Doctor insights on:
What Is The Best Treatment For Feeling Of Unreality
Stop the medication: Akethesia is usually caused by bad reaction to a neurotropic medication. It involves restless movements and inability to sit still. Once the medication is reduced or stopped, the symptoms should resolve. ...Read more
Dependent Upon Cause: Paranoia is a symptom present in many different diagnoses. Paranoia may occur in mental illness (schizophrenia, severe depression), in dementia, in medical illness such as infection, cancer, auto-immune disorders and certainly in substance abuse. A good history and physical exam by your primary care physician is the best place to start. The diagnosis will dictate the treatment. Call your md. ...Read moreSee 1 more doctor answer
Diagnosis: There is never a best treatment without first obtaining an accurate diagnosis. Consultation with an md is the only way to obtain the information about why, and then a best treatment can be planned for. Good luck! ...Read more
Control glucose: Most important is to control ur blood sugar-w/o that it will likely cont to progress. Tx aimed @ sx include oral: gabapentin, pregabalin, some antidepressants (ex duloxetine), more & topical: capsaicin, lidocaine, tens, more. Dfclt to predict who will respond to which the best. Lots of choices & i gen talk thru in's & out's of many & decide together which to try 1st, etc. May need combo top + oral. ...Read moreSee 1 more doctor answer
Psychotherapy: With medications if you need them to 'get over the hump' and into a treatment that, literally or not, slowly exposes you to the very thing that makes you anxious. Anxiety and derealization should be checked out medically first. One thing that can be helpful is to use sensation to 'anchor' you. If you pay attention to your senses (direct representatives of 'reality'), it's harder to dissociate. ...Read more
SSRI and depression.: There are several different options available for the treatment of depression it includes medication, counseling and exercise. The medication commonly used are ssri include Prozac zoloft Paxil (paroxetine) although there are many other classes of medications have been made available.. Recent studies suggest that exercise help in alleviating the symptoms of depression. Counseling sessions are also helpful. ...Read moreSee 1 more doctor answer
Pain: External hemorrhoids are painful. These are hemorrhoids near nerves and you'll know you have them from pain and irritation. Painless hemorrhoids are usually internal but may prolapse and you notice them when cleaning. Either one can affect your life. If so see your doctor for a referral to a colo-rectal surgeon. Improve your quality of life. ...Read moreSee 1 more doctor answer
What works for you!: Treatment of fibromyalgia should involve multiple therapies. Good quality 7-8 hours of sleep every night is a really good start. Stress reduction strategies are also important. Making sure there are no other physical or psychological issues which could contribute to your pain is also essential, hence treatment should begin with a thorough physical and psychiatric evaluation. ...Read moreSee 1 more doctor answer
A patchwork quilt: Approach. You are more likely to be successful in dealing with your anxiety by using more that one type of treatment. There are a # of ways to address anxiety: cognitive behavioral therapy, behavior modification, individual psychotherapy, group psychotherapy, psychotropic medications, qi gong, tai chi, acupuncture, acupressure, homeopathy, meditation, yoga, exercise program or progressive muscle. ...Read moreSee 1 more doctor answer
This can be: A big challenge. Auditory hallucinations (voices) are not well controlled by other means. Talk to your doc about the best medical options for your specific situation. ...Read more
See below: Agree with my colleagues. There's no 'best cure", it's very person specific. Some things you can do building up awareness of your sx. Creating a "crisis card" for people to contact and things to do when your symptoms become overwhelming. Working on finding out triggers, self-care routine, sleep hygiene. Qualified mental health professional will help guiding you through the process. ...Read moreSee 2 more doctor answers
Many causes: Common reasons may involve anemia, thyroid issues, blood pressure problems, medication reactions, alcohol or drug abuse, inner ear problems such as postural vertigo or Meniere's, brain disorders. Start with a complete exam, and get appropriate referrals from your PCP ...Read moreSee 1 more doctor answer
1 that works for you: "best medicine" for anxiety and depression varies with the individual. There are many possible medications, each with different attributes. Psychiatrists try to tailor treatments to the person, including psychotherapeutic options in conjunction w/meds. For the best recommendations tailored to you, have a thorough eval with a psychiatrist along with general health eval with your pcp. ...Read moreSee 2 more doctor answers
Joint movement: Lack of motion can come from tight capsule, loose bodies, internal tears, joint effusion from arthritis or synovitis. Also inadequate muscle function from a stroke, neuromuscular disorder, nerve problems, fracture, dislocation, or injury should be entertained. Spinal problems can caused referred limb weakness. Tailor the treatment after you find the specific cause. Stretch & pt can help. ...Read more
Acute or chronic?: Acute may be viral or allergic which usually resolves by managing symptoms. Bacterial fails to, resolve after 10-14 days and needs antibiotics. Chronic comes from interplay between environment, immune system, anatomy, and systemic conditions so each aspect needs to be addressed before deciding on course of therapy. Migraine and reflux often are misinterpreted as sinusitis. Suggest seeing ent. ...Read more
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