24F, USA. This is my last question here, I promise. I formerly had a psychotic break (December ‘22), but recently recognized the symptoms I had last time are coming back. I plan to seek treatment ASAP, but I’m just starting a new job and they want me to wait 90 days before I can start my health insurance.

Last time my early symptoms lasted like eight/nine or so months before I entered acute psychosis, they just gradually got worse. I think I have time.

Is it safe to wait? Is the early stage always the same length? If I enter acute psychosis, but I’m not a harm to myself/others, can I continue to wait? Idk what else I could do because I won’t have insurance and I don’t have a lot of money. Any advice welcome!

I'm hoping someone might have an idea. My doctors are unsure, and I can't find answers.

How can a patient show objectively significant improvements in their depression, while subjectively “feeling” just as depressed? That doesn’t make sense.

I'm a 35yo male with ADHD and BP2. My bipolar started around 18yo, and it’s just constant depression with the occasional mixed hypomania. Two major symptoms of my depression are over-eating and being late to work.

My depression is drug-resistant, so a year ago I decided to try ECT. I’m a rapid responder, but also a rapid relapser. One session of ECT can stop my depression, but within 2 weeks it’s back. So, I do maintenance ECT every 2-4 weeks.

Since starting ECT, I’ve stopped over-eating, lost 30lbs, and still slowly losing more. What’s crazier is I haven’t been late to work. I don’t think I’ve ever had a year of perfect work attendance. These are objectively significant improvements in my depression.

So, I'm seriously perplexed by the fact my depression can still “feel” just as strong. It still gives me random nights of sobbing while performing the same stupid half-assed suicide attempts ... but I’m not late to work the next day, nor shoveling food into my mouth in a vain attempt to feel better.

I take a very, very small dose of an antipsychotic. I have been on many anti-psychotics, and I always respond quickly and dramatically to a small dose, usually under a therapeutic level. As a side note, I also get the corresponding side effects at a low dose too.

In the past when I have not been on medications, I can be perfectly fine and even thriving for months, or I can be extremely symptomatic including delusions and a high level of suicidality. I have been told that the potential severity of symptoms while off medications and the quick response when going back on them indicates that I will probably have to be on them forever.

However, I am curious whether that is the case. If tiny doses of medications have such a dramatic effect, wouldn't I be more likely to be able to find non-pharmaceutical strategies that could replace the meds eventually?

Hi everyone,

I am reposting to hopefully get some additional insight:

This is my first post ever on Reddit, but I need to know something about your experiences with Luvox/fluvoxamine. My son was taken to a behavioral health hospital at the beginning of March. He was having some issues with impulsiveness. He had been diagnosed prior to this stay with ADHD, ODD, Borderline Intelligence Functioning, a sensory disorder, depression and anxiety.

He has been through the ringer over the past 7 years with his mental health with several other hospital stays for his mental health, along with nearly two years going between a PRTF program and spending time in juvenile detention.

So with this latest stay at the behavioral health hospital, they stated they felt he was OCD and started him on Luvox/Fluvoxamine. I was fine with it, but they really didn't give me any context or insight on what some side effects will be.

They released him from the hospital after being there for a total of 7 days, and only starting the Luvox/fluvoxamine a few days prior to his release. In less than a week after being released, he had a significant issue. Issue doesn't even begin to touch the tip of the ice burg. He ended up holding a giant carving knife to his dad's throat while he was sleeping (with me in the room too). He then decided to "wait to kill his parents" and assaulted my daughter instead. By the grace of God, my husband heard something and was able to intervene. I called the police and he was arrested and taken to JDC.

It has been an awful, heartbreaking ordeal. My son faces 4 first degree felonies. He is 16 years old and faces life in prison for his actions that night. I have been wracking my thoughts and so has my husband, we are trying to see what would have triggered such horrific behavior. It is not in his nature. My son has a past of familial trauma that stems from an Uncle. We have prioritized his mental health ever since he was 9 years old when the trauma came to light.

Then...I had a thought. I didn't even consider it could be a side effect of Luvox. What are your opinions? Does it even make sense?

I would love to hear only caring and compassionate factual responses, thank you for your care and consideration.

About 7 years ago I had a really bad LSD trip. My friend had convinced me that cars were following us and that people were stalking us. As the trip continued, he started talking about how it wasn't really us having the conversation but rather it was spirits speaking through us.

After the whole experience I was definitely shook. I had nightmares and flashbacks for months. I started isolating quite a bit.

Over time I starting becoming very depressed and confused. I would be hanging out with friends and I wouldn't be able to understand why they were laughing. As time progressed I started looking into conspiracy theories and had convinced myself that the religion I was brought up in had secret illuminati agents within it. When members waved or made gestures towards me I felt like they were revealing themselves as members of the secret organization.

Around this time I also started becoming suspicious of those around me thinking that my girlfriend was cheating on me at the time with a co-worker that she spent a lot of time with. I would see "signs" and clues. I felt like her co-worker was using some sort of black magic (it didn't help that he had occult type tattoos on him).

At my darkest depressed state I felt like there was some kind of hidden portal or way out of this world that I wanted to find.

Fast forward to today, my psychiatrist wants to hold off on any antipsychotics but wants me to try an SSRI instead.

I don't experience as strong of delusions anymore but I do see bugs out of the corner of my eyes sometimes, cats running past my vision for a split second, experience anhedonia/lack of pleasure & motivation, and general irritability and anxiety/depression.

My schizophrenia diagnosis was removed as my psychiatrist told me that he's always been very doubtful and doesn't think it should be on my medical chart at the moment.

My therapist who I started working with 3 months ago (I told her about my past delusions and experiences) thinks that I suffer from depression w/Psychotic Features.

If a psychiatrist can PLEASE give some input here it would mean the world to me. I know it's limited what you can observe as it's an online platform but any input would be greatly appreciated.

I need to get to the bottom of what disorder that I have so it can get proper treatment. Monotherapy with SSRI's only made me more delusional and spacey in the past (although they did boost my happiness a bit) and my psychiatrist is against antipsychotics saying that they are too serious for my case.

I really need help so I can get out in the world and hold down a job again. Thank you.

Can Qelbree worsen my anxiety

I have either Depression w/ Psychotic Features, Bipolar 2, or Schizoaffective Disorder.

My psychiatrist removed my longstanding "Unspecified Schizophrenia" diagnosis as he personally felt that I didn't fully fit the bill.

I mainly suffer from debatilitating depression and mood swings along with occasional delusional thinking.

My therapist personally thinks I have Depression w/ Psychotic Features.

I've tried a few SSRI's with mixed results (they helped my mood but made me feel spacey and a bit more paranoid) and antipsychotics with mostly good results (although they still left me sort of flat) so I'm wondering if a Prozac/Olanzapine combo might be worth a shot.

My psychiatrist suggested that I try an SSRI as monotherapy again but I'm very against this idea.

Thank you 🙏

I've been on Valproate for a few years now for bipolar type 1, along with Zyprexa and Pristiq. I'm male, 40 years old. Valproate is my workhorse anti manic, and other than a worsening and frustrating tremor in both arms and legs, it's been quite effective.

My partner and I want to conceive, but I'm concerned with some new evidence that's caused me apprehension.

https://www.bmj.com/content/384/bmj.q122/rr

Also:

https://www.qmul.ac.uk/wiph/news/latest-news/items/link-between-anti-epileptic-drugs-and-increased-risk-of-parkinsons.html#:~:text=Associations%20were%20observed%20between%20Parkinson's,after%20adjusting%20for%20epilepsy%20diagnosis.

I'm also having fertility issues of my own that i believe is linked to Valproate.

Would asking a psychiatrist (I'm presently only treated by my general practitioner) for a switch to Trileptal be appropriate? In terms of male fertility, tremor, teratogenic risk etc it seems to be better on paper.

Female 25 no other medications involved.

I have been taking 7.5 mg twice a day for almost a year.

*On last Sunday (5 days ago) I reduced my evening dose down to 5mg.

*I take my 7.5mg in the am and 5mg in the evening.

The first day I was fine. Second day by 10pm I was experiencing withdrawals already. Sweating and panicking. Heart palpitations, brain zaps and I cannot exaggerate enough sweating pools. Loss of appetite all together, I'm not even thirsty.

My period started 4 days early and now tomorrow is supposed to be the last day but I am still heavily bleeding.

Last night on day 4 I didn't experience any brain zaps or panic attacks. However I did sweat like enough to soak my clothes and bed twice.

General brain fog, I feel like I'm a little bit high or just generally confused and fuzzy.

Is this normal to expect? Just to be clear I'm not asking for a diagnosis or anything. I am just looking for reassurance through other experiences. My insurance does not take affect until May 1st again. So I have to wait until then to call my doctor:(

I'm just a little scared of trying to reduce it even more with time.

*The directions I'm following are: Reduced my dose by two and a half milligrams until you stop experiencing side effects and then reduced by two and a half milligrams again until I stop feeling the side effects etc.

I am still taking 12.5 mg a day. 7.5 in the morning and the 5mg before bed.

Has anyone else tried to reduce by such a small amount and still experienced hard side effects/ withdrawal. I didn't think I was taking a huge dose but I'm getting scared to reduce by anymore. This feels like I'm trying to quit hard drugs lol. Please any advice or stories will help me feel better <3

Hi!!

I am in hospital following a serious suicide attempt & am getting IV ketamine treatment to help with the SI & depressed mood. I’m wondering how long it typically takes for people to notice improvements with ketamine treatments & how long the benefits typically last? I had my first treatment yesterday and the plan is 8 treatments. Since my treatment yesterday I haven’t noticed too much of a change in my mood (I still feel low) but the SI feels more manageable. Not sure if that’s related to the ketamine or just my normal fluctuation in symptoms but I’m feeling hopeful that ketamine will help.

What has your experience been treating patients with IV ketamine?

My daughter has been struggling for years with severe psychiatric issues, including suicidal thoughts and psychosis (yes, psychosis is rare in kids but has been confirmed by multiple child psychiatrists). She has been in day treatment almost 2 years with no real improvement in symptoms.

Last summer, suicidal behavior landed us in the ER twice. Each time we stayed several days, no inpatient beds were available or expected to become available any time soon, so they sent us home rather than keep her in the ER indefinitely. We were supposed to be on a wait list but several weeks later we were dropped from the list as her condition was no longer acute enough to justify the placement.

Now we are back in the ER - she is still suicidal, hallucinating, but now also thinks everyone is trying to kill her. We have been here 4 days and have no info at all, the treatment centers haven't acknowledged or responded to the referrals, which is apparently typical. One day we had no contact from psych or social workers at all. I asked the nurses to contact them and a social worker came to say there is no information, and if we don't hear anything from them we should just assume that there is still no new information. I think it is unacceptable that they would not have someone stop by for 2 minutes each day to give us an update, even if there is no news. This is supposed to be the best hospital in the region.

Is there anything at all I can do? She is just going to keep bouncing in and out of the ER, never getting the help she needs. I know the system is broken but I wish there was some way for me to help her.

I’m a 36F here with lupus, hypothyroidism, fibro, schizoaffective disorder, PTSD and BPD. I take zyprexa, lamictal, depakote, propranolol, gabapentin, topamax, prazosin, Azathioprine, synthroid and aspirin. I deal with very severe anxiety every day all day long. I used to take klonopin 1 mg twice a day in my late 20s, early 30s. My psychiatrist will not prescribe benzos even though they used to work extremely well and I’m suffering every day now. It’s to the point where I’m exhausted and don’t want to be here much longer if it’s going to be like this all the time. Why won’t she prescribe them knowing how much better I’d feel on them? Is it because I have an alcohol history? I shouldn’t be punished forever for that. My current meds don’t help my anxiety at all. I thought the propranolol would but it barely touches it. I feel so defeated and tired.

Long post ❗️ Hi I am 28f, almost 29f( in few weeks). I always thought that everyone is different in their own way especially because I felt I was different in some way. My sister(11 months older) was always compared to me since we were young. She was referred to as the mature one and I the childish one. I always looked for her to take care of me and still do sometimes.As I got older, I realised why she was thought of as the mature one. I didn’t understand social cues very well- I used to ask people questions that were not supposed to be asked but understood. For example: when people came to our house, my sister would welcome them or just stay quiet, while I used to ask them why they were in my home out of curiosity which made them feel awkward. My sister used to play with our cousins while I clung to our mother or just stayed in my room reading novels because it was more interesting. I loved being in my own world. I feel less shame than others so I used to embarrass my family a lot by telling everyone everything that was supposed to be between us. I still get scolded by my sister and my boyfriend for talking too much sometimes. I recently found out that some people thought I was weird including some of my boyfriends friends. I have been with my boyfriends for many years and he wants to marry me but I can’t stop thinking about the fact that some of his friends find me weird. I also build habits very quickly. When I was young I used to think that I had to touch my elbow everytime I touched something and my family made me get rid of that habit. There were many different quirky habits I developed and stopped in my life. When I was young, I didn’t look at people when I spoke to them so my mom used to make me look into her eyes and at myself in the mirror to train me to look people in the eyes. I do look at people in their eye now or towards them I think. I also started smoking weed and smoked almost for about 7/8 years and stopped. Then I started drinking and I have been drinking almost everyday for the past 1-2years. I have a habit of smoking cigarettes for the past 10 years. I have always been good at school(received all rounder awards) though probably because I was competitive. I received scholarships for being the top in my class as well but can’t seem to hold on after few years because I get interrupted by other interests. I have trouble sleeping since I was young because my mind doesn’t stop. My mind is either playing a song or just talking. I also sing out loud in the street which embarrasses people I am with. I have become more antisocial as I have grown older. I find it difficult making or maintaining relationships because I have very little interest in others. My current relationship is my longest relationship aswell. I went to the doctor because of my sleeping problems, drinking habits, and people thinking I am weird. I went to few different sessions and was referred to other doctors. Recently, I was referred to a psychiatrist because the doctor was saying something about neurotyp something. I will make an appointment with the psychiatrist next week. I come from a culture where psychiatry is known as crazy. I know it’s not crazy but I feel weird about that and just wanted to see if there is anything weird from what I said. I appreciate any advice or thoughts about this

Any alternatives?

No question. Just a general thanks to the psychiatrists here and out there in the real world. I've been off meds for almost a decade. "I'm not depressed," I told myself. "I can't be depressed if I'm still getting out of bed and going to work and enjoying my usual hobbies. My anxiety is manageable. I'm fine."

And then something very bad happened in December and my anxiety skyrocketed and I started noticing depression creeping back in the form of not wanting to do things I usually enjoy. Got my butt back into therapy, therapist recommended a psychiatrist, psychiatrist prescribed a new antidepressant.

I've only ever found one antidepressant that worked well, so I was not optimistic, but I was willing to try anything. I emphasized that my main problem was the anxiety, not the depression, and he assured me that this antidepressant should help with that, too. It's been 2 months.

I feel better in a way I can't really describe without silly analogies like things seem brighter and I feel lighter and like a fog has lifted. My anxiety is tamped back down to a bit lower than my usual baseline, too. I don't know if I can go so far as to say I feel good, but I also don't know if I know what "feeling good" feels like, but I feel... ok. Ok enough that it's made me realize that I don't think I've been myself for a long time; much longer than just since December.

I appreciate you and your kind, psychiatrists. Thank you. That is all.

I'm only posting here because I can't seem to find a clear way to express my concerns to my local doctors, and I feel they're not getting my point.

I've been diagnosed with ADHD by at least 2 different psychiatrists and a neuropsychologist, so I've been taking Concerta 36mg for the last year. At first it was fine and helped me out with work and college. But it also made my heart race, and triggered some awful anxiety symptoms, such as chest pain, left arm numbness, sweating, and heat waves. I've been to the ER a few times thinking I was having a heart attack, just to find out I was fine.

I also feel overstimulated with Concerta, as if my thoughts and senses are colliding against each other to the point I feel overwhelmed and paralysed. It's logical to me that a psychostimulant is the main reason for that.

The point is I have tried to treat my ADHD with atomoxetine, but it hasn't helped at all. I feel sluggish and letargic, even with a 18mg Concerta dosage. So I'm starting to wonder if it's worth it to keep the treatment even with the side effects, if I should just leave my ADHD be without treatment, or maybe if I was misdiagnosed. To be honest, I'm not fully convinced that ADHD is a "real" condition, and I'm so tired of feeling this way every single day.

Hello,

Just a quick question. If this phrase 'limited emotional reactivity' is a consistent phrase used to describe me in the mental status or whatever part of an appointment with a psychiatrist, what does that mean?

The letters always say I am well kempt, am coherant in tone, volume, content etc. Eye contact is always intermittent but also says I show understanding of my difficulties, and am capable of making decisions about my care.

How can someone have limited emotional reactivity all the time? What does that mean?

Thanks to anyone who replies.

I don't know if i chose the right sabreddit. i'm scared to look at the facial features of someone i know, but not his face in general. he looks his age (he's 30). i look at his picture with a flash, and every time i zoom in, i'm scared to look at it, like some part of my brain suddenly turns on and panics. it happens every time, but there's less fear.

why is this happening?

I want to consult with a number of psychiatrists. I have been taking aripiprazole for six years. I've changed doctors multiple times and my current doctor of two years just seems too scared to let me taper off medication. He's prescribed perphenazine instead of aripirazole recently. Is it possible for me to taper off aripiprazole slowly and perhaps go off medication in general?

I want to consult with a number of psychiatrists. I have been taking aripiprazole for six years. I've changed doctors multiple times and my current doctor of two years just seems too scared to let me taper off medication. He's prescribed perphenazine instead of aripirazole recently. Is it possible for me to taper off aripiprazole slowly and perhaps go off medication in general?

Guys today I had my first college exam paper while on wellbutrin 300XL (6 week) and my hands were shaking like a vibrator. I did solve my paper but tremors made it difficult to write down the answers. My handwriting was messed up. So the thing is wellbutrin 300XL works for me it gives me motivation to do things. I was thinking if i can take 150XL during exam days to lessen the tremors. And 300XL on preparation days. Do you think its good idea?

​Hello everyone. I was trying to find some place on Reddit to post this case study to look for some help on diagnoisis. I find this case study a bit tricky. I am in my first semester of grad school, so things are still a bit new to me.

My diagnosis is:

Substance Use Disorder (SUD) specifically Opioid Use Disorder which I would classify as severe. I’m also thinking he’s definitely ASAM level 3.7 or 4, but he also couldn’t be required to go into inpatient or residential since technically he’s not a harm to himself or others. The issue I run into is when he starts talking about the figures he sees and his paranoia. I’m having trouble figuring out what questions to potentially ask him to figure out whether this is substance induced or an undiagnosed co-occurring psychotic disorder and how to treat both of them if so. Like I said, this is my first semester in grad school so I’m still learning how to figure these things out. Any insight would be appreciated.

HERE IS THE CASE STUDY:

Larry is a 51-year-old man who has bounced around between homelessness/unemployment and a few part-time jobs while living in a shelter or occasionally on his own via renting a room. Larry has a long-term 30+ year history of relatively consistent heroin use. He reports two prior instances of abstinence when admitted into inpatient treatment, but both times he ceased treatment and returned to substances within three weeks-time due to feeling “awful and crazy” when not taking heroin. Heroin Use History ​Larry began using heroin in his early 20s. He cannot describe how or why he began, but he quickly became addicted and continued using ever since. Larry reports using heroin multiple times per day, but varying in actual number. He states experiences which show he likely has developed tolerance to the substance, but still takes it because it offers some effect, though not as intense as he used to experience in his earlier years. “Some folks do methadone, some folks that Suboxone stuff. Me, I just use heroin but not so much anymore to get high. I know, I know, weird. But not really. It keeps any of the withdrawal stuff away. I get nauseous, down on myself, and all those flu like achy symptoms. Plus, I learned the hard way that if I go a few weeks clean from heroin, all hell breaks loose with me.” ​Larry is referencing two recent failed treatment episodes. His first-ever attempt at treatment was two years ago when he was living temporarily with a friend. Larry attended a 28-day inpatient program at a local medical center. Approximately three weeks into treatment, Larry began sensing he was seeing “shadowy figures” out of his peripheral vision. He also recalled feeling very on-edge and paranoid. Larry was discharged from treatment because he had overheard his clinician was holding a staff meeting and Larry was convinced they were discussing him. He barged into the meeting and accused the staff of unethical behavior. He had to be escorted to the ER by medical center security. Larry was discharged from the program after receiving a “clean bill of health” from the ER doctors who deemed him simply “not ready for treatment.” Larry recalls them saying that about him. ​Larry next tried treatment four weeks ago when he was admitted into a residential therapeutic community (TC). After four weeks of being heroin-free, Larry began demonstrating odd behavior that included hearing voices and overwhelming experiences of paranoia. Larry describes feeling as if “certain important TC staff were watching him and waiting to trap him.” However, Larry could not elaborate on what the trap would be and why they would feel a need to snare him in a trap. ​ You were called into the case due to an event that recently happened. Larry was in session with a counselor for a one-on-one session. In the office was a window air conditioner unit (which was running) as well as a laptop (which also was running). About one-third of the way through the session, Larry angrily demanded to know what “that sound was, that humming.” Larry’s counselor pointed out it was the air conditioner and/or the computer. Larry said “no, not that, it’s more subtle but there. What is it?” Larry decompensated to the point where—about 20 minutes later—he was demanding to have access to his clinical records. The clinician stated that Larry angrily said “I will be the only one who has these records. I will decide who can and cannot have access. They need to come through me. Go make it happen now!” Larry’s counselor then stated that Larry dropped to the floor and was crawling along the bottom of the wall with his ear to the wall listening for “the taping device.” Larry was convinced the session was being recorded. Approximately two hours after the session ended, Larry had recovered and was more stable, though still convinced the TC staff were recording him for some undefined malicious purpose. Questions to Consider:

1. This may be a case of substance-induced psychotic disorder or this may be a case of an undiagnosed co-occurring psychotic disorder which had been unknowingly self-medicated and controlled via heroin use. How would you work with Larry to ascertain the appropriate diagnosis?
2. How would you clinically work with the psychotic symptom(s) if substance-induced? If co-occurring psychotic disorder?

the background is; the first medication i tried was bupropion, to help with depression induced lack of productivity. i stuck with that and also went on ritalin, which had virtually no effect even as we increased the dose to 40mgs per day, so we switched to atomoxetine, which started to work a little after a while, but fizzled out again. after that, we decided to try vyvanse, and it went as follows; (i also take escitalopram for anxiety, and i've been diagnosed with bipolar II as well, went on antipsychotics for a bit, but then my doctor cut them out.)

i used to take vyvanse 50mgs, when i first started out on it i had horrible crashes and headaches and generally felt really awful in the afternoon. even at the start, i didn't experience anything extraordinary with it. i felt more present and less constantly drained, but it didn't help my focus or productivity at all. the effects also started to wear off after maybe four or five hours at best.

i consulted another psychiatrist at this time because i was desperate and feeling hopeless, and when she found out i had bipolar, she suggested it'd be best to completely get off of stimulants and escitalopram altogether, and start on lithium and aripiprazole. i wasn't ready to change my entire medication routine, so i never got her prescription filled out.

i was advised to take vyvanse as needed by my psychiatrist, so i was a bit lax with it because the side effects made me dread taking it, but once i started taking it a bit more regularly and with some protein the side effects mellowed out a bit, the effects started lasting a bit longer, and i was generally fine with it. but after a while, maybe around a month and a half of me taking it semi-regularly, it just started to have absolutely no effect whatsoever. i even skipped it for a few days to see if maybe it'd work after, but it didn't.

i recently had an anxiety attack which was triggered by my school work, and the medication i was prescribed for episodes like this (propranolol) wasn't working, so i booked an emergency visit with my psychiatrist. during the visit i also mentioned how vyvanse wasn't working at all anymore, but that it had to some extent in the past. he took me off of bupropion, and upped my vyvanse dose to 75mgs.

i've been taking that dose for a couple of days and there's still nothing. i'm a bit less exhausted than i am off medication, but not as much as i was when i first started out on vyvanse, and i don't really feel particularly present at all. i feel like how i do without medication, just with not as much need to sleep.

i honestly don't know what to do. i feel like i've tried every option to no avail and now i'm just hopeless. i keep thinking maybe i was misdiagnosed, and/or maybe there's a deeper issue.

Is there a hallmark differenciator?

Apart from doing SSRI trial, is there a way to surely find out? I’m prescribed dexamphetamine originally and had to switch to Ritalin (due to country I’m visiting not having Dexedrine available) which caused irritation and dysphoric mood. I did some research and came across cyclothymia and it resonates with me. Dexedrine was blunting my affect a bit but not in a negative way.

So to cut it very short, I was bullied since Kindergarten and in 9th grade I had enough of the group that was bullying me at the time so I started ranting at them and then screamed "SHUT UP!" over and over while keeping my eyes closed and plugging my ears in class.

Sometime after starting I stopped feeling anything as if I was asleep or lost consciousness but after some time I heard myself again and sobered up, then immediately stopped screaming.

The teacher said I need professional help and I got some support from my other classmates and a couple of them apologized to me for bullying me when they were younger.

Now, what happened in the middle of all that screaming? Why did I feel nothing or unconscious? It is as if I did not exist or only popped into existance later when I realized I was screaming.

I think it may be a form of dissociation.

Hey guys, throwaway for obvious reasons

The obvious answer would be go and get a consultation with an actual psychiatrist, which I am planning. I just wanted to run a few things by you, and if anyone can confirm my initial thoughts as I have been going back and noticing I was struggling with things without knowing. My mom is the type to dismiss mental illness when it comes to her own child as in our community it's shunned, even though many go through it. I have self diagnosed myself with a few things such as OCD for just a couple of years in my youth, social anxiety, ADHD, and quite possibly Autism, after being gaslit into thinking I may possibly have it by some peers, if it's something I have, I mask it quite well or did.

OCD - Started by repeating a goodbye phrase. When I would leave the house as a kid, I would say it, and wait for the same reply. It then turned into having to say it multiple times before feeling "satisfied". I'd get a thought, or it felt like I just made it up, to where if I don't say bye again and hear the reply, something bad would happen to my family. I would close the door, almost be on my way, and just get the urge to do it again, and would. I remember there being a gap in the neighborhood fence, and would always go through it, once again it spiraled into having to go through and back multiple times before proceeding with the same thoughts. I would do the same by telling my mom goodnight countless of times until "satisfied" and then I finally would leave her alone.

ADHD or ADD? - I finally had the courage to call a substitute PCP and mentioned my ability to focus on my assignments was truly difficult. I'm one of those with 10 tabs open with a video paused that I "will get back to later, I mentioned how I was struggling in school and needed help focusing. She told me it's highly unlikely that at my age I would have it as it would have been noticed/diagnosed by now (even though i have never consulted anyone regarding this), and just gave me study tips such as flashcards, as she too had trouble with this. In class, I would constantly day dream and just find myself drifting away from the lecture in my head, always just people watching if anything, thinking il just go home and make sure to catch up on what i missed somehow (never happened). Doodling, pen clicking, and restlessness where I felt I wasn't ever comfortable in my seated position, while everyone else wouldn't budge.

Social Anxiety- During elementary school I felt I didn't really have it, if anything I was too open, and not afraid of saying anything. I would say outlandish things in class that I thought was funny or more importantly just go get a reaction. During project presentations I did have the normal nervousness, but when the time came I felt my performance was really good, and never felt anxious during the presentation. Middle school, about the same thing except I became more of a quiet/calmer kid that didn't just raise his hand and say something for a reaction. Now, when entering the 9th grade/high school, the first day of school and first period was fine, but as soon as the bell rang and I stepped out into the hall, I almost felt like I forgot how to walk correctly, there was this feeling of being seen, and it was overwhelming, to where I almost felt like I was stuck in mud trying to walk to my class. Now my walk, this is one of my main concerns/problems I feel I deal with and it's still a thing in college, as I believe my anxiety has progressed over the years. I feel tight pressure in my chest, and tense my shoulders when walking, all while "manually stepping" or trying to walk perfectly. It's noticeable, as in high school I was asked why do I walk like that, and "you have a funny walk", but this was after it developed and I was in my senior year, which confirmed my fear of people seeing me walk like that. I wish I could turn it off in my head, but it's always there. There is definitely toe walking involved here which I found some people with Autism struggle with. I dropped out of my speech class multiple times before finally just going through with it, and I actually did ok, but self medicated with alcohol before my final presentation, it went quite well, but still felt immense anxiety. I'd expect after a speech class for that public speaking anxiety to die down, it only progressed. Physical symptoms from anxiety started to come up during my later years in college. Forehead sweat, shakiness of my legs, dryness of throat, all things I never did before. Speaking to classmates was always a breeze when in small groups, but then noticed at the most random times my anxiety would shoot up and I'd have a leg shake that I couldn't control even though I wasn't nervous or shy speaking with them. In microbiology class, the handshakes came when I know someone can see me performing a task, or when using a dropper for example, trying to hold my hand steady became a problem in my head, and it also progressed where I tried to avoid anyone see me doing my labs. I also started to walk and take paths (walking through cars or taking longer paths) that had less people, as to avoid them seeing my gait. Mentally I told myself at least my hands never shake, and then it developed months later. At the bank, or cashier, when using cash and handing it to them, I felt trembles that at first were light, and also was worried about them seeing that. I started to become a good tipper (always tipped, but just started to use tips as a way to just not be handed any loose change. For example, your change is 16.46.. "15 is fine, thank you".. or "no change" when it was less than a dollar in non tipping environments. Countless of anxiety situations I just will stop there.

Autism- probably one of the ones I least sure of, as it's quite difficult to diagnose correctly. All previously mentioned self diagnosed things I have may also just be comorbidites (is this even the correct word to use in this situatuon) of Autism. The outlandish stuff I said in class in elementary school not aware of "reading the room", the obsessive compulsive time in my life, the anxiety all would tell me it's a possibility. Now eye contact, for the life of me I just cannot. I have a problem with actually looking at someones eyes, and then it feels just so intimate where I always look away/down to my right or to the side. It doesn't matter how close that person is to me, family, friends, no difference. I have tried mentally to power through it, and it just feels so awkward. I have gotten a little better after noticing it being a problem (I don't actually stare at their eyes now). I just felt over the years I have developed my mask, where people just are unaware of what is going under it. Also want to mention the toe walking even though I'm not even sure that was scientifically proven. The toe walking I thought was just me not wanting to touch the cold floor/tile when walking barefoot in my house. Probably not even related, but I always preferred to be barefoot even when playing outside, I hated the feeling of shoes, and how the socks would sometimes make a fold, and how my toes wouldn't have the freedom to just move around freely. Leaving out some things as I see I've just written a wall of text.

Basically, asking for any input or things that may have caught your attention reading my post. I typed this out to better map out the things I would mention when going ahead and meeting with a psychiatrist. I understand there's no such things as just giving a diagnosis over the internet, but want to see if others have experienced similar things, or someone that has experience in diagnosing with the symptoms I have experienced. Maybe some things to juggle my memory and have me remember more situations.

Thank you!

Hi, my wife is on mirtazapine 45mg (increased from 30mg) and olanzapine. She is suffering from obsessive-compulsive suicidal thoughts, which is the total opposite of what she wants.

The doctors say to stick with it, that it will get better, but she's feeling terrible as the thoughts just won't go away, and she wakes up at night thinking about them. She's really on the edge. Has anyone suffered from this, any advice greatly appreciated?

Is there's a common chemical basis or neurological mechanisms between deliriants' effects and those underlying mental disorders that cause delirium?

Hello r/AskPsychiatry,

I am involved in a few support communities centered on insects/pests and we sometimes have people who seems to exhibit symptoms/behavior that look a lot like what comes up when one google "delusional parasitosis".

I have no idea about what to do/say, how to be supportive with those people, who seems to be going through a lot of suffering.

Do you have any resource or suggestion about how to react? Any resource to suggest? Just suggest to try to see a dermatologist ? (they often mention having seen multiple ones and "not being taken seriously/believed")