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question:Hi , I am shuresh , 24 , from Tamilnadu , India . I have some problems mentally , but I dunno what my illness is . I have these problems for past 8 years . My mood swings very often . sometimes I feel happy with no reason , sometimes sad , depressed , stressed with no reason and it keeps changing . sometimes i feel like am the greatest person , sometimes as the biggest loser . sometimes I laughing or cry with no control . sometimes I blabber to myself with different words , different language , for which meaning I don t know . sometimes I feel Superior , sometimes inferior . I have suicidal or murder thoughts very often . I attempted suicide two years before , was hospitalized for a month. I can t concentrate on a particular thing . My interest keeps on changing from one thing to another or sometimes I feel like I can do everything , sometimes I feel like I cant do anything . when I talk to someone I keep changing the topic or talk irrelevant , get angry , upset with them with no reason , then I shout at them . I cant feel freshness in my mind or in body after sleep and bath . always i feel like messy . I forget things often . When I don t know the meaning for a word while reading book or article , I used to search the meaning in google , but I forget the word the next second before I open the browser and thinking why I open the browser . Most of the time I forget what topic I am talking . I cant understand the lines whether it is tamil(my mother tongue) , english (second language) even its a simple statement , so I have to read it again and again or ask the person to say it again and again , sometimes I can t understand even if I read it many times , I only feel angry then I quit . Now sometimes I cant get the words to talk , sometimes even I struggle to tell the name of my family members . Most of the time i act like a weird . I forget the language vocabulary , grammar and try hard to remember. But I was one of the toppers in my school days , mostly I ranked in top three in academic , sports , extra curriculum. I forget the complex path in which I travel , street name . I hesitate to go out or mingle with others , not because I am shy person but I always feel like everyone is watching me or i feel like i look messy , ugly that no one will like me . I am getting more emotional day by day but sometimes I feel like I dont care if the world ends now . I am not able to sleep peacefully . Always I feel like I have multiple layers of dream very fast whether it s day or night . Always I feel like having some weight inside my head . now-a-days I have irritation , pain around my chest , lungs , right side head , behind eyes . I am hating everyone , myself and feel like no one likes me and longing for love . I can t control my sexual thoughts . I have sexual thoughts 24*7 even if i don t like . My likes in sex getting kinkier everyday . I dunno why i always like wild sex . I never had satisfied in sex , always I feel like need more even after having sex multiple times in a day . Even if not sleep enough , after heavy physical work I dont feel tired most of times , I only have heavy breath . Always my mind is thinking multiple things at a time , even i don t get what am thinking most of the times . I lose interest within minutes . I read or watch movie interestingly but lose interest in some minutes and move to next film . I never watch a film at a go . I dunno what s happening in me . Most of the time I am thinking about things that won t happen like am time travelling , a demon is inside me , angle flying over me . Take everything more person even if am not involve in that moment or scenes in films , articles that i read . I fear foe everything . Fear to drive (I cant judge the distance to the nearby vehicle , always remember the horrible accidents that i saw or read while try to drive , sometime I forget that am driving and all of sudden i remember , confused and act like i just forget to drive), to mingle with people , meet people in higher posts , rich , go into dark(sometime I feel like I the demon that ghost afraid and walk in dark but in just some seconds I frighten and run in search for light ). Even a sudden,low frequency sound or noise around me triggered my fear and feel like i have heart attack. I can t fight with my mind all day . I hate my life , everything . I don t want to live like this . I know ,I may have some serious issue but I dunno why my mind not letting me to consult a specialist . Please tell me what problem I have or eveyone I like this ?
answer:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You have beautifully exolained your all symptoms . You are suffering from bipolar disorder. This illness is easily treatable with mood stabilizers medications like lithium or valprotae. I will suggest you to visit a nearby doctor for prescriptive medication. Hope I have answered your query. Let me know if I can assist you further.
question:I was recently diagnosed with Mitral Valve prolapse and Lown Ganong Levine syndrome. I was placed on a very low dose of a beta blocker (12.5mg Atenolol). I also have anxiety and depression and a little over a year ago, I was placed on buspirone 15mg once daily and clonazapam as needed (usually take .5mg-1mg). My question is, is it safe for me to smoke marijuana considering my heart ‘condition’ AND with the medicines I’m currently taking? I used to smoke every day, several times a day for a little over a year, but stopped due to a tachycardic episode about 5 weeks ago. However, I was put on the beta blocker AFTER I stopped smoking. Since I’m on the beta blocker now, is it safe for me to continue smoking marijuana since the beta blocker has significantly lowered my heart rate and blood pressure? If not consumable by smoking, is it safe perhaps to consume an edible? I’m asking because marijuana does help with my anxiety and is a much safer and less addictive alternative to any benzodiazepine.
answer:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Avoid marijuana in smoking and oral forms to avoid cardiac risk as marijuana increases blood pressure and increases the risk of arrhythmia palpitation. You can take SSRI's like sertraline, etc. after consulting a doctor to deal your problem more effectively. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Awadhesh P. Singh Solanki
question:Yes...I am trying to find Proper help for my daughter-in-law. She and my son have been married for 17 years and they have 4 beautiful children. She has never liked to talk to anyone and at first, I thought she didn t like us. Over the years, we just figured that she must be shy. But, she really doesn t even communicate with her children, other than telling them to clean, clean, clean, because she does admit that she has OCD. During the past 5 or so years she has said that she has one disease after another and has been to many many doctors for her bad feet and bad stomach and bad back. It is always something and many doctors have told her that they can t find anything wrong, but she will go onto the internet and look up diseases and then seem to have those symptoms by a day or two later. When she was growing up in her own family, her parents never took her to a doctor when she was really sick and always told her that it was all in her head. They never allowed her to have friends over and her parents never had any other friends other than close family. My son is a very social person who works for a large company hardware store and he is their road manager. She doesn t like the fact that he is around a lot of people and she wants him to be with her. He is very much in love with his wife but he has told her for years that he would like to see her make friends with women her own age so she could have a friend to go shopping with or to a movie or out to dinner, like other women do. She says she doesn t know anyone. My son has taken her with him to meet other couples that he has met through his work and he said that they are really nice people who live good lives and have been really nice to her but she won t speak to them. She just sits at the table and watches everyone else having fun socializing. My heart goes out to her and my son is so frustrated, he doesn t know what to do. He sees these same things in the children ages, 10, 8, 7, and 5. They are becoming more introverted and don t like to talk to people. He tells the children that it is not polite to not speak to someone when they are speaking to you and with the boys, it seems, that they are trying to be friendlier but their only daughter is exactly like her mother. She just acts miserable all of the time. Also my son s wife has been pointing out things that she thinks the children have or is coming down with. She has convince the older child that he has migraines just like her and she was even saying that their daughter is getting rheumatoid arthritis. When I asked the child if she is having pain, she just looked at her mother and then shrugged as if she were afraid to say something wrong. I know that my daughter-in-law should seek professional help and I have seen the stress on my son and all 4 of the children but I don t know what to tell my son for advice as to how he should approach this matter. I am not even sure what this would be diagnosed as. My son called me last night and he was desperate to get her the help she needs but she doesn t really see that she has a problem. She said, she just doesn t like people. I have spent many hours at their home baby sitting and the children are such beautiful and intelligent children but they have mentioned that the only thing their mother cares about is being on the computer and looking up diseases. What they don t realize, is that much of her fears and anxieties have already rubbed off on them. They are just children. Everything has to have its PROPER place in the house or she has a fit. If a dirty tissue is thrown into the bathroom waste basket. It will not stay there more than a few minutes, because when she goes to the bathroom the next time, she will empty it even if it has one thing in it. When you take your shoes off in their house, the children will stand like they are on shoe patrol and will tell you how they have to be place on the floor. I like a clean house as much as the next person but I want to live and relax and be at home in my home. She runs the home like a army barracks. Like I said, They have been married for 17 years and my son loves his wife very much. And for the most part, he has always just looked the other way and said, Oh well, that s just the way she is. But it is not healthy and she is not happy. He wants to see her have a life with friends and to see her smile. Please if you can help give me some advice about this situation and how would be a good way to handle it so she can get the help she needs. She does know that it is not right because she is never happy but I think she just doesn t know what to do because she has always been this way and her mother is the same way. She sees it in her mother and it bothers her too. I hope this stays confidential Thank you Doctor
answer:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. OCD and anxiety disorders comes under the same head "anxiety disorders". But the treatment method varies according to the symptoms. I suggest you to consult a psychiatrist for assessment and further treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand
question:My adopted granddaughter age 16 was adopted ten years ago. Before that she was in two foster homes and suffers from Detachment Disorder ADHA and at the moment tried to cut herself and has been placed in a proper facility in Texas. Please advise if you have therapists that can help with Detachment Disorder as she has a lovely home with two other siblings and her brother (who also was adopted with her ten years ago) The family lives in Austin, Texas Zip Code 78748 My e-mail address is YYYY@YYYY
answer:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Usually attachment related anxiety and depression do clear themselves when the person gets enough exposure and medical attention. That therapy is called desensitization therapy. Talk to your doctor . Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand
question:I have a 20-year-old daughter who is experiencing what I consider to be severe anxiety symptoms. We have a STRONG genetic predisposition for anxiety issues as well as depression. (Fortunately- this is the ONLY thing that runs in my family-- no cancer, no high blood pressure, no diabetes, serious illnesses, etc.)... Unfortunately, anxiety is NO SMALL THING. I have had the worst case of it in all of my immediate and extended family, and there are no adequate words to describe what it s like to deal this with disorder. It feels like MASSIVE amounts of adrenaline-- sometimes for long periods of time-- uncontrollably being produced by your body... and the worst part is that sometimes there are triggers that start these anxiety attacks or panic attacks-- but other times, both myself, 1/2 of my siblings --(a clue that this disorder has a genetic-base and biological root-- rather than an environmental trigger in our family or something to do with our upbringing or any dysfunction aspects of our family) -- have had absolutely TOTALLY random anxiety for ABSOLUTELY NO REASON. It is a miserable condition. Now... 1 or my 2 daughters (who has always had some anxiety)... is dealing with college, assignments & homework, a few professors that are extremely difficult for students to deal with, a part time job, a boyfriend, and she is currently about to do a mid-year/ (2nd semester of her Junior college year) transfer to a different University (not large-- mid-size) beginning in January and is preparing for that. Is it any wonder that she s having panic attacks...? Of course not-- this is a very stressful age of life-- I remember it like it was yesterday; however, her family doctor and I do not seem to be able to get a handle on helping her regardless of medications tried, a counselor/ talk-therapist, lots of immediate family support and extended family support... and I guess I just need some advice about the medications that we are trying right now-- the mixture of them -- and the possible side effects that we might run into... (did I mention that my daughter s worrying about the possible side effects of these new medications is causing her even MORE anxiety....?) She has been on 20 mg of Prozac for the past approximately 8 years. We found that Prozac works extremely well with my family members... Zoloft works okay, Paxil is a disaster, (the missing doses hell and the huge amount of possible weight gain!!), and Wellbutrin-- which many of our friends all seem to swear by -- seems to help the depression aspects that my family experiences -- but it also seems to have a rare side effect in my family -- which is that Wellbutrin causes EVEN MORE ANXIETY and makes it completely unmanageable (something about the fact that it works on the other neurotransmitters which help Dopemine levels-- wheras our deficiency seems to almost ALWAYS be in the Seratonin deficiency area... I have a psychiatrist for myself-- (since I ve had anxiety attacks since the age of THREE... And yes, I do remember them well & exactly when they started...and there were no triggers). I ve tried many meds over the years to try to best treat my anxiety as well as my depression (and I ve got some OCD mixed in there too! : / )... so I know a lot about many of them. My psychiatrist and I presently, and have found that the best thing for my biology/ chemistry of my body is 1) 60 mg of Prozac 2) Temazepam for anxiety/ insomnia at bedtime 3) GABA (Neurontin) - small dose - but to keep building it up in my bloodstream to help with the anxiety, and 4th ) Valium - 3 times per day for some serious life issues that I am currently dealing with -- including the recent death of my Father 4 months ago, trying to help my Mother, being a single parent to 1 young adult (the daughter that I am writing about) as well as 1 sixteen-year old daughter, and having gone through a horrible divorce about 2 years ago after a seemingly solid and happy marriage for 28 years. (We plan to take the Valium down to 2 X per day soon... and then to 1X per day after that - in order to avoid the addictive effects). *I want my 20 year old daughter - with all of this college-age stress, (as well as after-effects of the divorce), to see my own psychiatrist-- since he understands the biology/ chemistry of my family-- however, he has a 6-month waiting list for Intakes/ New Patients ... We can t wait that long. As I said, this daughters is seeing a good counselor/ therapist-- and she is good and helpful, but the anxiety attacks are still serious & not manageable. So her family doctor/ personal physician has tried to prescribe appropriate medications for her. 1) He has upped her dose to 40 mg. 2) He has prescribed Ativan-- ONLY for when the panic attacks/ anxiety becomes EXTREME (he gives her a limited number, of course).... and now he just met with her, and wants to had Buspar(ine) ?? My question is: Does this sound like a good idea...? A good combination of medications-- given her current age, college status, life stressors (transferring colleges to 1 that is an hour away from home), part time work stress, massive amounts of homework, a boyfriend, and this horrible divorce that was just 2 years ago? Also, does this sound like a good combination of meds based on what I ve mentioned about my immediate family s predisposition for these disorders/ imbalances with serotonin and the way that the Family of Meds that include the Wellbutrin kind don t seem to be a good fit for us.....? (isn t Buspar(ine) in the same medication family as Wellbutrin? Thanks for your help, in advance! -Sherry YYYY@YYYY
answer:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. Anxiety medicines alone cannot cure anxiety disorders mainly because medicines do not alter behavior. Behavior change and Continuous practice of the changed behavior cure anxiety. I suggest anxiety education, progressive counseling and progressive psychotherapy. I assure you complete cure. I need to know more about your anxiety so that I will be able to diagnose it properly and provide you tips to overcome and manage your anxiety. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand
question:I was just diagnosed Monday IU Methodist Hospital Indianapolis with trans yet alteration of awareness of my brain doctor say there is no cure for this that it is rare but there are others like me my question can this thing kill me ?at times it feels like it is going to
answer:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There are good number of reasons, which can lead to such a state. We need to investigate to know the reason. Once reason is known, prognosis can be decided upon. Hope I have answered your query. Let me know if I can assist you further.