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question:hi im almost 20 years old and since around the age of around 10 ive seen heard and felt things that weren't really there. I never got diagnosed for schizophrenia but I am pretty positive I have it. I don't know what to do about it. I am really closed off and don't really talk to anyone about my struggles except my hallucinations. I have always been scared to take antipsychotics because im afraid I wont have anything or anyone left. my head troubles have gradually gotten worse over time to where its getting hard to get through the day. I want to be normal again.. but most of the "crazy pills" out there seem to be sketchy and very hit and miss. is that true? the last thing need is my head to get worse. Dr. Samuel I apologize for wasting your time I don't have money for this. I didn't know I had to pay for it
answer:i can understand your problem.no need of any apology. you did not do any mistake.you need some medication because it is progressive illness.take tab olanzapine for 6-12 months.single tablet will help you to overcome all this problem.so do not worry take care.start medication. it will help you to live normal life.after age of 30 most of the patient got complete relief even without medication.
question:since ive been about 7 ive been biting my nails down to stubs and even though it hurts i keep dojng it because it almost feels good (you know?) ive been dojng the same thing with scrathing and poking at my gums until they bleed, or even scratching my skin until i have a rash. Ive told myself that its gross and i hate the fact that i do it but its like an addiction i guess, i do lots of little things like this and they are really unattractive and its unhealthy, why do i keep doing this?
answer:Hello Biting nails, plucking skin and hair are part of impulsive control disorders. Onychophagia or nail biting is commonly associated with hair pulling and picking skin. In most of individuals the reason behind these impulses is severe anxiety. I would advise you to consult a Psychiatrist for expert management. Medicines like SSRIs as Fluoxetine, Fluvoxamine etc are very useful in controlling impulses. Behavior therapy by a trained psychologist help in decreasing abnormal behaviour and to impart good desired behaviour.Get your complete hemogram done along with vitamin B12 levels. Low levels are associated with anxiety and consequent impulsive behaviour.Hope this helps you, thanks
question:My husband had a stroke when he was six years of age. He now is 39 we have started to notice signs of memory loss, increased anger and irritablilty. Our primary doctor said it should not get any worse however our nerologist said it looks like the first stages of dementia. I am confused if it is vascular dementia why would our primary Doctor tell us it should not get any worse. He is showing signs of disoringtation etc.. Please help my utter confusing and should i be worried something could happen to him in the next few years?
answer:HelloThanks for askingHistory of stroke increases the risk of a number of complications and progressive loss of memory is one of them. Repeated vascular insult on brain causes vascular or multi infarct dementia. The dementia is progressive but the progression can be halted by taking proper medicines. Medicines like cholinergic drugs as Donepezil, Rivastigmine are very useful in dementia. Other medicines like Memantin is also commonly used.Consult your doctor for proper treatment. Get his MRI done to see extent of damage in brain if any. Psychological tests like Mini Mental Status Examination will help in grading the extent of dementia and help to ascertain improvement.Thanks
question:Hi, I have a really bad problem with biting my lips. Last week it was so bad that when I looked at the inside of my bottom lip it was white from all the little pieces of skin that were hanging off. They heal fast, but the wounds also effect how I sound and are able to play my instrument. I need help!
answer:Hello Repetitive lip biting may be due to some underlying anxiety. Due to underlying anxiety individual may start biting lips or chewing nails. This may progress to compulsive lip biting and may result in injury to lips and cause significant distress to individual. I would advise you to consult a Psychiatrist for help. Some times even psychological interventions like counselling and relaxation therapy help in improving the condition. Medicines like Fluoxetine, Paroxetine are very useful in such situations as they help to decrease anxiety in individual.Apply some lip balm on lips to avoid cracking from dryness.Hope this helps you, thanks
question:Hi. I am 30 years old. I have this weird habit. I like to crunch and eat raw rice. A lot perhaps a day. I developed this habit when i was 20, so i have been eating raw rice for the past 10 years. During my pregnancy i got to know i am a talasemic carrier, and i stop the habit wondering it could effect my baby. But after delivered my son, i continued the habit. Is this habit related to to my low hb count in my blood? I wish i can stop this habit. Can you please give some tips to stop this unhealthy habit. Is this habit harmful?
answer:Hello Thanks for asking from HCMYou have habit of eating rice on compulsive basis. Eating non-edible or non-necessary substance is called as Pica. It is a psychiatric disorder seen commonly in children but in some individuals it can persist in adulthood also. A lot of persons who have Pica show iron deficiency anaemia. The habit will not have any serious effect on health but as this is very distressing and embarrassing so you should consult a psychiatrist for treatment.Iron and Vitamin B12 supplements are one modality of treatment to treat nutritional deficiency if any.Fluoxetine is a SSRI drug and is commonly used in patients of PICA with good effects.Hope this helps you, thanks
question:dear mam, am not able to converse with anyone properly.. am highly anxious .. am lacking that basic thing to speak to anyone properly.. am highly depressed because of that and avoiding people and staying alone all the time even am not able to speak to my servant properly.. people say that the way am looking at them is scary and my eyes are like starring at them.. so please help me how can i speak properly and fluently without any hinderance as everyone speaks normally?
answer:HelloYou have problem of anxiety and stress on talking to any one. You are not able to speak and converse properly. This is causing significant distress and you have started avoiding people. You have to stay alone at home most of the times due to this problem. From available history I can conclude that most likely you have Social Phobia Disorder. This is a type of anxiety disorder and individuals have difficulty in conversing and they can't speak in public and on presentations. On severe cases they can't even move out of home because of fear of embarrassment.Consult a Psychiatrist for management of this disorder. Medicines like SSRI anti depressants as Sertraline, Escitalopram, Fluoxetinet etc are commonly used in this disorder. Other medicines like Propranolol are also useful. This drug helps in improving anxiety before some important event. Behavior therapy and assertive training by a Psychologist is also used as one f treatment modality.Thanks, hope this helps you