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Asked for Male | 21 Years

Is Esita 5 not working for me?

Patient's Query

I am now taking regular esita 5 but there is no change

Answered by Dr. Vikas Patel

Sometimes it can take a bit of time for medications to kick in and show their full effect. In fact, with Esita 5, it might take a few weeks to start feeling better. If you’re still not seeing any improvement after some time, it could be worth checking in with your psychiatrist. They can explore other options or adjust your dosage if needed.

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Questions & Answers on "Psychiatry" (531)

Hi, my name is aiden i am 14 years old and I've been wondering if there something wrong with me when i lay down on my chest i find it a lil hard to breathe sometimes i wonder if its axizety or i might be overthinking but other then that ive been having axizety making it hard for me to sleep and i just feels like my eyes are close but im not getting any sleep what should i do

Male | 14

When you lay on your chest and it feels hard to get air in, that could be from anxiety. Anxiety also makes it difficult for people to sleep well at night.  You can learn how to control your breathing when talking about it with them and other ways of calming down too if they know about it. Try doing things before going to bed like making a routine so that every time before sleep you will make sure that you get into bed more easily also practice good habits around sleep like not watching any screens an hour before bedtime because they keep awake longer which means fewer hours spent resting. If these symptoms stay or get worse then maybe it's time to see the doctor and tell them what’s been happening.

Answered on 13th June '24

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Hello so i am a 13y old boy. Since this month i had some panick attacks and hyperventillation(i had 2 one today and one 2 weeks ago) i would ask how i can stop making having panick attacks or hyperventillation.

Male | 13

Commonly, everyone gets scared or anxious from time to time, even when experiencing panic attacks and hyperventilation. These are most likely caused by stress, fear, or anxiety. Signs are quick breathing, chest tightness, and dizziness. Apart from doing deep breathing exercises, training in mindfulness, and talking to a trustful person, can also reduce panic attacks. 

Answered on 8th July '24

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I am facing general depression issues , due to my stressed lifestyle at the moment. Do I need to speak with a psychiatrist?

Female | 50

One should consult a psychiatrist or counsellor for proper diagnosis and further treatment, i.e. you have depression or bipolar disorder, as treatment and outcome is different for both disorders, however let the psychiatrist decide what medications to take as per you r psychological condition, and have never personally used glutathione in bipolar. 

Answered on 23rd May '24

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I have GAD and hypothyroidism. I've been diagnosed with hypothyroidism for 1 year and GAD for almost 5 months and taking meds regularly. But I don't know if I'll recover from this. I'm tired like really tired. Will it ever be fine. Will I ever be fine?

Female | 16

GAD along with underactive thyroid driving can make you very tired. This is because your thyroid becomes stubborn with time which indirectly and gradually drains your energy level. The plus side is that you can get the right treatment and help and be well on your way to recovery. Sticking to your pills, having a good diet, and getting enough rest are essential. The process of healing will allow you over time to get back to being yourself again.

Answered on 19th Nov '24

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6 month ago my nervologist appointed me escitalopram 10 mg Now i decrease dosage to 1/4 and symptoms like confusion,dizzines,heaviness and etc comes me back its not hard like 6month ago but still its bad and uncomfortable when will be gone withdrawal symptoms?

Male | 22

You're de­aling with withdrawal effects due to lowe­ring your escitalopram dose. Your body got accustomed to a ce­rtain amount, so changing it leads to symptoms. Confusion, dizziness, and heavine­ss may occur when the medicine­ level drops. The positive­ side is that these e­ffects typically resolve within we­eks without intervention. Try re­laxing, sleeping adequate­ly, and consulting your doctor regarding gradually reducing dosage for be­tter symptom management.

Answered on 27th Aug '24

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47yr w f severe depression in 20mg kexapro

Female | 47

You should not practice self-medication or change your prescribed doses of medication. The condition of severe depression should be treated by a professional, and people need to visit an expert mental health specialist. 

Answered on 23rd May '24

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I was wondering if I might have something such as DID, as I have been experiencing some symptoms. 1: I have auditory hallucinatons from time to time, like people talking, or whispering my name. 2: I cannot remeber most of my childhood at all. 3: I also talk to myself a lot, like I am a different person. 4: I have visual hallucinations sometimes, like shadows in the corner of my eye 5: Also have trouble focusing sometimes 6: very impulsive sometimes 7: I also daydream alot, and usually for 30 minutes + I and my sister was verbally abused from 2016 to 2022. It stopped in 2022 because I pointed it out. My ‘alters’ aren’t so complicated they are just different aspects of myself really. Most of the time to the extreme though. Like one is me but angry, sad, etc. Once I had a bit of a dissociative fugue, when I kind of just fazed out on the bus and I came to, on the bus but at a different point in the road, and I had no memory of what had happened.

Male | 18

Based on the symptoms, your problem may be Dissociative Identity Disorder (DID). Consulting with an experienced psychiatrist or clinical psychologist, especially in the field of DID, is crucial in diagnosing and planning personalized treatment. 

Answered on 23rd May '24

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I am 16 year old boy and having mental and physical weakness in body. I masturbate a daily one time from 8 month. I don't like to talk with people nor even feel like connection with anyone. My sleep cycle is heavily disturbed that's why I sleep in day and awaken all night even though I don't want to do this.

Male | 16

Masturbating daily is normal but feeling weak and disconnected isn't. Lack of energy and disturbed sleep can be linked to many causes, like stress or depression. I recommend talking to someone you trust, like a parent or a school counselor, to get some help and support. 

Answered on 28th May '24

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I'm 26 I have autism ocd Suspected ADHD and suspected fibromyalgia I'm taking 15mg of escitalopram It's making me fall asleep from 6 am to 8 am What should I do? I take it in the evening

Male | 26

Escitalopram might be making you feel too drowsy in the morning like it's the reason you are going to sleep. This case is more or less the same with some people. An example of one thing you might do is to consume it earlier in the evening, for instance, right before you eat. This way, you may later be tired but not in the morning. If the problem continues, bring it up with your doctor.

Answered on 22nd July '24

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I lost sexual desire . Physically iam ok all the hormones are in balance such desires are not comming and lost interest in sex with my wife which creating lot of issues Kindly suggest a solution

Male | 43

you need a detailed psychological evaluation  after  that could help you with sex therapy 

Answered on 23rd May '24

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Hi doctor i wanted to bring your towards a patient a child (14 years old) i have prepared a summary which you can go through below. summary Patient exhibits aggressive and provocative behavior, with frequent outbursts (twice to thrice a day) that are both verbal and physical. The first severe outburst occurred in August 1st week. During these episodes, he becomes violent, attacking those closest to him, including his parents and brother. His speech is characterized by accusations of being "bad" and claims of conspiracy against him. After the outbursts, he displays remorseful behavior, crying and showing guilt. Physical attacks are severe and pose a risk of harm to himself or others. He also exhibits unusual behaviors such as spitting on objects and people, and attempting to lick them. Patient's history reveals: * Early childhood difficulties with keeping up in school * Competition with younger brother (2 years his junior) * Possible neglect or feeling neglected by parents due to favoritism towards the younger sibling * Lack of friends at school * Issues with making eye contact, paying attention, and lack of confidence Before the first outburst, he showed signs of: * Avoiding eye contact * Difficulty paying attention * Lack of confidence in performing or speaking when prompted The patient is currently under neurologist care after the initial outburst. Despite multiple episodes, we were unable to identify triggers or deescalate outbursts without using restraint. ----- the child is currently staying in prayagraj at his home. we wanted to bring him for a physical visit but his condition get uncontrollable very quickly . we were hoping that based on the summary if you can prescribe any medicine or suggest some with which can get him to state at which we could be able to bring him from prayagraj to lucknow for a physical. his condition is very serious and its getting worse. please contact as soon as possible

Male | 14

Answered on 10th Sept '24

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