Recently Answered Questions
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The face of penis bends during insertion. Please advice.
Query: Hello doctor, I am married for the past six years and stayed with my wife for around two years in these six years due to job location reasons. My wife has asked for divorce now as I am not able to insert my penis into her vagina in these six years. I have done following test up till now such as seme... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns about ongoing issues with your sex life after going through all the attachments (attachment removed to protect patient identity). Although, it is never possible to comment conclusively, but from the available description, i... Read Full »
What indicates lifelong premature ejaculation?
Query: Hello doctor, I am a 34 year old unmarried male. I can hold my ejaculation during foreplay with my girlfriend, but I cannot even control it for more than 30 seconds after entering into the vagina. Is this a problem of lifelong PE? Or is it happening due to fear or performance anxiety? Once I used co... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. From the available description, it appears that there is a psychogenic premature ejaculation. Holding it for 30 minutes while having oral sex and not holding even for a few minutes during penetrative sex is clearly indicat... Read Full »
How is delusional jealousy treated?
Query: Hi doctor, My dad is suffering from a delusion of jealousy for the last three years. What is the treatment for it? The main problem is that my dad has no insight of his problem. How much time will it take to recover? Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. The treatment is antipsychotic medicines like Olanzapine, Aripiprazole, etc., followed by insight oriented psychotherapy after remission. But, please ensure that there are no other symptoms like delusions of persecution or control, hearing voices, sleep and ap... Read Full »
I am getting mental images of the past for the ten months. Why?
Query: Hello doctor, I have been suffering from what I think are mental problems since last year. To give you some context, I went abroad for studies, and I felt extremely lonely and miserable there. After a year, I was suffering from sleep problems. However, one day, I had confusing thoughts, just before ... Read Full »
Answer: Hi, Welcome to icliniq.com. This problem you are facing is a mental illness for sure. The description of your symptoms seems that it is a serious issue, as it has been persistent for the past 10 months.The problem you are facing is probably visual hallucinations or illusions, which are a part of psy... Read Full »
Please diagnose the exact cause of my condition.
Query: Hi doctor, Is diagnosis important? I have been diagnosed by many therapists and each one has had a different diagnosis. One doctor says it might be BPD and other says it might be a bipolar disorder or Asperger syndrome or cyclothymia. Why is it so? I am starting to feel like I am wasting my time tr... Read Full »
Answer: Hi, Welcome to icliniq.com. BPD and bipolar disorder have similar symptoms. Cyclothymia is its minor form. Persons with BPD are said to be on the borderline between neurosis and psychosis, persons with bipolar disorder experience episodes of extreme mood swings ranging from depression to mania. ... Read Full »
Is it safe to use Venlafaxine and Mirtazapine together?
Query: Hi doctor, I am currently taking Venlafaxine and Mirtazapine together. There are discussions around adding Wellbutrin as well, I just wanted to get someone else thoughts on that combination of three drugs. Is it safe? Would it be effective? And is it a known combination of drugs which has been spec... Read Full »
Answer: Hello, Welcome to icliniq.com. Combination antidepressant therapy works better if first line monotherapy has not been effective. I note that you are diagnosed with depression, anxiety and PTSD which can sometimes be challenging but gets better with the right treatment regimen. Different combinati... Read Full »
I have anxiety and feel low. Please help.
Query: Hello doctor, I am not on any medicicnes but yes I have tried before. I am very active, successful and driven. My world is just a dark place and I really do not know why. There is no reason for it to be, but it just is. It has gotten worse over the years and now I cannot deal with the anxiety, I ca... Read Full »
Answer: Hi, Welcome to icliniq.com. I am sorry to hear about this, I can understand how hard it is for you right now. Personal beliefs and thoughts are formed through our experiences, social background, parenting and family structure., during our childhood. As you have mentioned, that you have always felt... Read Full »
My friend is an attention-seeker who self harms. What could she be suffering from?
Query: Hello doctor, My query is relating to a friend that seems to have a mental health issue. She is 24 years old, 5 feet 10 inch, and is not currently on any medication. She was previously on medication for depression and anxiety. Her behavior is very concerning and tends to center around attention see... Read Full »
Answer: Hello, Welcome to icliniq.com. From your description, the following differentials can be drawn: Emotionally unstable personality disorder Narcissistic personality disorder Histrionic personality disorder But the exact diagnosis, if any, can only be made after a detailed evaluati... Read Full »
Will in-patient treatment for young adults help for ADHD and social phobia?
Query: Hi doctor,I am 18 years old and I just started taking online college classes. I attempted to go to in-person classes but I had panic attacks and I dropped out. For the last two years, I only leave my apartment to go to the movie theater and grocery store. I also go to the doctors and therapists, but... Read Full »
Answer: Hello, Welcome to icliniq.com. As per details provided by you regarding your diagnosis, such patients tend to have difficulty in attention and concentration along with difficulty in facing social situations and anhedonia. The best course of treatment as per prevailing clinical guidelines is psycho... Read Full »
My 10-year-old son is a master manipulator. Is he suffering from ADHD?
Query: Hello doctor, My son is 10 years old. Since one year, he has been urinating in his pants in school and often arguing with adults and sometimes with other kids. He has once threatened me that he would commit suicide. He tells people he is a "master manipulator" and that there is nothing wrong with hi... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. From your description, there are two things which come to my mind apart from the ADHD (attention-deficit hyperactivity disorder). One is ODD (oppositional defiant disorder), and the other one is a conduct disorder. But, your description d... Read Full »