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Mental Health Questions

Concerns About PBC and Heightened Anxiety

Hello Reddit medical community! I’m a 21-year-old transgender male, standing at 5’8” and weighing around 200 pounds. I've struggled with weight for most of my life but am now making significant strides to improve my health. During a physical examination in January, my doctor discovered some elevated levels in my liver enzymes, leading to a referral to a hepatology nurse practitioner. I had my appointment recently, and the NP diagnosed me with non-alcoholic fatty liver disease (NAFLD). Fortunately, I’ve managed to lose five pounds, and my liver enzyme levels have decreased. I feel optimistic about overcoming this condition. However, one of the tests indicated a positive result for anti-mitochondrial antibodies (AMA+). The NP suggested a liver biopsy, which is set for later this month. She also ordered an INR test to check for bleeding risks during the biopsy, and those results came back normal. Additionally, she ordered a retest for AMA, with the following outcomes: - Mitochondrial M2 antibodies: negative - Anti-Sp100: 0.6 / negative - Anti-gp210: 0.6 / negative - Bilirubin: 0.5 / normal - Alkaline phosphatase (ALP): 55 / normal I am currently experiencing no physical symptoms whatsoever. Unfortunately, the communication from the nurse practitioner has been quite lacking. I have reached out for clarification but haven’t received any reply. This situation has triggered significant health anxiety for me, which had been under control prior to these developments. I find myself questioning the necessity of the biopsy. As a college senior, I wish to focus on my studies rather than worry about my health. I keep fearing the worst, and the inadequate communication from my NP is not easing my concerns. I turn to the Reddit medical community for guidance, as my NP isn’t providing the support I need. I’m open to any questions you might have. Thank you in advance for your help!

InsomniaPsychologyAnxiety
Male25-34
35 minutes ago

Navigating a Manic Episode: Seeking Guidance

**Overview**: 19 years old, weight: 207 pounds. **Medical History**: Diagnosed with hypermobile Ehlers-Danlos Syndrome (hEDS), Postural Orthostatic Tachycardia Syndrome (POTS), Bipolar Disorder Type 1, severe depressive disorder, anxiety, asthma, tinnitus, restless leg syndrome (RLS), and post-traumatic stress disorder (PTSD). **Medications Currently Taken**: Effexor 225 mg, Prazosin 10 mg, Gabapentin 800 mg, Omeprazole 40 mg, Ondansetron 4 mg, Topiramate 25 mg, Concerta 54 mg, Linzess 72 mcg, Tamsulosin 0.4 mg, Pepcid 40 mg, Famotidine 40 mg, Ajovy 225 mg. For the past week, I've been in the midst of a manic phase. Sleep eludes me, and I feel an overwhelming surge of energy that feels almost explosive. During my last session, my therapist pointed out signs of hypersexuality, which only added to my anxiety. My parents found it necessary to temporarily suspend my card after I impulsively spent around $70 in under an hour on a trivial mobile game. I’m at a loss regarding what to discuss with my therapist. I recognize the need for assistance in managing my bipolar disorder, yet I'm gripped by the fear of being hospitalized. My senses are constantly heightened, and even the slightest physical change sends me into a panic, prompting endless searches online for potential issues. I’m uncertain about the types of therapy that would benefit me or if new medications specifically addressing bipolar disorder might be available.

Bipolar DisorderPTSDAnxiety
Male25-34
44 minutes ago

Confusion About Medication Dosage

Greetings! I hope this is appropriate to post here. While I didn’t find any mention of inquiries regarding medications in the guidelines, I might have overlooked it. I completely understand if this isn’t permissible. A bit about myself: I am 36 years old, 5 feet 3 inches tall, and weigh 120 pounds. My current medication regimen includes Adderall, Bupropion, Propranolol, Trazodone, and Methocarbamol. Tomorrow, I have an appointment with a doctor who has prescribed lorazepam to help alleviate my anxiety about the visit. The prescription is for 0.5 mg tablets, and I have three in the container, with instructions to take one every four hours for a single day. However, I feel the dosage instructions may not apply well to my situation. My appointment is scheduled for 8:45 AM, and it seems impractical to take one tablet every four hours leading up to that time. I would have reached out to the doctor for clarification, but it’s Sunday, and I just now checked the bottle. The clinic opens too close to my appointment to consult them directly before I need to arrive, and I’ve read that it’s advised to take the medication beforehand. My primary concern is avoiding either an inadequate or excessive dose, as my anxiety about the situation is already elevated. Previously, I used to take Xanax and Klonopin for years, which led to a high tolerance, but it has been over a year since I last used benzodiazepines, so I assume my tolerance has diminished. Additionally, the doctor has provided a lower dosage of Methocarbamol than my current intake for muscle discomfort, which was discussed before we decided on the anxiety treatment. I’m seeking guidance on the appropriate dosage of lorazepam to take and the timing for it. Also, I would appreciate any information regarding its safety in conjunction with the muscle relaxant. Thank you for taking the time to read this!

AddictionPsychiatryAnxiety
Male25-34
44 minutes ago

Seeking Advice for Serious Health Concerns

I'm a 17-year-old male, standing at 5 feet 4 inches tall and weighing 136 pounds, and I’m looking for some guidance regarding my health right now. To give you a quick background, I have used approximately 20 to 25 vape cartridges in my lifetime. After emptying each cartridge, I would often find residual oil. Unbeknownst to me, I frequently used a lighter to heat those leftover contents, which resulted in bubbling on the sides of the cartridge. Occasionally, I even noticed black residue, but I continued this practice without understanding the potential risks involved. In hindsight, I realize I was likely inhaling toxins, such as burning plastic, butane, and possibly heavy metals, as I repeated this process with around 15 to 20 cartridges, hitting them several times over the course of about two months. Now, I am grappling with significant regret, as I believe this behavior has had detrimental effects on my health. I’ve also lost my sense of taste and smell around the time I started this practice, and I’m worried that it might be linked. Currently, I experience a complete lack of thoughts—yes, you read that right—an absence of any inner dialogue. This has made it exceedingly difficult for me to engage in conversations, even with my own family, since I often struggle to articulate my thoughts clearly. My creativity has diminished significantly, and it feels as if I can no longer visualize ideas in my mind. I often speak impulsively, blurting out whatever comes to mind without thinking it through. This situation is entirely out of character for me, and I can’t shake the feeling of intellectual impairment, as if I’m functioning at a diminished capacity. I'm concerned that my inhalation of harmful substances could have caused lasting harm to my brain. Additionally, I sometimes experience discomfort in my upper back, though I'm uncertain if it’s connected to my lung health, as I rarely feel pain in my chest. With each deep breath, I can hear my back pop, accompanied by persistent upper back discomfort. I find myself at a loss, unsure of how to mend my health if recovery is even possible. I sincerely seek your help and advice on how to move forward. Living like this is not something I can bear, and any information or assistance would be immensely appreciated. Thank you all for taking the time to read this and for any guidance you may offer.

AddictionAnxietyDepression
Male25-34
55 minutes ago

Experiencing Fear During Pregnancy: Is It Typical or a Cause for Concern?

At 23 years old, standing at 5'5" and weighing around 125 pounds, I am currently seven weeks along in my first pregnancy. I do not smoke, drink, or have any significant medical issues, and I reside in Algeria. Although I have a history of anxiety, including health-related worries, I have never felt so incapacitated by my fears until now. Since discovering my pregnancy, I have been plagued by persistent thoughts of my own potential death—not that of my baby. My mind has been consumed with researching conditions like preeclampsia, hemorrhaging, blood clots, and other rare complications. Even during moments when I am not actively searching for information, these thoughts remain at the forefront of my mind, making me feel as if my body is on the verge of crisis. While my husband is aware of my anxious tendencies, he is unaware of the severity of my feelings. I have not shared with him the dark thoughts I’ve entertained about possibly terminating the pregnancy—not because I don’t want this child, but out of fear that I won’t make it through. I worry that revealing this would devastate him, especially given his joy upon learning about the pregnancy. This has led me to isolate myself; I haven’t confided in anyone else about my worries due to feelings of shame over my thoughts. With my initial obstetric appointment approaching next week, I am filled with dread—afraid that they might discover something wrong or that I might hear news that exacerbates my fears. Am I experiencing typical pregnancy-related anxiety, or should I genuinely be alarmed by these thoughts? I am desperate not to carry this burden for the duration of my pregnancy. I am uncertain about the support I need, but I do recognize that my mental state is troubling me.

PTSDAnxietyDepression
Male25-34
1 hour ago

Seeking Guidance While Struggling with Severe Health Issues

In May, I made the decision to leave my job due to not feeling mentally well and experiencing significant energy challenges—considering the nature of my work, it was a necessary choice. Initially, I explored various treatments for depression, but they proved ineffective. Unfortunately, my condition has deteriorated over time, with a noticeable decline occurring in the past few weeks. Currently, I am grappling with profound fatigue, feeling exhausted throughout the day, a marked decrease in my strength, and cognitive fog that feels unusual for my age. I often find myself in a confused state, and I can only describe my overall sensation as feeling ungrounded. Additionally, I experience persistent itching, break out in hives after scratching, and often feel dizzy when I move. At 22 years old, I should be thriving, yet I genuinely feel as though my health is in crisis. I have undergone two Lyme disease tests and one Epstein-Barr virus test, all from home kits, alongside extensive blood work and a sleep study, but results have mostly been negative. Recently, I connected with some healthcare professionals who seemed genuinely invested in my situation, and they recommended further testing. The results indicated an ANA titer of 1:80 with a homogeneous pattern, along with AST levels at 43 and ALT at 79. However, these findings can be inconclusive and do not necessarily point to a specific problem. I am currently awaiting results from an ANCA test and have an appointment scheduled to discuss everything. As I brace myself for what might happen during the upcoming consultation, I can't shake the feeling that it may unfold as all my previous experiences have: leading to more tests without substantive answers. I truly feel dreadful; this ongoing ordeal has significantly impacted my life, and I am reaching out for any insights or suggestions you might have. To share a bit about myself, I am a 22-year-old male, weighing 160 lbs, standing at 5'10", and I currently take no medications and do not smoke. Aside from the previously mentioned blood work results, everything else came back normal. Should you need additional information about my tests, please feel free to ask. Thank you for any assistance you can offer; I'm earnestly yearning to reclaim my sense of normalcy and be able to engage in life once more.

InsomniaAnxietyDepression
Male25-34
1 hour ago

Five Months of Severe Mental Fog

I’m a 21-year-old female, standing at 5 feet 4 inches and weighing 115 pounds. My current medication includes Lexapro, which I initially began taking at a dosage of 5mg in March 2025 and increased to 10mg as of May 21, 2025. Honestly, I’m grappling with substantial mental health challenges, including major depression, agoraphobia, generalized anxiety, social anxiety, and OCD. After returning from my sophomore year of college in May, where I faced bullying, I began preparing for the upcoming fall semester. However, I was struck by an overwhelming wave of depression that felt immobilizing. I was in such a low place that I completely overlooked the option of reaching out to my doctor via telehealth, a method I had previously relied on consistently. Despite my struggles, I attempted to push through, but this only exacerbated my situation. Over the course of five months, I found myself initiating various activities but failing to see them through. I even enrolled at two different universities while neglecting to focus on my junior year at my original college. In an unusual turn for me, I started attending church regularly, a practice I had never engaged in before. Additionally, I missed numerous job opportunities because I was too incapacitated to click a link to apply. Even simpler tasks, like sending an email or making a quick phone call to my former employer for potential rehire, eluded me. I went through interviews only to ask irrelevant questions and missed basic inquiries like, "Could I have your contact information?" or "What hours are available for work?" I repeatedly forgot about a job opportunity I already had lined up—making just one phone call could have secured it. For months, I found myself locked in conflicts with my parents about the necessity of returning to school. Each time I reached out to the school, I'd become sidetracked by other commitments. For example, I would prioritize a work-related test recommended by my dad, neglecting the crucial call I needed to make regarding housing at my school. It felt as though I was in a constant state of forgetfulness, frequently voicing my frustration about my absent-mindedness, setting reminders that went unheeded, and continually overlooking my obligations. By the time I realized a deadline had passed, I often ended up canceling opportunities I truly desired. I even stopped writing to-do lists, an activity I used to relish and which was typically a staple in my life. I used to cover my walls with sticky notes filled with tasks, but I fell out of that habit for months, as if I had completely forgotten the straightforward solutions to my challenges, almost as though I had never encountered them before.

OCDAnxietyDepression
Male25-34
3 hours ago