Recently Answered Questions
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How do I get over homosexual thoughts?
Query: Hello doctor, In grade six, I started thinking about marriage and sex, and as the time passed, I started thinking about my mother's marriage with another person and them having sex as my father was a harmful person. As the time passed, I would perceive men by their physical appearance, like having ... Read Full »
Answer: Hello, Welcome back to icliniq.com. Thank you for taking help from a psychiatrist. I understand your concern. You have an obsessive-compulsive disorder. There is non-pharmacological management for it; you should follow the guidelines below to deal with it. It will help you. You should exercise... Read Full »
Query: Hi doctor, My relative has had severe OCD for the last 20 months. He has not left home for six months and spends 18 to 20 hours in bed. She started tablet Fluvoxamine the previous year at 25 mg, increasing by 25 mg every three weeks, and currently at 100 mg from the last seven weeks. There is a slig... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. The patient has been on the same medication for more than seven weeks. It usually takes four weeks for the full effect of the medication. If there is not much improvement, you must increase the dose or add another medication. You can ask your... Read Full »
How to stop talking to people in my mind?
Query: Hello doctor, I am taking 3 mg Risperdal for two years and 40 mg Fluoxetine from the last two weeks. Sometimes when I speak, I say one thing and mean something else. The sentence which I say is good, but I mean something lustful or violent inside. When people speak to me, I repeat or say along with ... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. From the available description, there is clear evidence that you are dealing with obsessive-compulsive disorder (OCD). The disorder is characterized by repeated thoughts, actions, or images without proper control of the in... Read Full »
Query: Hello doctor, I am a 40-year-old female and I was taking the tablet Flunil 80 and Clonil 75 four times a day which is 300 mg. At this high dose, I am feeling relapse and struggling with anxiety and fear. Recently I have been promoted to a higher post that requires alertness and fast decision-mak... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query and am sorry for such discomfort. You are taking the maximum dose of both medications and yet there is a relapse of the obsessive-compulsive symptoms. I would sincerely suggest you ask your treating psychiatrist as the treating psychiatrist wou... 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 »
How to come out of the frequent intrusive thoughts and anxiety?
Query: Hello doctor, I have been suffering from anxiety, panic disorder, and perhaps OCD as well (but I have not been diagnosed with that yet) since I was 11. However, I had been completely anxiety-free for about four or five years until three months back, when I got a horrible panic attack that started it... Read Full »
Answer: Hi, Welcome to icliniq.com. From your description, it appears to be ruminations. Following differentials are likely: Health anxiety disorder. Hypochondriasis. OCD (obsessive compulsive disorder). It is unlikely to be psychosis, as you are well aware of the absurdity of these thoughts. Bu... Read Full »
How can I get rid of social anxiety?
Query: Hello doctor, I am a 29 year old male. I have been suffering from social anxiety. Following are the consequences that I am facing through in my daily life: I am not at all confident to talk with new persons, especially in group meetings. My heartbeat used to raise and I will forget things to be d... Read Full »
Answer: Hello, Welcome to icliniq.com. You have Obsessive Compulsive Disorder (OCD) and social phobia. I can understand your concern. I have read through your history and from that, it is clearly evident that you have anxiety spectrum disorder. The symptoms like difficulty in talking with persons, incre... Read Full »
I am diagnosed with ADHD. Please suggest a treatment for it.
Query: Hello doctor, I am diagnosed with ADHD. I experience sudden bursts of energy which I usually expel by flexing my hands and making noises. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I have a few questions; 1. Can you please elaborate on what kind of excitement or energy burst you feel? 2. Do you think these symptoms relate to anxiety or restlessness? Please follow up with the answers. T... Read Full »
Do people with OCD need to continue medicines throughout their life?
Query: Hello doctor, I need your help regarding OCD disease. It looks like my fiancee is having this problem and she has been suffering a lot since last month. I am seeing sudden changes in her behavior like getting sad, no feelings, and changes in the mood so frequently. She does not want to go outside as... Read Full »
Answer: Hello, Welcome to icliniq.com. In OCD (obsessive-compulsive disorder) drugs from SSRI (selective serotonin reuptake inhibitor) group such as Fluoxetine 20 mg to start then up to 80 mg or more or Fluvoxamine and psychotherapy are helpful. These drugs are prescription only drugs. Also, you have to ... Read Full »
I am a student suffering from OCD; despite taking medicines I have not recovered fully. Please help
Query: Hello doctor, I am a student suffering from OCD. I am taking medicines since last year for the same. I got little relief so far, but there is repetition of thoughts and patterns of something. I am not able to concentrate properly while studying. So it is taking a lot of time to read even one page du... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. OCD (obsessive-compulsive disorder) symptoms can appear to be stronger when you feel stressed and work hard. But it can be effectively managed by appropriate medication, following CBT (cognitive behavioral therapy) strategies, and relaxati... Read Full »