Fluvoxamine is an antidepressant medication of selective serotonin reuptake inhibitor. It helps in treating panic disorder, major depressive disorder, obsessive-compulsive disorder, and social anxiety. It works by balancing the level of serotonin (a chemical messenger) in the brain to improve mood and physical symptoms of mental disorders.
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Query: Hi doctor, I am suffering from anxiety. Please help. Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. Your description of symptoms is concise and specific, which makes it easy to diagnose your condition. Mental illnesses are broadly classified into neurosis and psychosis. In neurosis, a person does not lose contact with reality and understands that he has a mental issue k... Read Full »
How can a person with OCD and an intense fear of sleep fall asleep?
Query: Hello doctor, I have been diagnosed with OCD. My OCD comes in the form of intense fear of sleep for the past five years, but it has gotten worse within the past couple of months. I am afraid the moment sleep comes, I fight this feeling until I am exhausted. How can I make peace with falling asleep a... Read Full »
Answer: Hello, Welcome to icliniq.com. I will start with the pharmacological part. You can discuss with your treating doctor regarding increasing the dose of Clomipramine, not only will it help with sleep but also in decreasing the obsessions. You can also discuss regarding substituting it with Fluvoxamin... Read Full »
Why do I often experience difficulty in thinking and speech?
Query: Hello doctor, I am a 20 year old male. I have had speech difficulties since I was a kid. Now, it has progressed, and it is hard to say what I am thinking. I tend to have slow speech and thinking. Of late, it has been getting worse. I have to carefully think of what to say when I talk. I feel like ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. I do not think it is Asperger syndrome. You are facing progressive difficulty in talking to some people, especially with your dad. You have mentioned that there is slowness of speech and you are not able to express what you want to s... Read Full »
Can OCD cause repeated image popping in mind?
Query: Hi doctor, I am a 25 year old male. I am scared of turning into a gay or homosexual. In the past, I had senseless and intrusive images popping in my head that I am kissing a guy whenever I used to be with my male friends. I never felt an attraction towards any guy. It happened six years before, but ... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. After analyzing your current complaint and taking into consideration your previous history, I am of the opinion that your current symptom is also a symptom of Obsessive compulsive disorder (OCD). An obsession is an automatic, repetitive, intrusive and senseless thou... Read Full »
When I hear the word 'not,' my mind starts having negative emotions. Why?
Query: Hello doctor, Since the last six years, whenever I read or hear the word 'not', my mind becomes a pool of negative emotions. I feel heavy headed and lose focus, after this, I cannot read with a free mind. This 'not' word is stuck in my mind. Once or twice during my exams, I took SSRI for a mont... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Your symptoms are occurring due to some intrusive thoughts or anxiety. These intrusive thoughts are a part of OCD (obsessive compulsive disorder) and should be evaluated. As you are a doctor, you must be aware of obsessive compulsive diso... Read Full »
Please suggest some ways to get cured of OCD, especially trichotillomania.
Query: Hello doctor, I wanted to know how to cure an OCD specifically Trichotillomania? Other than seeing a psychologist, are there any way of treatment? Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern about treating obsessive-compulsive disorder (OCD) without visiting a psychologist. First of all, I like to inform you that treatment of OCD depends on the severity of OCD. If you have severe or very severe OCD, then the t... Read Full »
Kindly suggest ways to overcome sex addiction.
Query: Hi doctor, I am a sex addict. How to overcome this? I do lots of sexual activities on a daily basis, which gives me pleasure and I get tired soon because of that. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your complaint, but the history is not enough to tell you any suggestion. So, I would like to ask you a few questions, so that I can decide whether you need any treatment or not. What kind of sexual activities you are doing? How many times in a day you do that? ... Read Full »
Why do I always feel like falling over a cliff?
Query: Hello doctor, I am not sure, but it feels like I am falling over the cliff. I live in an apartment on high floor and sometimes I am frozen and cannot move an inch feeling as if I move, I will fall out my window. Although, I am not falling in this moment, I freeze stop and cannot move. This follows... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for taking the help from a psychiatrist. I am not able to get your point properly, but it seems you are suffering from major depressive disorder with a phobia. There is non-pharmacological management for it. You should try to follow the below guidelines to... Read Full »
Fluvoxin and Dicorate for psychiatric treatment is causing weight gain. Can it be replaced by counseling?
Query: Hello doctor, I am a 42 year old female. I have a 12-year-old son. My husband is 44 years old and is a heart patient who has undergone a CABG 10 years back. My husband is such a nice support and love to me. My son is very smart and vibrant I try my best to be happy with them. But I fail desperately... Read Full »
Answer: Hello, Welcome to icliniq.com. You have clear depressive symptoms. It happens due to reduced levels of certain neurotransmitters such as serotonin which reduce the stress handling capacity of the brain. Medicines help to replace chemical deficiency and correct the imbalance. Counseling will on au... Read Full »
Will Fluvoxamine for OCD cause disturbed sleep and scary vision?
Query: Hello doctor, I have been diagnosed with OCD. My doctor also briefly talked to me about schizotypal personality disorder. I am currently taking Fluvoxamine 200 mg at night, Risperidone 2 mg at night, and Modafinil 100 mg in the morning. It has been well controlled for more than four months no... Read Full »
Answer: Hello, Welcome to icliniq.com. What you are experiencing is called hypnogogic hallucinations which occur normally when sleeping sometimes, but in your case, it is due to the Modafinil. It is known to interfere with sleep and also cause hallucinations. Also, the metabolism will be slowed by Fluvoxa... Read Full »