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Mental Health Questions

Navigating Alcohol Consumption While on Antidepressants

I am currently prescribed Escitalopram at a dosage of 10mg and Trazodone 50mg, which I take before bed for my mental health. Additionally, I use Clonazepam to help manage my anxiety. Earlier today, I joined a few friends for a social gathering where we had some drinks. I informed them that due to my medication, I usually avoid alcohol; however, I opted to have a single beer so I could participate in the festivities without feeling out of place. Now, approximately three hours later, I do not sense any lingering effects of alcohol. If there were any, they are quite subtle. My question is: Is it safe for me to take my medications in light of this?

AddictionAnxietyDepression

Male • 25-34

10 minutes ago

Concerns About Potential Brain Damage at 16

To begin, I’d like to clarify that I’m currently located in Europe, where I observe that many individuals in my environment engage in more extreme behaviors than I do, even as I strive to partake in social activities without crossing the line into recklessness. My journey with alcohol commenced at the age of 14, albeit in a very mild manner. By the time I turned 15, I started drinking more regularly, making sure to space out my experiences approximately weekly to monthly, totaling around ten instances of intoxication. Notably, I noticed I had an adverse physical reaction to alcohol—specifically, skin flush the following day—which prompted me to transition to cannabis as it felt easier on my body. I limited my cannabis use to weekends while adhering to similar spacing, with one exception. At 16, I found myself smoking almost every day for a week after a particular incident, but I was able to regain control thereafter. When I was 15, I also experimented with psilocybin mushrooms on two occasions, which proved to be positive experiences and made me realize I needed to cut back on alcohol consumption. Recently, I had a successful experience with 150 micrograms of LSD after careful preparation. This evening, I intend to consume half an edible instead of resorting to drinking or smoking, aiming to increase my intervals between substances to once a month at a minimum while maintaining a healthy lifestyle as an athlete. Despite my efforts, my naturally anxious disposition makes me concerned about anything that may cause irreversible damage to my brain, including, for instance, excessive screen time. I would greatly value insights from professionals regarding these worries. For context: I’m 16 years old, assigned female at birth but have been on testosterone for seven months, standing at 5'4" and weighing 125 pounds.

AddictionAnxietyDepression

Male • 25-34

50 minutes ago

Concerns about HSV Transmission During Nasal Suctioning for My Baby

Recently, I experienced my first cold sore at the age of 29, appearing at the edge of my lower lip. With a three-month-old infant, I have been particularly cautious, believing that the herpes simplex virus (HSV) is transmitted solely through direct contact. I made sure to avoid kissing my baby and kept my distance. On her three-month birthday, she woke in the early morning with significant nasal congestion. Feeling exhausted, I instinctively reached for the Frida nasal suction, my usual go-to in such situations. While using the device, I made sure my cold sore was not in contact with it. Typically, I only use the suction in her nostrils, afterward blowing air onto my hand to check for any mucus and then continuing the process. However, as I performed this task, I began to question whether I was potentially spreading the virus; my research revealed that HSV can indeed be transmitted through saliva. Although most of my usage was suctioning, I realized I had occasionally blown into the tube to assess its effectiveness before resuming suction. Naturally, I'm feeling anxious and regretful for not thoroughly considering the risks involved. Additionally, I learned that my illness may have contributed to my cold sore, and now I suspect my baby may also be coming down with something—her first cold has me quite worried. I took precautions by wearing a mask, and throughout the week, she seemed unaffected. Being a breastfeeding mother, I hope she has received ample antibodies to help her. I would greatly appreciate any insights on whether I need to be alarmed or if there are specific signs I should monitor. Thank you for your assistance!

InsomniaAnxietyDepression

Male • 25-34

1 hour ago

Dismissed as a Patient After 26 Years

For the past 26 years, I’ve been a patient at the same medical office, practically since the moment I entered this world (or rather, since I began my existence). Admittedly, I did transition from a pediatrician to a general practitioner when I turned 18, but I’ve mainly seen the same doctors throughout my life, including a general physician and a sports medicine specialist. During this extensive period, I have only missed a couple of appointments—perhaps just two in total—which seems quite reasonable considering I’ve had numerous check-ups and consultations due to various health issues, largely stemming from accidents and injuries. It’s not uncommon for someone like me, who tends to be accident-prone, to have over a hundred visits in nearly three decades. However, I recently discovered that I’ve reportedly missed three appointments in the span of six months. This unexpected revelation is frustrating, as those missed appointments occurred while I was recovering from orthopedic surgery following a significant work-related accident—I tumbled two stories off a ladder, highlighting my tendency for mishaps. The appointments I failed to attend were routine check-ups with my general practitioner, my sports medicine doctor, and a blood test. Unfortunately, they all coincidentally fell around the same period just after my surgery. I learned about the need for the surgery only a few weeks ahead of these scheduled appointments, and post-surgery, mobility was a challenge. I had asked my husband to cancel them on my behalf, but he neglected to do so—an oversight we share. While I take some responsibility for not ensuring the calls were made, I was heavily medicated with prescribed pain relief at the time. Despite my generally good attendance record, this series of missed appointments led to my dismissal as a patient. Today, when I contacted the office to request a refill for a chronic medication unrelated to the surgery, I was informed that I can no longer receive care there, as I was discharged as a patient back in early January. This came as a shock, especially since they had filled a different prescription for me just weeks ago without any issues. It raises the question: how can they discharge me and then assist with a prescription shortly before? I’ve been on the same medication for over seven years, and I am not asking for anything out of the ordinary. If they want to sever ties after 26 years, I’m willing to find another provider, but it feels absurd to deny me vital medication after such a long-standing relationship. Is this a common practice? When I explained my situation—politely and respectfully—the response was still a firm refusal to refill my prescription. My discussions were limited to administrative personnel, leaving me at a loss about my next steps. I’ve always been a reliable patient, with the exception of these recent three appointments occurring immediately after the surgery. The urgency of my medical needs can’t be understated: I am in need of key prescriptions and follow-up care due to significant health concerns from my recent injury, numerous corticosteroid injections, and a positive result from a cancer screening test. Although statistics suggest the probability of a false positive at my age, it still necessitates thorough follow-up, especially given my family's history of this condition. For the past week, I’ve reached out daily, always with courtesy, yet I’ve received no resolution, just the run-around among various office staff. They mentioned they sent me a letter to inform me of my dismissal, yet I never received a call, email, or any subsequent communication. One single letter does not suffice to terminate a patient’s long-term relationship with their medical practice, especially when it involves critical prescriptions and post-surgery care. Is this standard protocol? I cannot stress enough that I am not embellishing my situation. With an almost flawless attendance record and a recent misstep due to surgical recovery, being abruptly cut off feels excessive. I truly appreciate my general practitioner, need my medication, and face a myriad of concerns—from continuity of care to other pressing health issues—which makes this entire experience deeply troubling and perplexing.

PsychiatryTherapyDepression

Male • 25-34

4 hours ago

Uncertainty Surrounding My Health Incident

I am a 15-year-old girl currently battling a cold, and I also have a confirmed diagnosis of Ehlers-Danlos syndrome. Additionally, I suspect I may have POTS, although that's not officially confirmed. Earlier today, I got up to visit the bathroom, which requires navigating around twenty steps from the living room. As I stood up, I noticed my vision starting to blur, but that’s a familiar sensation for me, so I didn’t think anything was amiss. Upon reaching the bathroom, my eyesight faded to complete darkness. Losing my sight entirely isn’t unusual for me, and while frustrating, I merely found it bothersome rather than alarming. Once inside, I turned on the light, and although I couldn’t see it illuminating the room, I heard the click of the switch, indicating it was on. I then attempted to locate the sliding door to close it. However, I misjudged the doorway completely on my first try. I felt it was odd, yet I dismissed it and tried again, but I encountered the same issue. After my second attempt, I experienced significant trembling in my limbs, so intense that I realized I was on the verge of falling. To prevent that, I quickly lowered myself to the floor, remaining blind to my surroundings. After about five seconds, my vision began to return, and I noticed my legs were still shaking. A few seconds later, the shaking subsided, and I regained control over my body. I stood up right after, feeling relatively assured that it wouldn’t happen again, but I opted to sit for safety's sake. This event occurred just a couple of hours ago, and thankfully, it hasn't recurred. Although my vision tends to dim when I stand, that is a typical occurrence for me, and I’ve since retained partial sight. I did not lose consciousness during the incident and have clear memories of the entire experience, without confusion or disorientation afterward. Notably, epilepsy runs in my family; my aunt has it, and my mother’s cousin experienced several seizures a few months back, although he hasn’t had any recently. Personally, I have never fainted, though I’ve come close multiple times. It’s important to mention that I’ve never experienced a seizure before, and I remain uncertain whether what transpired was a seizure or something different altogether.

InsomniaAnxietyDepression

Male • 25-34

4 hours ago

Navigating the Fine Line Between Anxiety and ADHD: Seeking Insights on Dual Diagnoses

At 28 years old, I find myself seeking a better understanding of whether my primary challenges stem from anxiety, ADHD, or perhaps a combination of both. From a young age, I have experienced difficulties with focus, restlessness, impatience, and discomfort in social situations. These challenges didn’t suddenly arise in adulthood; instead, I recall struggling to pay attention in class, often needing to reread material multiple times. I frequently felt as if my brain was racing, easily becoming overwhelmed by background noise, conversations, or any form of pressure. Currently, reading continues to be a struggle, as I often rush through texts without fully absorbing the information. The same pattern emerges in tasks like problem-solving and programming—I require repeated attempts to truly grasp the concepts. In addition, I have dealt with considerable anxiety throughout my life, characterized by fears of being judged, persistent worry, heightened alertness, compulsive behaviors like constant checking, and physical manifestations such as agitation and a racing heart. After consultations with various healthcare professionals, I was diagnosed with anxiety, leading to medication that I began taking about a year ago. This treatment alleviated some fears and allowed me to function better, yet the fundamental challenges related to focus, motivation, impatience, and mental agitation persisted. When I abruptly halted the medication, my anxiety symptoms returned with a vengeance. My current psychiatrist initially viewed my situation as stemming from anxiety and traits of OCD, recommencing treatment for anxiety. However, by our third appointment, considering my symptoms have been present since childhood and the anxiety treatment only provided partial relief, he proposed that ADHD might be the root issue, suggesting that anxiety could possibly be a secondary concern. Thus, I am now prescribed medications addressing both anxiety and ADHD. What complicates my understanding is the significant overlap in symptoms: - Persistent mental restlessness and a sense of being "on edge" - Challenges in maintaining attention and completing tasks - Low drive, tendencies to avoid tasks, and procrastination - Social anxiety coupled with fear of judgment - Feeling overwhelmed by sounds, conversations, or stressors - Anxiety medications mitigate fear but do not resolve focus issues or cognitive restlessness I seek clarity on the following questions: 1. How do medical professionals distinguish between adult ADHD and anxiety disorders when the symptomatology is so intertwined? 2. What methods can help determine if ADHD is the primary issue rather than anxiety taking precedence? 3. Is it typical for ADHD, particularly when undiagnosed since childhood, to predominantly manifest as anxiety in adulthood? 4. How can one assess whether ADHD medication is effectively making a difference, especially with concurrent anxiety symptoms? Any professional insights on delineating these conditions in adults—especially when their roots appear to date back to childhood—would be immensely beneficial. Thank you for your attention and assistance.

ADHDOCDAnxiety

Male • 25-34

4 hours ago

Severe Pain and Dryness in Hands and Toes: A Continuing Struggle

Subject: Ongoing Hand and Foot Discomfort – Seeking Insight Greetings, medical professionals, For the past several months, I have been dealing with distressing symptoms affecting my hands and feet, and I'm eager for some clarity. I have appointments lined up with an allergist and a dermatologist, but I won’t be able to see them for a few months. My previous tests for autoimmune conditions came back negative, though my ESR levels were elevated. Currently, I’m suffering from significant pain in my toes, resembling joint discomfort. Additionally, both my hands and feet appear swollen, especially with pressure applied. Some fingers have remained swollen for several weeks. According to my recent lab results: - A Complete Blood Count (CBC) revealed chronic anemia, although it has improved since the last test. - A Comprehensive Metabolic Panel (CMP) indicated slightly elevated liver enzymes, with plans to recheck in three months. - However, my Glomerular Filtration Rate (GFR) indicated normal kidney function, while ESR results suggest mild inflammation. - Further laboratory results are pending. Moreover, I have noticed extreme dryness in my hands, characterized by peeling and cracking skin. Random bumps have developed on my knuckles, and the itchiness has become unbearable. The sequence of symptoms seems to transition from intense itching to swelling and redness, ultimately leading to dryness, which has persisted since November. I received a seven-day course of steroids for my asthma, which initially facilitated improvement but the symptoms returned, even exacerbated, once the treatment ended. Currently, the issues have spread to my feet, with severe pain specifically in my big toes and discomfort in all of my fingers. My left index finger has been particularly troubling; it became swollen and limited in movement after I attempted to point at something. This relentless cycle of pain has been incredibly draining. Even light pressure causes discomfort due to the pain within my skin and bones. I've experimented with prescription steroid creams, cortisone treatments, and various over-the-counter ointments, but none have provided relief. Since mid-December, breathing has also posed challenges for me. Although I have a rescue inhaler, I haven’t been able to utilize my maintenance inhaler as I am currently nursing, due to potential transfer into breast milk. Additionally, I should mention that the previously mentioned index finger has shown signs of nail pitting near the cuticle, which has also become inflamed, dry, and itchy, alongside my other cuticles. This is quite unusual for me, as I have never experienced dry hands before this episode. I have not introduced any new soaps or cleaning agents into my routine. Any insights or recommendations regarding these symptoms would be greatly appreciated as I navigate this challenging time.

InsomniaPsychiatryStress

Male • 25-34

5 hours ago

Should I Be Worried About These Symptoms?

I frequently use Q-tips to clean my nostrils due to my septum piercing, and I’ve noticed a brownish-black substance in my left nostril, while my right nostril produces thick, clear mucus. It’s a bit embarrassing, but I suffer from chronic mucus, which has darkened over time, along with post-nasal drip that’s led to persistent bad breath. Additionally, I deal with a dry mouth, and my tongue often appears coated in a brown and white film. Inside my mouth, I have sores and red spots, and my skin peels, problems that seem to linger without resolution. Swallowing food can be difficult, occasionally requiring me to cough up what I’ve eaten because it feels stuck. My throat makes gurgling sounds, and I constantly have the sensation that something is lodged in there. Recently, my voice has taken on a raspier tone, and I’ve noticed tenderness and swelling around my lymph node on the right side of my throat. At 23 years old, standing 6’4” and weighing 130 pounds, I’m struggling with unintentional weight loss. No matter what dietary approach I adopt or how much I consume, gaining weight remains elusive. I smoke approximately 12-15 cigarettes daily. I’m uncertain whether my symptoms are alarming or merely a consequence of my smoking habit. With a $3,600 health insurance deductible that has just reset, visiting a doctor is currently beyond my financial reach, which is why I decided to seek advice here. Thank you for taking the time to read this. I apologize for the lengthy message.

PsychiatryAnxietyDepression

Male • 25-34

6 hours ago

Seeking Support for Unique Mental Health Journey

I’m a 20-year-old male standing at 6 feet tall and weighing 230 pounds. After spending over seven years in isolation, I’m now embarking on the path to recovery. However, I find myself intrigued about whether there are particular brain specialists who might be interested in examining a case such as mine. It seems that I’ve heard of others in similar situations receiving attention and even compensation for participating in studies. Does anyone have insights on whether this could be a viable option for someone in my circumstances?

PsychiatryAnxietyDepression

Male • 25-34

6 hours ago

Experiencing a Manic Episode Despite Medication: Is This Typical?

Age: 38 Gender: Male Height: 6’5” Weight: 225 lbs Ethnicity: Caucasian Duration of Symptoms: I began experiencing manic symptoms in November. I have a bipolar diagnosis that dates back to when I was 16 years old. Location: Pennsylvania Pre-existing Health Conditions: Diagnosed with Bipolar 1, ADHD, anxiety, and an eating disorder. Current Medications: Currently prescribed include: Lurasidone HCl 60 mg tablets, Doxepin HCl 6 mg tablets, Lithium 300 mg, Lisdexamfetamine 70 mg, Zolpidem 12.5 mg controlled-release, Pregabalin 225 mg, Jardiance 10 mg, Lisinopril 10 mg, Naltrexone 50 mg, Mounjaro 15 mg/0.5 mL solution, and Topiramate ER 200 mg, along with Atorvastatin 20 mg. I hope I’ve followed the guidelines for this post. I’m currently enduring a manic episode. It began with symptoms such as restlessness, excessive irritability, racing thoughts, impulsive spending, and rapid speech. Now, I’m facing the aftermath with symptoms of profound depression, thoughts of self-harm, very low energy, and ongoing irritability. I'm quite disheartened as my medication regimen seems ineffective in preventing this episode. Should I reach out to my physician to discuss adjusting my medication or increasing the dosage? It feels like my lithium intake is relatively low at 300 mg taken three times daily. Is it frequent for someone to experience a manic episode while on multiple types of medication, particularly a combination like lithium, Lurasidone, and Doxepin? The Lisdexamfetamine I’m taking is aimed at managing ADHD and my eating issues. Any advice or insights would be immensely valuable. Thank you!

Bipolar DisorderPsychiatryDepression

Male • 25-34

7 hours ago

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