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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Therapy For Anxiety & Stress

I'm 20 years old, suffering from the following symptoms,

constant anxiety
Lack of ability to process any feelings,
fear of silence in social situations,
MAIN PROBLEM sexual problems including erectile disfunction and loss of libido,
unable to concentrate on one thing,
always thinking about at least 3 things at once,
feel like i cant swich off,
no desire to sleep,
easily agitated/irritated,
mood swings,
and other symptoms.

My friends and co-workers seem to think I have A.D.D. for a while I thought it was depression, was put on Cymbalta but that caused a complete loss of sex drive and was causing problems in my relationship. most of the time i just feel like I cant feel anything and I cant switch off... please help.
Mon, 15 Dec 2014
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Psychiatrist 's  Response
Hello thanks for asking from HCM

The symptoms like constant anxiety, poor feeling or apathy, abnormal in social situations, erectile dysfunction, poor libido, poor concentration, repeated and excessive thinking, poor sleep, irritability, mood swings etc are most likely due to depression. ADD have main features related to poor concentration only. Consult a psychiatrist for treatment of these depressive symptoms.
As cymbalta or duloxetine caused the sexual side effects other anti-depressants which are relatively safe in sexual dysfunction like Bupropion, Mirtazapine etc can be used. These drugs helps in improvement of symptoms and also don't cause sexual side effects.
Consult a psychiatrist for prescription.

Thanks, hope this helps you.
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Suggest Therapy For Anxiety & Stress

Hello thanks for asking from HCM The symptoms like constant anxiety, poor feeling or apathy, abnormal in social situations, erectile dysfunction, poor libido, poor concentration, repeated and excessive thinking, poor sleep, irritability, mood swings etc are most likely due to depression. ADD have main features related to poor concentration only. Consult a psychiatrist for treatment of these depressive symptoms. As cymbalta or duloxetine caused the sexual side effects other anti-depressants which are relatively safe in sexual dysfunction like Bupropion, Mirtazapine etc can be used. These drugs helps in improvement of symptoms and also don t cause sexual side effects. Consult a psychiatrist for prescription. Thanks, hope this helps you.