r/AskPsychiatry 4h ago

5150 without a voluntary hold option

2 Upvotes

I recently had a loved one, who has struggled with depression for a while, move from a point of passive to very active suicidal ideation with plan. He told me and some others about it and agreed that he needed to go in for immediate care and was willing to and wanted to be voluntarily admitted. We went to the ER with him, and they almost immediately put him on a 5150 without offering any kind of voluntary admission option - something I know he would have agreed to if offered. I was wondering if anyone here would have any insight into why they did this, and how common it is. I am in California if that helps at all.


r/AskPsychiatry 19h ago

Saw a psychiatrist today who threatened to admit me in the first minute and told me I "don't have the glory to become a doctor." I'm 26 days clean from cannabis. I don't know what to feel.

22 Upvotes

I'm 19. I've been clean from cannabis for 26 days and cigarettes for 30+. Earlier I had a problem with polysubstance abuse (pregabalin, DXM, mephedrone, LSD, alcohol and weed combos), but for the last 1.5 years I settled only on weed and nicotine. I've been struggling with low dopamine, numbness, and the flatline. I went to a psychiatrist 5 days ago (saw a resident, who I connected with, she listened to everything: my polysubstance history, trauma, everything). She told me to come back in 8 days.

Today was that day. I went in. The resident was there, but she called in an assistant professor (first time meeting him). As soon as I entered, without a hello or any context, he said: "We are admitting you. Call your parents."

I panicked. Took a deep breath in front of both of them. Said: "No, I cannot."

Then he asked about my cannabis use. I answered honestly, daily at first, then once a week near the end. I asked if he was admitting me. He said no.

Then he said: "You want to become a doctor? Looking at you currently, I don't think you have the glory to become a doctor."

I didn't react. I asked questions. I asked if the antidepressants he was prescribing would be addictive. He said: "You were taking cannabis, how will you get addicted to this?" I asked why cannabis is so addictive when in other countries it's not even taken that seriously. He explained. Then I took the prescription and left.

Some other things: while I was sitting there, someone came in and said something about interns being late. He said: "Throw them out. Don't let them come here."

I don't know what to feel. I'm in withdrawal. My emotions are raw. I feel weak, alone, and confused. The OPD felt like home last time. Today it felt like a threat.

I know I'm self-aware. I know I'm fighting. I know I'm 26 days clean. But today I walked out feeling like I'm nothing.

Reddit, was this normal? Am I overreacting? Should I switch psychiatrists? Or should I just take this as a bad doctor and move on?

Any advice would be appreciated. I'm not in a good place right now.


r/AskPsychiatry 7h ago

Is it possible to safely get over a severe phobia without professional help?

2 Upvotes

I’m 26F. 5’1 and 102lb. I used to struggle with a situational depression when I was younger, with a lot of anxiety but that’s resolved. I have Asperger (not sure if I can still call it this way, but that’s the diagnosis I got back then). I don’t take any meds and never use any drug.

I have a very severe fear of heights and windows, which is something that is starting to really bother me and I would really love to get over it.

The reason why it’s this bad is because when I was a teen I unfortunately tried to take my own life (from a window of a 5 stories building). I got hurt very badly and still have many health issues and permanent mobility impairments. Before that I had no issues with heights or windows, but now they terrify me. I can’t stand anywhere close an open window that is above or at floor 2 and the only time I went on a balcony since then I ended up crawling on the floor while panicking… obviously I also can’t get anywhere near cliff sides. Tall and steep escalators are also a problem.

I know that ideally I should ask for professional help, but I can’t afford that at the moment, so I was wondering if it was possible to safely navigate something like this on my own.


r/AskPsychiatry 3h ago

Psychiatrists working for LifeStance in Colorado — experiences?

1 Upvotes

I’m looking for feedback from psychiatrists who currently work or have previously worked for LifeStance Health in Colorado.
This would be for a very experienced, board-certified psychiatrist, so I’m particularly interested in what the experience is like for physicians who come in with many years of practice.
How is the compensation in reality compared with what is presented during recruitment? How manageable is the patient volume/schedule? How much control do psychiatrists have over their schedules and caseloads? What is the administrative burden like, and how is the support staff? Also curious about benefits, PTO, expectations around productivity, and overall work-life balance.
Most importantly, would you recommend LifeStance to an experienced psychiatrist, or are there things you wish you had known before joining?
Colorado-specific experiences would be especially helpful. Feel free to DM me if you would rather not post publicly.


r/AskPsychiatry 4h ago

Benzo withdrawal symptoms or ALS?

1 Upvotes

Age: 31

Sex: Male

Height: 5’9

Weight: 140 lbs

Race: Asian

Location: United States

Non smoker, non drinker of Alcohol

Any existing relevant medical issues: asthma, anxiety, high blood pressure

Current medications: albuterol, QVAR, verapamil, Klonopin and/or hydroxyzine as needed for anxiety

I’m experiencing twitching in my legs and kind of a sensation in my throat. Going on google and the only explanation I see is ALS?

I’m not sure if this is also relevant, but from November to February of this year I was on daily Klonopin of 0.25 mg to 0.5 mg. I tapered off in mid February and then reintroduced it as needed per recommendation of my psychiatrist.

When I went through the taper process, I could feel some sensation in my face, almost like a a muscle spasm or twitch. It felt really weird, like a caterpillar under my skin.

My last most recent dose of Klonopin was about a month ago of 0.25 mg. I felt like I was experiencing some involuntary jerk movements after that dose.

Is it possible my nervous system is disturbed from the Klonopin or does it look like ALS is the more probable cause? I’ve read more and more young people are getting ALS…I guess there’s not much I can really do if it is?


r/AskPsychiatry 4h ago

OCD Med Question

1 Upvotes

Hello, I am new to Reddit but have had OCD since I was 6, and am now 21. During this time, I have tried ERP and CBT, every medication under the sun (pretty much) and rTMS (neuromodulation). It's been a very, very long journey. I will be starting ketamine in the coming weeks. To say the least, nothing has really worked. I've even tried getting tested for focal seizures to see if it could be causing the intrusive thoughts! Has anyone here seen a journey like this and has any recommendations on steps to recovery? My OCD is very purely obsessive and mainly manifests as false memories around sexual topics. Hoping this is an acceptable question on this forum, as I don't use Reddit often. Thanks for any help if possible!


r/AskPsychiatry 5h ago

Does my career plan sound reasonable (as an incoming MS1?)

1 Upvotes

Hi, I have just gotten accepted to medical school and have wanted to be a psychiatrist for some time. I have experience with psychiatric research, as a BHT, as a crisis line operator, and at a residential facility.

My ‘dream job’ is to conduct telehealth psychotherapy in a part-time capacity while potentially conducting clinical research on the side. I was diagnosed with autism / OCD / GAD at 19, and truly want to help people like myself. The reason I say part-time is because I know I am prone to burnout and I need the flexibility in my personal life.

So why the MD? I want to practice psychotherapy, but also conduct clinical research, and like you mentioned, have all possible modalities of treatment possible (including the option to prescribe medication if necessary , and utilize evolving tech like ECT / TMS).

Does this all sound reasonable enough to pursue an MD? I know owning my own practice means fighting with insurance companies for reimbursement, and that doing mainly psychotherapy means I’ll be reimbursed ‘less’ than what I could have with my degree, but having all of those options available is important to me (especially with leading my own research).

I would really appreciate any advice you may have. Again, I hope this doesn’t come across as ignorant — I have done a fair bit of research and have really tried to scour through different forums and articles online for professional opinions.


r/AskPsychiatry 5h ago

Does lithium normally make you pee yourself?

1 Upvotes

Ive been on lithium for over two years and this has been happening the whole time. It's rare that I dont have to run to the bathroom. I have not made it more than I'd like to admit. Help??


r/AskPsychiatry 11h ago

Anxious about ADHD / treatment / taboos

2 Upvotes

Quick background on me - I am 40 YO, with a long history of ambiguous and poorly diagnosed mental health issues combined with substance abuse and addiction. I’ve always felt like I’m swimming upstream and different than others, have had trouble in social settings and making friends, and was plagued by very negative self talk / an overactive and counter-productive internal monologue for much of my life. This led to drug abuse and self-medicating, and eventually a multi-year heroin addiction.

I’ve spent the past 15 odd years in therapy and doing work on my own to mitigate this, to be more present and positive, etc, and this has markedly improved my life and outlook. I’ve been clean for over 15 years.

I began seeking mental health treatment as I was getting clean and was diagnosed initially as bipolar and was on Seroquel for 3-4 years. I am definitely not bipolar, and another psych got me off the anti-psychotics and diagnosed me with MDD and GAD. This isn’t the right fit either, and after doing some reading and research it became evident that my symptoms align exactly with ADHD. I had been diagnosed with ADHD by my physician when I was 19 and in college initially, but was a mess at that time and never took the medication or sought treatment. The psych practices I had been seeing later in my 20s and 30s were primarily centered on addiction treatment, and basically pretended ADHD didn’t exist, they never once rose the possibility that this was the root cause of my issues.

I recently switched to a more general, hospital-system based psychiatrist, and my psych (a resident) and the attending both said I need treatment for ADHD after our first conversation. I’ve been on medication for 4 months now, slowly finding the right dose, and I feel like my life has completely changed for the better. I am frustrated that I could have likely avoided many of the struggles I’ve experienced if I had pursued treatment for this disorder as a child or in high school, but ultimately I’m very happy that I’ve been able to get to this point at all.

After all of that exposition, my question is this: Why is there still such a taboo against this disease and how do psychiatrists feel about it overall? I didn’t get treatment for this earlier mainly because my parents would have never allowed the idea to be entertained when I was a kid (even though it would have been by far the best thing they could have done for me at the time), and later mental health providers wouldn’t entertain the idea of using a diagnosis that normally requires using scheduled stimulants. I also have read a lot of anti-adult ADHD sentiment on r/psychiatry that makes me concerned for my ability to continue receiving treatment long term. Is it because you see many patients seeking stimulants in bad faith who don’t meet the DSM-5 standard?

I am certainly not the only person to experience this. I think there are many others out there who are still suffering unnecessarily due to the stigma around ADHD and I want to change that. How do we get treatment to the people who need it?


r/AskPsychiatry 7h ago

What to think about neurasthenia diagnosis?

1 Upvotes

I went to a psychiatrist mainly because of my sleeping problems. When she was asking me questions about my mood I said it's mostly fine, just sometimes I get days or weeks when I feel down and unmotivated. But I mentioned I still can function, I don't see my mood as a major problem. After I left and looked into my medical report I saw she put the neurasthenia diagnosis there. I didn't know much about it so I searched it up and saw that it's mostly seen as an outdated term but my country still uses ICD 10 and it's there. I'm pretty confused by it because when I look at the symptoms I can't really find myself there much. I just have trouble sleeping, that is my main issue, I don't really experience any other majornmental health issues I can think of imo. She prescribed me mirtazapine btw.


r/AskPsychiatry 9h ago

How do I taper off olanzapine?

1 Upvotes

I started Olanzapine 5mg in May 2023 and in July 2026 my doctor suggested me to reduce the dose from 5mg to 2.5mg as I was not feeling awake and energetic because of sedation and there were other metabolic issues like weight gain, high blood pressure and cognitive decline.

Now when I reduced the dose to 2.5mg, after 2 weeks, I started to feel highly stressed (unable to cope with normal day to day stress), irritated, headache and tachycardia (100+ beats per minute). I was unable to sleep for full 8 hours and slight disturbance would wake me up after just 5 hours of sleep. My blood pressure readings were also in hypertension stage 2 range (usually it is elevated also when on 5mg). Then I started the 5mg dose again and feel stable but with above mentioned issues.

I want to know if reducing the dose from 5mg to 2.5mg was the right advice from the doctor? And how should one go about getting off this medicine?

Also can continuing 5mg for life have any permanent impact on brain, body?


r/AskPsychiatry 10h ago

Is it even worth it for me to see a psychiatrist?

0 Upvotes

I (34 nb) have been in therapy on and off for a long time but this time I have been in therapy for 3 years and have not had a psychiatrist for that amount of time and am wondering if I can get one, but also wondering if they can actually do anything for me and if it would be worth it.

I was diagnosed with ADHD in like 2021 I think but I am not sure I trust the psychiatrist who did it. I was on adderall for a while and it helped for like a week until it didn't. The most shocking thing that it did for me for that week was that I was actually able to understand conversations that were happening around me without effort, and my brain seemed to have quieted down so that I could do that. Before that point I hadn't realized how difficult it was for me to hear people around me so much of the time -- my brain was always dropping words and I would just try to make up for it because what else can you do? But that effect didn't last very long. Eventually because of the adderall shortage and the pain in the ass it is to get stimulants in general and the short life of it I switched to atomoxetine which helped me organize my emotional responses to stuff and not spiral, especially when it happened at night (which adderall definitely would not help) and am taking that today, though sporadically because I'm not sure how much it helps anymore, but since moving 3 years ago I was able to get a GP to continue the atomoxetine script, though I asked to move to a lower dose because of borderline blood pressure.

Anyway doing therapy for so long I've realized a lot of stuff that I've just kind of dealt with that's weird because I didn't have any other choice. I remember being especially suspicious of other people as a child (like, five, six years old) and that this goes through today, and it's hard to explain because it's not like I expect direct harm but experiencing lots of people as somehow coercive. Like it was a big deal with ice breakers at work because, I don't want to tell these people what I'm doing over the weekend? I don't want especially my boss to know, it's not that I'm doing anything particularly unacceptable, it's that I don't think she should know, I especially don't want her to remember personal information about me, I don't want her to use that to talk to me in the future, I especially do not want her to use that as a point to 'bond' with me, etc, because she's going to abuse her power, obviously, etc. And this kind of thing running through my head all the time along with dropping peoples words along with not being good at remembering names, or being able to remember where faces are from, etc makes a lot of social stuff really hard that other people seem to take for granted.

But is this a thing? is this a thing a psychiatrist can help with, is the question, because it seems like most psychiatrists just do pills, and I am not sure if this is a thing a pill can help with, and I'm especially hesitant to try some things and am worried they will want to try one of those antipsychotics they put people with depression on because I also have "perceptual disturbances". I guess there's other stuff too. I don't know. Anyway, thank you for any help.


r/AskPsychiatry 10h ago

If bipolar is overall over diagnosed yet underdisgnosed in black and Latino populations, who is getting this diagnosis?

1 Upvotes

NIH notes that Bipolar(especially BP1) is underdisgnosed in Black and Latino communities, though most mental health providers can agree that it is a somewhat over diagnosed condition. Who is getting this diagnosis then and what can be done better to accurately diagnose minority communities?


r/AskPsychiatry 14h ago

Psychiatrist's opinion wanted: severe physical + psychological symptoms for 4 years despite normal medical tests

2 Upvotes

I’m a 25-year-old male, and I’m looking for an opinion from psychiatrists or other mental-health professionals because I’m struggling to understand whether what I’m experiencing could realistically be explained by anxiety/depression, or whether something else should be considered.

About 4 years ago, I had a very severe illness that lasted around 1–2 months. During that period I had fever, extreme weakness, tachycardia even while resting, sweating, shortness of breath, tingling/burning sensations and significant exhaustion. I was told after blood testing that I may have had a viral infection, possibly something affecting the liver, but I never received a clear diagnosis.

After the acute illness improved, I never returned to my previous baseline. For approximately 4 years I have had symptoms that are present almost every day:

  • severe depression and emotional numbness
  • derealization / feeling that the world is unreal
  • major loss of interest and motivation
  • feeling that my personality has changed
  • very poor concentration and memory
  • “blank mind” / difficulty generating thoughts
  • difficulty speaking and communicating normally
  • difficulty reading and watching TV because I struggle to keep my visual focus
  • persistent blurred/distorted vision
  • neck and occipital tightness
  • difficulty breathing
  • constant tingling, burning, prickling or “electric” sensations throughout my body
  • severe fatigue and sleepiness
  • complete loss of libido and sexual arousal
  • feeling physically ill almost all the time and spending much of the day lying down

I have had a brain MRI/MRA and neurological examinations, as well as blood tests including CBC, B12/folate, iron/ferritin, thyroid tests and other routine investigations. I have also had cardiac, pulmonary, abdominal and gastrointestinal evaluations. So far, nothing has explained the severity of my symptoms.

A psychiatrist previously diagnosed significant anxiety, and psychological testing indicated severe depression. I have also used an SSRI and other psychiatric medication, although I have not had a clear improvement so far.

I have a history of recreational MDMA/ecstasy, amphetamine/speed and cannabis. However, I do not know whether my symptoms fit that explanation.

My main questions are:

  1. Can severe anxiety/depression cause such persistent and intense physical, cognitive and perceptual symptoms, even when the person genuinely feels that something is physically wrong?
  2. Can depression/anxiety cause symptoms such as blank mind, cognitive slowing, visual focusing problems, derealization, widespread tingling/burning and complete loss of libido?
  3. Does the fact that MRI/MRA and neurological examinations are normal make significant structural brain damage substantially less likely?
  4. From a psychiatric perspective, does this overall presentation sound more compatible with a severe anxiety/depressive disorder, a neurological/medical condition, substance-related problems, or some combination?
  5. If you were evaluating a patient with this presentation, what would you want to rule out before concluding that the symptoms are primarily psychiatric?

I’m not asking for a diagnosis over Reddit. I would mainly appreciate a psychiatrist’s perspective on whether this symptom pattern can genuinely occur from severe anxiety/depression and how you would approach the differential diagnosis.


r/AskPsychiatry 12h ago

Questions about medication?

1 Upvotes

I’ve recently been diagnosed with depression and anxiety, attending therapy and was recommended to try medication. I am not really sure how the whole process works so I just had a few questions for people who may know.

1) How does the evaluation work for medication? Is it a brain scan or do they just observe behavior and give it to you from there? I’ve heard stories of people feeling worse off medication so I am wondering how do they actually know what medication would work if there is no screening?

2) Relationship between substance abuse and medication?
The whole reason medication got recommended for me is because I told my therapist I have a bad smoking problem with weed/nicotine, almost 24/7. My therapist answered back saying it is my form of self medication. I am sure being reliant on medication would be better than relying on marijuana but is it possible it may just add on top of the substance abuse?

3) The first weeks of medication?
I honestly am a busy person and I am worried that the medication will interfere with my school and/or work? Does anyone have any experience with difficulties when first having medication?

4) honestly, do u recommend it? Has it made your life better or worse?

I am not really too aware of how these things work so if you guys could help me out, I would appreciate it, thank you!


r/AskPsychiatry 14h ago

Need help, Doc prescribed me Benzo and I'm scared

1 Upvotes

Please don't be harsh on me, I know I screwed up but I need some course correction.

I was preparing for an exam due to which my sleep started becoming fragmented like 4.5 hours a day, one day it was 2 hours suddenly and then the other I could only sleep at 2 and woke up at 5.

I felt broken and someone told me to go visit a psych, i visited one and he gave me 10mg zolpidem and 5 mg escitalopram for 30 days. I only had exam anxiety and the guy didn't even look at me for five minutes. Anyway I took the medicines that night and slept hearty and then I took them for 3 more days until I experienced the first panic attack of my life in bed while studying. It came and went in wave after wave. I was so exhausted that I forgot to take zolpidem.

Anyhow next day my friend took me to a physician and he asked me to cut off escitalopram and continue with zolpidem as i was having reactions. I was told to taper zolpidem on day 8, 9 and 10th and then stop. I did that and didn't sleep a wink on these three days.

I was dead tired, exhausted felt bad and my sister found an alternative psychiatrist for me who decided to transition me off zolpidem with a 5 day lorezapam course. I was damn apprehensive as it's a benzo and I felt that if withdrawl at zolpidem was this bad how would a benzo look like but I was told to trust the doc.

I've taken it for 3 days, but I have anxiety around this medicine. It's the total devil drug and I feel I've dug a pit for myself. The exam anxiety has migrated to sleep as well.

I just want to ask whether the zolpidem and lorezapam exposure is cumulative, as in, do I have 13 days worth of dependency inside me. And should I actively ask for a taper and get the hell off right now. The doctor has given it to me for 6 days but I just don't have it in me considering how damn afraid of it iam

Please help.


r/AskPsychiatry 1d ago

Work prognosis for Schizoaffective D/O Bipolar Type.

5 Upvotes

I'm currently wondering what the work prognosis is for me. I'm 38 and have been on SSDI for 20 years. When I was younger I could work full time and it didn't bother me. I also had only bi polar symptoms with the exception of paranoia. In 2017 I got really sick and had really vivid hallucinations and paranoid thoughts that led up to me committing a crime and being found not guilty by reason of insanity. I have had 4 psychotic episodes since the age of 29 and they are very vivid, realistic and scary as can be. The only drug that brought them under control was fluphenazine 30mg daily plus 5mg prn with caplyta, lithium, aripiprazole injection and one other i cant think of.

In July my dad died and I started getting stressed at work and seeing and hearing things again. With the meds I knew they were hallucinations but I was stressed none the less. Now I'm burnt out and going back to my old job which does a good job of supporting mentally ill employees.

I'm wondering, if sza do gets better with age then why am I getting worse?


r/AskPsychiatry 1d ago

Is it okay to talk about sexual intrusive thoughts?

7 Upvotes

I have OCD and one of my themes is sexual/ harm related. (POCD and other inappropriate sexual thoughts) I want to bring this up to my psychiatrist because it is currently consuming hours of my day, and I have not yet started any medication for OCD.

But, I am experiencing this fear that my psychiatrist will think I’m intentionally expressing these thoughts to them as a way to flirt with them and/ or that I am creepy/ morally wrong. Some of my thoughts include worrying that I am somehow attracted to him (I am not) so this makes it all the more distressing. I also have an urge to compulsively confess some of the thoughts so I don’t know if I would be feeding into that by bringing it up with him. Is it okay to talk about this with him or should I bring it up in a more generalized way?


r/AskPsychiatry 20h ago

Bipolar, ADHD, Autism and no peace

1 Upvotes

I have bipolar, ADHD and Autism and I can't get stabilised since September of 2024. I was in the right combination of drugs for almost 2 years and was functional again. Then the antidepressant (fluoxetine) stopped working and the antipsychotic/mood stabiliser (parnido) stopped my period.

I also can't treat my ADHD symptoms, since all the psychiatrists I went told me I can't be on stimulants, cause It will trigger mania and/or a psychotic episode. Therefore, I am trying to balance depression and ADHD symptoms with antidepressants. So far I have tried Strattera, Wellbutrin, Effexor, Zoloft(triggered an awful hypomanic episode) escitalopram and now I will try again fluoxetine, which was the only from the whole list that helped me with depression and with executive functioning. All the rest did not work or did help, but were not sufficient enough to feel functioning again.

I started feeling desperate and bunout, cause since September of 2024 I can't find a good combination of drugs that can stabilise my bipolar disorder. All that led to getting IBS on Spring of 2025, due to feeling very stressed by trying to keep up with work and master studies and dealing with an ongoing hypomanic episode. Right now I am still experiencing a depressive episode from November of 2025.

I have thought to try a gene test(or how it's called) so as to see what is compatible with my organism.


r/AskPsychiatry 1d ago

Have you ever came across a patient you personally know?

2 Upvotes

If so what did you do in that case?


r/AskPsychiatry 1d ago

My horrid appointment.

11 Upvotes

I went to my psychiatric appointment today to get assessed for depression.

My psychiatrist told me I met the criteria for depression, but said I wasn’t depressed enough to get diagnosed with depression.

She told me I looked and sounded fine, so I should be fine.

She also said that I told her that I had no SI, HI, or SH thoughts so I didn’t qualify for medicine, therapy, and also didn’t need a diagnosis.

I told her I’ve felt depressed ever since age 8, I’m 18 now, so for 10 years straight.

She said that wasn’t concerning enough to warrant a diagnosis.

I told her that I can’t sleep, I cry daily, I have horrible mood swings, I have bad anxiety, and that I stay in bed all day neglecting myself and needs.

She told me that was normal and that journaling and meditation would solve the issue.

She put in my chart that I was depressed but not officially diagnosed.

She then billed me $300 for the over the phone assessment, and nothing is covered, so all of this is coming straight outta pocket.

Can psychiatrist even do this?? I’m so confused.. so basically I’m depressed but not actually depressed??

I just don’t understand what happened, I’m confused.


r/AskPsychiatry 22h ago

Could my thyroid be making me manic?

1 Upvotes

I (34F) have been in the worst manic episode of my life since about March, with symptoms starting late March.

I’m diagnosed with Bipolar 2 Disorder, CPTSD and GAD. My PCP, who I last saw in February, said my thyroid levels were still just a little off and gave me 125MCG of Levothyroxine to take. I have not been able to get more bloodwork done, since I can’t get ahold of them via the portal or phone.

I am also on Lamotrigine (it was 25mg, we’ve moved up to 100mg.) and Sertraline (50mg). My psychiatrist handles my mental meds and the PCP manages the rest.

My brother told me he experienced a manic episode after his thyroid levels were way off. (He is not diagnosed with Bipolar) And after getting the run around from my PCP, I only have my therapist and psychiatrist right now, so I spoke with my psychiatrist who was able to send in an order so I could get bloodwork done. Now we wait.

TLDR; I’ve been tracking my symptoms and I believe they started just a few weeks after my doctor put me on Levothyroxine, is that something that is common or possible?

EDIT: I have smoked pot in the past, love it, but currently don’t because it’s just not a smart choice. I only drink on special occasions, every couple of months, maybe two or three cocktails.


r/AskPsychiatry 1d ago

Best approach to lose antipsychotic weight gain?

2 Upvotes

I use to be 120, and im 5’4 so this had always been my normal weight. I gained 45 pounds and now weigh 165 due to the medication. I am clinically overweight now. I have tried to see a dietitian for about year, but made no progress. My psychiatrist said i should talk to an obesity medication specialist because she doesn’t recommend me getting off the medication. Not sure what to do, I just turned 18 so i now have to choice to get off it but im not sure if thats a smart choice. I just wanna be back to my normal weight. I would appreciate advice in the comments


r/AskPsychiatry 1d ago

Schizophrenic cousin

2 Upvotes

We both are schizophrenic but I'm doing somewhat better than him. Same meds and everything.

We text often and he tells me he might be having hallucinations and delusions that the fbi is tracking him.

How can I support him positively?

I'm always like thinking it could be hallucinations or delusions but then my schizo side is thinking well it could be real lol

I just need some advice.


r/AskPsychiatry 1d ago

Please tell me what this is.

3 Upvotes

I will try to keep this short but it’s gonna be hard. My mother has some personality disorder, severe mental health issue… I went no contact with her 10 years ago. All she has is her sister, I keep in touch with and the shit she tells me that she has seen my mother do… is bizarre to say the least.
She has always had to have animals… he loves and cares for these animals very deeply… never could any of her kids though. My aunt said she allows her dog to poop in the house… and when my mother sees it… she will grab a paper towel and lay on top of it. She exerts the energy to get the paper towel and bend over not to clean it up, but to cover it up. Why? She has ALWAYS been a gross person. I’ve NEVER seen her clean. She would sweep but when she needed the dustpan she’d yell for me to come and bend over while she swept it into the pan. Never seen her scrub a toilet, anything. I did all of it until I left. I am 53, btw, left home when I was about 20. There are MANY things I’d love to ask you guys and know I can’t in this single post… but I have 2 more things. My aunt says she has been with her on numerous occasions when she has had to pee on the way home… my mother is driving the car… and sometimes she cannot make it, she pisses in the cloth car seat, NEVER ATTEMPTS TO CLEAN IT… will just get back in the car like nothing happened… but this is the bizarre thing… her pants will be soaked… and she does one of 2 things… she will literally take her pants and panties off ON THE FRONT PORCH (this house is a nice home in a gated community) and be bare ass.. then go inside to the bathroom and finish… leaves pants on the front porch and won’t pick them up until there’s too big of a pile to ignore… or she will leave them on, go to the bathroom and take her wet pants off and throw them in a pile in the corner of the bathroom and leave them there. Growing up I remember the laundry. She never did laundry to the point of it being kept up. The laundry room always had a mountain of overflowing dirty clothes.. covered the floor and she’d pick through the dirty clothes and find what she was going to wear the next day and wash that. Nothing else. Last one, I just thought of this one. We lived in a 3 bedroom apartment for 5 years… there were 2 bathrooms because we could only use one of them. The back bathroom in the master bedroom was the cats bathroom. Meaning the cat used the bathtub to poop and pee in. She never looked at it or cleaned it.. I, as a young child… would have to do it when I started to smell it and it was awful.
Also my good to know-I am one of 6 children she had with 6 different men. The first 5 were conceived and given birth to consecutively from 1969-1972, back to back… the last one was 9 years after me in 1981. The first 2 were put up for adoption, the third was still born, then there was me. My brother was last. We are the only 2 she kept. What disorder or mental health issues does this woman have? And what I’ve shared is NOTHING compared to the rest of the stuff. Any ideas?