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Anger, Stress, Panic, Anxiety, Social Isolation, Loss Of Confidence, Patience, Concentration, Fear, Rapid Heartbeat, Feminine Feelings, Pain In Left Breast. Treatment?

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Posted on Wed, 18 Jul 2012
Question: hello sir i am XXXXXXX 25 years old guy and i have lots of problem and hope you'll guide me that i can get rid of them. my problems are:-
1. i get angry small reason
2. i feel that except my family members all people are bad they through to me destructive criticism
3. my patience power getting weaker
4. i hear people criticize me "women", "girl" and of course hizra too
5. before i was a brave and bold boy but now i am going coward
6. i prefer to escaping nature now
7. in my life some people do on me some bad things but in return i can't do thats why i am burning from inside
8. i give up society and social people
9.my nervous system is very weak sometimes get panic and anxiety too
10. i feel fear in small issues and my heart beeps faster
11. my self confident is very very low nothing yoga or nor exercise can help me
12. i have been masturbating for last 12 years so feel very weak.
13. sometimes i feel that who am i ? am i a mad man?
14. lake of concentration mind power and memory power
15. often my feelings are girly and sir this is my a big problem and i get a pain on my left breast
16. my fantasy my imaginations are bad
17. i get panic when someone eat something and make sound
please sir help me guide me give me some miracle medicines that i can get rid of this problems. thanks
doctor
Answered by Dr. Ashish Mittal (12 hours later)
Hello,
Thanks for your query.

It is nice to see such a nice and precise description of your current suffering. From your history, it is clear that you have following symptoms:

•     Low mood, excessive stress
•     Loss of interest in previous pleasurable activities (anhedonia)
•     Socially isolating self, avoiding others
•     Frequent panic attacks
•     Fear of being mad
•     Loss of confidence
•     Excessive fear
•     Irritability, Anger
•     Guilt related to masturbation
•     Ideas of hopelessness (will not get well)
•     Pain in left breast.
•     Excessive worry and heart beats


Your case is not simple. Your current symptoms indicate towards the presence of depression and need urgent attention due severity. You should urgently XXXXXXX your psychiatrist.

Depression is not always situational (because of stress). Many times it is biological due to biochemical changes in brain. Such Depression does not improve by exercise or guidance or lifestyle modifications only but all these measures help in recovery with medicines.

Depression occur due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter. The same neurotransmitter is also responsible for impulsive behavior.

In drug treatment two types of medicine used. For immediate relief of anxiety symptoms benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect.

All these process is complex. I have just simplified it to make you understand it. We can not write drug name directly because of ethical reasons and treatment is highly individualized. Apart from that, get your Serum TSH (related to thyroid hormone) done as sometime thyroid problem can lead to such symptoms. But first step in your case is to visit psychiatrist.

Apart from above advice following simple measures will help you to some extent:
-Decrease worrying about symptoms as they will cure after treatment.
-Healthy diet: Milk and fruits in diet.
-Daily morning walk and breathing exercise.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ashish Mittal (2 hours later)
sir please i don't want to XXXXXXX directly to psychiatrist and please give me you medicines to me
doctor
Answered by Dr. Ashish Mittal (9 hours later)
Hello again,

Thanks for follow up,

I can understand, that sometime it become difficult to see doctor in presence of severe symptoms. You can take Tab OLEANZ PLUS after prescription, for two week, then must visit psychiatrist after some improvement as you need treatment for several months.

Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.

Wish you good health.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ashish Mittal (13 hours later)
sir please tell me for what should i take Tab OLEANZ PLUS and please tell me should i take this medicine for two weeks before going to a psychiatrist and please tell me sir how much should i take daily
doctor
Answered by Dr. Ashish Mittal (59 minutes later)
Hello again,

Thanks for follow up,

It is for Depression.

Go to psychiatrist first. If you can not, then take it for 2 weeks so that you have some improvement and become able to visit psychiatrist.

Take 1 tablet in night after 30-60 minute of dinner.

Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.

Wish you good health.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ashish Mittal (2 hours later)
Thank you sir, sir please again guide me on my main problem according to me since childhood, sir the problem is i feel often bisexual feelings sir i hate just hate this but don't know why this kind of stupid thinking i have to make , sir please tell me can i get rid of it i want to live a man life, sir some kind of tantrik said me that some evil sprit of woman on me sir please guide me i'll carry out your previous advises but help me more one time. thanks
doctor
Answered by Dr. Ashish Mittal (6 hours later)
Hello again,

Thanks for follow up,

You appear to having bisexual orientation from the information provided by you. Bisexuality is not physical and psychological disorders because of these laws are being change in all word gradually to provide it legal status. It is just a sexual orientation and does not related any evil spirit of woman.

Sexual orientation can be of three types:
•     Heterosexuality: liking for opposite sex
•     Homosexuality: liking for same sex
•     Bisexuality: comfortable with both sex

Prevalence of bisexuality is around 1-2% in India and in some western countries it is more than 3%. Sexual orientation cannot be change and as this is not a disorder, so do not worry about its treatment. But it is commonly associated with anxiety, depression, adjustment disorder, self harm and isolation because of social complication as you must have been facing. So stop accepting it as an illness and accept yourself as you are naturally.

Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.

Wish you good health.
Regards.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ashish Mittal

Psychiatrist

Practicing since :2004

Answered : 1859 Questions

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Anger, Stress, Panic, Anxiety, Social Isolation, Loss Of Confidence, Patience, Concentration, Fear, Rapid Heartbeat, Feminine Feelings, Pain In Left Breast. Treatment?

Hello,
Thanks for your query.

It is nice to see such a nice and precise description of your current suffering. From your history, it is clear that you have following symptoms:

•     Low mood, excessive stress
•     Loss of interest in previous pleasurable activities (anhedonia)
•     Socially isolating self, avoiding others
•     Frequent panic attacks
•     Fear of being mad
•     Loss of confidence
•     Excessive fear
•     Irritability, Anger
•     Guilt related to masturbation
•     Ideas of hopelessness (will not get well)
•     Pain in left breast.
•     Excessive worry and heart beats


Your case is not simple. Your current symptoms indicate towards the presence of depression and need urgent attention due severity. You should urgently XXXXXXX your psychiatrist.

Depression is not always situational (because of stress). Many times it is biological due to biochemical changes in brain. Such Depression does not improve by exercise or guidance or lifestyle modifications only but all these measures help in recovery with medicines.

Depression occur due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter. The same neurotransmitter is also responsible for impulsive behavior.

In drug treatment two types of medicine used. For immediate relief of anxiety symptoms benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect.

All these process is complex. I have just simplified it to make you understand it. We can not write drug name directly because of ethical reasons and treatment is highly individualized. Apart from that, get your Serum TSH (related to thyroid hormone) done as sometime thyroid problem can lead to such symptoms. But first step in your case is to visit psychiatrist.

Apart from above advice following simple measures will help you to some extent:
-Decrease worrying about symptoms as they will cure after treatment.
-Healthy diet: Milk and fruits in diet.
-Daily morning walk and breathing exercise.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,