Dr. Siva Anoop Yella
Psychiatry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I have become paranoid for a few months that my coworkers are conspiring against me and serving as informants for the FBI. Occasionally I believe that I have psychic powers, reinforcing my belief about my coworkers. I know both are likely delusions, but that does not stop me from dwelling on them. Currently, I am taking Prozac 60 mg. What should I do? Kindly help.
Hello,
Welcome to icliniq.com.
Better assessment can be done if you answer the following questions. Do you hear any unknown or known voices talking to you about anything, commenting on your actions, or commanding you? Do you act upon those delusions? Does anyone in your family or close relatives have any symptoms or diagnoses of schizophrenia?
Patient's Query
Hi doctor,
I do not hear any voices. I have become colder towards my coworkers and have tried to research to find out if the FBI truly is watching me. I have had suicidal thoughts due to these delusions. As far as I know, I do not have any relatives with schizophrenia.
Hello,
Welcome back to icliniq.com.
The word "act," which I meant is if you ask your coworkers directly if they are conspiring with you or if you had an argument with them. Did any incident or stressful event happen at your office or home? May I also know why you have been taking Prozac (Fluoxetine)? Are you having any signs and symptoms of obsessive-compulsive disorder (OCD) or depression?
Patient's Query
Hi doctor,
I have asked my coworkers directly; they claim they are not, but I do not believe them. I have just had general work stress; nothing, in particular, was groundbreaking. I am taking Prozac for depression.
Hello,
Welcome back to icliniq.com.
May I know what work you are currently doing? You seem to have symptoms of depression along with delusions still. Do you sleep lately? Do you consume alcohol, cigarettes, cannabis, or any substance?
Patient's Query
Hi doctor,
I am working a desk job in the military. I do not drink, smoke, or use drugs. My sleep has been fine.
Hello,
Welcome back to icliniq.com.
If no incidents prove the conspiracies, it is unlikely to be true. It might be delusions. I suggest you consult a psychiatrist for treatment of the same, and the addition of antipsychotics is needed for the treatment of delusions along with the Prozac you are already using. Moreover, you still have suicidal ideas because of these delusions. Hence I suggest you consult your psychiatrist in your region as soon as possible. If there is anything else that I can help you with, please do not hesitate to consult me.
Thank you.
Patient's Query
Hi doctor,
Thank you. Do I have schizophrenia? Or what else do you think could be causing delusions?
Hello,
Welcome back to icliniq.com.
According to all the symptoms you mentioned, it is depression with psychotic symptoms. Depression could also cause psychotic symptoms like delusions and even be associated with them. Schizophrenia could be a likely diagnosis if you have any auditory hallucinations.
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Psychiatry
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