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Hi, I Am Displaying Below Symptoms. Can You Please Clarify

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Posted on Sun, 12 Jul 2020
Question: Hi,
I am displaying below symptoms. Can you please clarify what I may have and provide a detailed explanation. Also, are you able to prescribe me medication for this?


•     Lack of motivation
•     Lack of energy all day
•     Bodily pain- not wanting to get out of bed
•     Drug addiction (marijuana)
•     Porn Addiction (I have been trying to get rid of it)
•     Can't get my career straight, I know how to do it, just can’t do it. Been trying to start a business but can’t seem to forge the energy, know how to do it and be successful
•     Recurring thoughts about my brother while I’m trying to sleep
•     Living by myself for 4+ years
•     Turned from extrovert to introvert
•     Traumatized childhood (father hit me a couple of times). My parents are narcissistic in nature and I’m turning into that which I don’t want to
•     I constantly think about them and want to please them. My relationship is codependent with them. I can’t make decisions myself broke up relationships just for them and went into social exclusion
•     I think I have become a narcist. I started doing well when I got into an argument with my friends and I started to do my own stuff. While I could notice that they were off.
•     Similar situation happened about 10 years ago with my father. I went on a loop of weight lifting. And then I stopped when I left the house in which my father resided.
•     I can’t keep track of simple things like my own finance. Forget to do stuff. Even if I know what I need to do, I put it off.
•     Looking for a sense of belonging with other people’s families. When I stayed with my family, my thoughts stopped racing so much. However, they start becoming abusive and guilt trip me so I tend to get angry at them and they kicked me out.
•     Always want to escape (rush) either the drugs or watching a movie
•     Whenever something touches me (emotionally), my body shakes/ hairs stand up. I have a fear of watching/ observing tough situations which make my hair stand up.
•     Clenched fists while trying to sleep, body is turned sideways. I can’t sleep on my back. Whenever, I exercised during the day, I felt much better. Now, Becoming very inactive.
•     I think I’m a scared big child inside and that’s why my body has not grown in size/ muscle mass
•     Can’t seem to stick to work? Feel like the next thing is better. Don’t feel happy for the current relationships I have.
•     Always looking for a sense of belonging in social settings while its supposed to be in a family setting.
•     Excessively moral
•     Indecision.
•     Always requiring reassurance for the work that I do. I look to others to live my life. I simply forget pragmatics.
•     Social Withdrawal. I withdraw myself from first being super friendly to taking a back seat. Now, everyone around me has Socially Excluded me (maybe Ive gotten aggressive, bitter)
•     Low self-esteem

doctor
Answered by Dr. Soujanya (15 hours later)
Brief Answer:
My suggestion.

Detailed Answer:
Hi,
Welcome to ask a doctor service,

I have gone through your query and can certainly understand your concern towards your symptoms.

I can see the list of multiple complaints in your query...feel sorry that you are suffering from these since long time.

Anyway, it seems to be the issues related to personality with strained relationship in childhood with substance abuse and depression.

I would like to advise you to start drugs like escitalopram, divalpraoate ER , an antipsychotic like sizodon plus .

These medications would help you better.

Before proceeding, need some more details about your marijuana consumption.

Since how long ? What was the initial quantity of consumption etc.

Looking forward for your reply.
Thank you.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Soujanya (10 hours later)
Hi Dr. XXXXXXX
Thank you for your sympathy Doctor. I don't want to live like this anymore. For the longest time, I could not even get the courage to reach out to a doctor. I have listed my symptoms below in the order in which they occurred. If you could shed some light on the exact disorder so I could read more about it? The marijuana usage at its peak was maybe around 5-10 joints a day. Maybe about 10 grams. The initial quantity was low, maybe around 1-3 grams.

Chronological Order of Events
1.     Traumatized childhood (father hit me a couple of times). My parents are narcissistic in nature and I’m turning into that which I don’t want to. My father would often ignore me when I was a child as a way to punish me. He kept this grudge going till date.
2.     My relationship has become codependent with them. I can’t make decisions myself. I broke up relationships just for them and went into social exclusion.
The above points) are where this all started.
3.     Porn Addiction (I have been trying to get rid of it). This started right around 7th grade which was about 13 years ago. It became an escape from my father’s mental torture.
4.     Always looking for a sense of belonging in social settings while its supposed to be in a family setting. Looking for a sense of belonging with other people’s families. Looked for it in social settings (for example, friends). When I stayed with my family, my thoughts stopped racing so much (a three-month period this year). However, they start becoming verbally abusive and guilt trips me so I tend to get angry at them and they kicked me out.
5.     Drug addiction (marijuana). This started around 1.5 years ago when I met a friend who does it. I was looking for a sense of belonging. Always want to escape (rush) either the drugs or watching a movie.
6.     Recurring thoughts about my brother while I’m trying to sleep. He died in a car crash about 6 months ago. I keep thinking that someone did this instead of coming to terms with it.

What would you say about the best type of therapy for this?
doctor
Answered by Dr. Soujanya (2 days later)
Brief Answer:
My suggestion.

Detailed Answer:
Hi,
Welcome back,

I have gone through your follow up query and can certainly understand your concern towards your symptoms.

Currently, you are suffering from multiple problems, but nothing to worry.

I would address your mood symptoms initially.

I can advise you to start on antidepressant like escitalopram and mood stabilizer like sodium valproate and some benzodiazepine with a small dose of antipsychotic.

This combination would help you better.

You can get prescription based medicine for this.

Once you get stable...it can be combined with psychotherapy and relaxation therapy.

Looking back for any queries.
Thank you.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Soujanya

Psychiatrist

Practicing since :2008

Answered : 709 Questions

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Hi, I Am Displaying Below Symptoms. Can You Please Clarify

Brief Answer: My suggestion. Detailed Answer: Hi, Welcome to ask a doctor service, I have gone through your query and can certainly understand your concern towards your symptoms. I can see the list of multiple complaints in your query...feel sorry that you are suffering from these since long time. Anyway, it seems to be the issues related to personality with strained relationship in childhood with substance abuse and depression. I would like to advise you to start drugs like escitalopram, divalpraoate ER , an antipsychotic like sizodon plus . These medications would help you better. Before proceeding, need some more details about your marijuana consumption. Since how long ? What was the initial quantity of consumption etc. Looking forward for your reply. Thank you.