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question:I am consulting with a 27 yo with hx of anxiety and ocd. he is married for 9 months and has not been able to complete intercourse. he can attain an erection but loses it when he tries to penetrate. has tried celexa and viagra. is on wellbutrin and concerta for ocd and anxiety. takes klonopin .5 prn. Any thoughts
answer:yes anxiety affects one 's sexual performance. in the absence of injury to genital organs or other sex organs and also in the absence of any other medical cause like diabetes .anxiety ,depression etc are the cause of sexual problems. i would recommend to increase the dose of welbutrin. it will help to improve the problem of premature ejaculation.
question:I am suffering from anxiety attacks that bring on shacks, uncontrollable crying, irritable, feel like I just want to peal my skin off. I have tried many dedepressin pills from doctors but they all mak me have the above reactions but worse. I am lookin for a non prescription med to fight the anxiety. They keep giving me uppers. I need a relaxing help. What would you suggest.
answer:in my opinion your problems are very significant and they cant be ignored. i would recommend you to visit a psychiatrist for complete evaluation. if you dont want medicines you can also choose therapy . i would prefer a combined treatment of medicine and therapy both. in my opinion choosing any over the counter medicine is not a good choice for your health.
question:Have been experiencing severe early-morning depression ... have been on minor doses of Xanax and Buspar since 1999 but this morning depression has become rather severe over the past few months (probably due to a move from San Diego to Tucson which I m having trouble acclimating to). Wondering if St. John s wort might improve my early morning disposition ?
answer:yes st john s wart could help you . if your problem still persist . i would recommend you to visit psychiatrist. as you described your problems started after you shifted . so it may be a part of adjustment reaction. if its the case , your morning depression can also settle without medicine in few days.
question:I was diagnosed when I was 19 of Post traumatic Stress Disorder and high anxiety and panic. Doctor prescribed me first 2 miligrams of clonazepam to take when experiencing a panic attack and 50 of Zoloft. Took me 2-3 years to slowly slightly better and to slowly manage to control my extreme anxiety and have less panic attacks. I have followed this same treatment for 10 years and at times tried to leave but I fall back into a serious depression and panic attacks. I plan not to quit my treatment to take care of my daughter effectively as a single parent and work. I am 35 years old and my treatment is being changed and I feeling anxiety again like when I was 15-19. Just had another panic attack as well. Can't sleep, work, go to interviews, talk much, my chest hurts and feels like my heart is going to pop, can't really drive well nor cook. What is going on with me, I was doing so well and now I am back to hell.
answer:what medications are you taking currently. as you mentioned you were on 2 mg clonazepam and 50 mg zoloft . i wonder why your zoloft was not increased by doctor during whole course of treatment . clonazepam does wonders when it comes to prevent and abort acute panic attack . but for long term management SSRI(zoloft one of them) works very well. a high dose of clonazepam recieved for a long time may be a reason you why you started to feel panic attacks again. you can request your doctor to more sliwly taper clonazepam and increase the dose of zoloft. which i would like to give to my patients
question:Hi.. I fainted couple of days ago.. then i had stemetil md.. my cervical joints and mri of brain is normal.. my head is not revolving.. but i still have some degree of faintness..i had ejaculation.. and the other day my symptoms increased.. what is my problem?
answer:Hi, It can be due to decreased pressure or decreased blood sugar. Doing a master health check up can help diagnose the cause. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
question:HI I have depression from last 5 year. I am not able to find a job for me. Whenever I feel that I should get a job and apply for it I feel stressed out and I never apply for it. I feel traped,low sad and in fear whenever I think of applying for a job and feel that its not possible for me to attend an interview. Also I have sleep problems. I hardly get any sleep at night. Its sleepless nights and in the early morning I get a sleep of 5-6 hours. For this I have consulted a doctor and he has given me depran forte at night and I am using it since last 3 years. I get sleep almost at 3a.m. at night and wake up at 12 a.m. In morning. I take medicine at night around 9 p.m. although I have taken this medicine for 3 years I have not been able to apply for job until now as I still feel fear and I feel I cannot do it. Why is that the case still when I am taking medicine from last 3 years. Help me on this please.
answer:i guess the dose of medicine is not enough for you. i wonder why your doctor didnot increase the dose. also i prefer using escitalopram and clonazepam as separate medicine not as combimation like you are taking . escitalopram is the main medicine which will help you to get rid of all depressive symptoms including decreased sleep,fatigue,low mood etc. clonazepam should be used for only initial phase of treatment when restoration of sleep and decreasing anxiety are preferred goals . onces escitalopram starts showing its effect . clonazepam should be tapered and stopped . as long term use of clonazepam may decrease your thoight process. hope this would help you