are combined. Fluoxetine is a relatively safer drug considering future pr... Read Full »
Will medications along with CBT help cure my social anxiety permanently?
Query: Hello doctor,I am a 20-year-old male. I have problems with physical symptoms of social anxiety (mainly sweating, trembling, cold hands, and a lump in the throat).My questions are:1. Would psychopharmacological treatments, such as SSRIs and Beta-Blockers, be effective in treating these symptoms?2. Do... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concerns regarding your health, Before answering your question, I just want to know whether the psychiatrist diagnosed you with social anxiety? Anxiety symptoms belong to a very broad spectrum in which other conditions also have anxiety symptoms. I ... Read Full »
Kindly help with an explanation to ease my worries about acquiring cancer.
Query: Hello doctor, I am a 20-year-old male. I do not drink or smoke. Maybe I need to exercise more. However, this is a matter of the mind. A few days ago, I had a weird curiosity about the statistics of cancer. At first, I thought it was just a social search that can increase my knowledge, but I did not... Read Full »
Answer: Hello, Welcome to icliniq.com. Actually, what do you want to know about? Your present condition or about cancer? Please reply. Read Full »
Are my symptoms due to the whiskey I drank four years back?
Query: Hi doctor, My mind is foggy and I am not able to think clearly. I am very forgetful and I sleep more during daytime. I cannot grasp things quickly and it takes a lot of time. My problem started 4 years ago when I drunk whiskey for the first time in my life. Since then my mind was foggy and slowed do... Read Full »
Answer: Hi, Welcome to icliniq.com. I believe the use of the substance in your case has further worsened your anxiety. The symptoms you have described are suggestive of a heightened emotional state and commonly seen in association with anxiety. In order to get rid of this, you may have to see a therapist. Â... Read Full »
Please suggest ways to control social anxiety.
Query: Hi doctor, My social anxiety is severe and disabling me. I would really like to gain adequate control of it. I have attached a brief history of my psychiatric illnesses and previously tried pharmacotherapies. Is there anything else you would suggest? Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I understand your issue. I have read the attached document carefully (attachment removed to protect patient identity). As I can make out, over a period of time, your other symptoms have resolved quite a bit, but the social anxiety, emotional instability and lack of flu... Read Full »