Depression

Depression is a mental illness which results in feeling sad, loss of interest in daily activities, irritability, mood swings, and sleepiness. It is a state of mind which develops over a period of time due to various reasons. A depressed person might have difficulty sleeping, loss of appetite, weight loss, fatigue, and might get suicidal thoughts.

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How can I handle emotional numbing, lack of motivation, and very low energy?

Query: Hello doctor, I am 28 years old male with a weight of 147.71 pounds and a height of 5'9". I have been diagnosed with depression along with anxiety. I have been prescribed Clonazepam (0.5 mg initially and later 0.25 mg) with Escitalopram (till last weak 20 mg). My anxiety is under control to a good e...  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. From the available description, it appears to me that you have a partial response to medication leading to incomplete treatment. Considering this fact, we have two options to manage the current condition. Either increase t...  Read Full »

I have been masturbating since the age of 11 and now I lost interest or excitement in my life. Please help.

Query: Hello, I am a 25 years old man. I have been masturbating since the age of eleven. As a result of heavy masturbation for a long period, my body is exhausted, and I am experiencing many abnormalities. Worst of all, I lost interest or excitement in my life, which seemed colourless and meaningless to me...  Read Full »


Dr. Ashok Kumar

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. I would like to inform you that masturbation is a completely harmless process and it is not associated with any ill effects. Almost 95 % of men do masturbation in their lifetime, and there are no reports of harmful eff...  Read Full »

I am depressed; I have sexual dysfunction, no erection, and a low sexual desire. What to do?

Query: Hello doctor, I am suffering from anxiety and depression. I have palpitation and breathlessness. I am taking Panazep 25, Bupron 150 and Dicorate 500. I have sexual dysfunction, no erection, and a low desire. My doctor prescribed me Sildenafil 50 but, I am worried about its side effects. Please sugg...  Read Full »


Dr. Ashok Kumar

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. There could be the following reasons for an erection problem:Ongoing anxiety and depression: The proper treatment of anxiety and depression will rectify this issue. Panazep (Paroxetine) is known to cause sexual dysfunctio...  Read Full »

Are mood swings genetic?

Query: Hi doctor, My husband has mood swings. He feels either depressed or very much excited. He is very irritable and gets angry for small things. This has started before four to five years. He sleeps for very less hours. He also drinks alcohol daily and goes for late night party in the weekend. Currentl...  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. The information provided is not adequate to make a diagnosis. If he had frequent mood swings and lost his job due to mood swings or irrational decision, then there is a possibility of bipolar disorder where you have extremes...  Read Full »

What is the treatment for seizure episodes in my 15-year-old sister?

Query: Hello doctor, My sister has been having seizures. So, we consulted a doctor, who said she has abnormal brain activity. Her EEG showed abnormal spikes. Currently, she is taking Levipil 1000,  twice a day. What is going on with my sister? No one is explaining anything, and the medication is affecti...  Read Full »


Dr. Ashok Kumar

Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concerns. Regarding seizures, Levipil (Levetiracetam) is a good option for treatment of seizure disorder, and I think your doctor has taken the right decision. Now regarding the behavioral changes that you mentioned, I ...  Read Full »

My 18-year-old brother is suffering from depression. Kindly help.

Query: Hello doctor, My brother is 18 years old; he is currently going through a tough phase of depression. He is not able to go out of the home. Currently, he has no friends to talk to. He also has a bad habit of picking his hair from his head. Bald patches are seen. Also, he gets angry about small things...  Read Full »


Dr. Ashok Kumar

Answer: Hello, Welcome to icliniq.com. Thank you for your query. I read your query and understand your concern. Unfortunately, it appears your brother suffers from trichotillomania, a form of obsessive-compulsive disorder. In this disorder, patients have an irresistible desire to do something (hair pulli...  Read Full »

Can Lamotrigine dose be reduced to 25 mg for depression?

Query: Hello doctor, I am diagnosed with OCD and possibly depression. I have taken several different medications over the years and was most recently taking Lexapro 20 mg, Lamotrigine 50 mg, and Vyvanse 70 mg. Lamotrigine is the newest medication I was prescribed. I had gotten the dose to 150 mg, but then ...  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. I have read your query and understand your concerns. First of all, I would like to inform you that possibility of panic attacks is dose-independent. I mean to say for panic attack-prone individuals, the panic attack can occur at a wide range (starting dose of 12.5 mg to...  Read Full »

What is the reason for blabbering irrelevant things?

Query: Hi doctor, My father had a long two months of hospitalization after a bypass surgery, where he developed sternal infection and later developed hyponatremia (low sodium). Since he was not in his senses for quite some time, a neurologist diagnosed him as a probable case of extrapontine demyelination. ...  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. Since the problem of pontine demyelination was temporary (it occurs while correcting sodium), I do not think neurologist have primary role in his treatment. Having said that the best option is to get him to a psychiat...  Read Full »

My wife is not interested in sex. How to initiate a sexual relationship with her?

Query: Hi doctor, I am a 36 year old male. I am a graduate and working for a MNC company. I got married in before 10 years and it is a love cum arranged marriage. My wife is also working with me. When I was in grade 3, I got introduced to sex by a male teacher. I used to go for tuition and he used me for h...  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. I read your query with keen interest and understand your concerns. Although there are many things to intervene one thing requires immediate attention, which is mismatched sexual interest. There are prevalent myths about sex and sexuality that make it difficult for the...  Read Full »

How to stop the alcohol addiction of my brother-in-law?

Query: Hello doctor, My brother-in-law is an alcoholic. He drinks a lot and verbally abuses my sister. When he gets back to normal, he says he does not remember what he said or what wrong he did. He has been involved in binge drinking and smoking for the last 15 years. He says he wants to quit but is unabl...  Read Full »


Dr. Ashok Kumar

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I would like to inform you that your brother-in-law is suffering from alcoholism which means he is completely dependent on alcohol, and everything is disturbed because of this. It also seems to me that hi...  Read Full »

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