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Suggest Treatment For Insomnia, Paranoia And Heart Palpitations

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Posted on Tue, 18 Nov 2014
Question: Rdw:15.3, b12: 312, rbc:4.36, bun ratio 9:1 I have prolonged insomnia w/ paranoia increased irritability heart racing no appetite fainted twice this month please help
doctor
Answered by Dr. Srikanth Reddy (12 minutes later)
Brief Answer:
Clarifications

Detailed Answer:
Hello,

Thanks for using health care magic for posting your query.

I have gone through your question in detail and I can understand what you are going through.

However I would require a couple of more details to help you in answering your query in a better justified way.

1. Since how long are you having these symptoms?
2. Any substance use?
3. Are you on any psychotropics?

Hope to hear from you at your earliest convenience.

Regards and wish you good health,



Dr. Srikanth Reddy MD


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Srikanth Reddy (6 minutes later)
Ive been been having some of these issues for a while just not as bad such as fainting which only occurred if i got over heated for 9 years now 4 months ago rdw showed at 15 insomnia happened often but resulted in sleep the next night in XXXXXXX i started taking methylphendiate er conerta generic for add diagnosed at age 6 which was not pleasant at all and as of today have stopped taking due to high anxiety and emotional destress
doctor
Answered by Dr. Srikanth Reddy (3 hours later)
Brief Answer:
Depression it could be

Detailed Answer:
Hello
Your reports are more or less quite normal. Even if some of them are outside normal range, they are not pathological. Your ADHD symptoms may be present since childhood but the current symptoms that you are having are not related to the ADHD.
From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep.
If you are averse to the drug therapies then there is also an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy
                                        
Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Srikanth Reddy

Psychiatrist

Practicing since :2007

Answered : 2770 Questions

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Suggest Treatment For Insomnia, Paranoia And Heart Palpitations

Brief Answer: Clarifications Detailed Answer: Hello, Thanks for using health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. However I would require a couple of more details to help you in answering your query in a better justified way. 1. Since how long are you having these symptoms? 2. Any substance use? 3. Are you on any psychotropics? Hope to hear from you at your earliest convenience. Regards and wish you good health, Dr. Srikanth Reddy MD