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How to overcome past experiences and suicidal thoughts?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am getting terrible anxiety at the thought of my ex moving on and the fact that it has been six months since we spoke. Why do I get constant images of him having sex with a girl and getting married, and why does this make me want to kill myself? How can I get myself out of these feelings? Please help.
Answered by Dr. Aneel Kumar

Education:

FCPS

Professional Bio:

Dr. Aneel Kumar is a Consultant Psychiatrist, Assistant Professor, and in charge of the Department of Psychiatry at Jinnah Medical and Dental College Suhail University. He is an executive member of the Pakistan Association for Mental Health (PAMH), an NGO that works for mental health and awareness, and a registered member of the Pakistan Psychiatric Society. He did his MBBS at Liaquat University of Medical and Health Sciences and cleared his FCPS exam from the College of Physicians and Surgeons Pakistan in 2014. After the FCPS training at Liaquat National Hospital Karachi and Civil Hospital Karachi, he joined JMDC (Jinnah Medical and Dental College) as an Assistant Professor of Psychiatry in June 2016. He has also Cleared DHA (Dubai Health Authority Exam) and got the Eligibility Letter for DHA in January 2019. He has 20 years of clinical experience and currently practicing at Medicare Cardiac and General Hospital, Karachi, Sindh. His teaching skills include- training MBBS students for primary psychiatric disorders and their management, Ward Rounds, tutorials, and clinicopathological conferences. He was involved in organizing workshops and CME activities for undergraduates, faculty members of Jinnah Medical College Hospital, and general practitioners. He managed the workshop CMEs, a community seminar on mental health issues, and stress management workshops for medical students, general practitioners, and with corporate sector.

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Hello,

Welcome to icliniq.com.

I have read your query, and I feel that your history is very short of understanding because you have mentioned that you are already on a mood stabilizer (Lamotrigine) and antidepressant (Mirtazapine) for the treatment of bipolar disorder, which is a mood disorder in which the patient may experience symptoms of mania, hypomania, depression or some time patient may have mixed symptoms. This is an episodic illness, and there is complete recovery between each episode, so you need to put a detailed history of your disease as for as your query is concerned. Fear of having something for which a person is not ready, so I would suggest that to stop these thoughts where we do not have control over thinking, and if symptoms are not under control, it will need a treatment review.

I hope this helps.

Regards.

Medically reviewed by iCliniq medical review team
Published At April 18, 2023
Reviewed At May 11, 2023

Education:

FCPS

Professional Bio:

Dr. Aneel Kumar is a Consultant Psychiatrist, Assistant Professor, and in charge of the Department of Psychiatry at Jinnah Medical and Dental College Suhail University. He is an executive member of the Pakistan Association for Mental Health (PAMH), an NGO that works for mental health and awareness, and a registered member of the Pakistan Psychiatric Society. He did his MBBS at Liaquat University of Medical and Health Sciences and cleared his FCPS exam from the College of Physicians and Surgeons Pakistan in 2014. After the FCPS training at Liaquat National Hospital Karachi and Civil Hospital Karachi, he joined JMDC (Jinnah Medical and Dental College) as an Assistant Professor of Psychiatry in June 2016. He has also Cleared DHA (Dubai Health Authority Exam) and got the Eligibility Letter for DHA in January 2019. He has 20 years of clinical experience and currently practicing at Medicare Cardiac and General Hospital, Karachi, Sindh. His teaching skills include- training MBBS students for primary psychiatric disorders and their management, Ward Rounds, tutorials, and clinicopathological conferences. He was involved in organizing workshops and CME activities for undergraduates, faculty members of Jinnah Medical College Hospital, and general practitioners. He managed the workshop CMEs, a community seminar on mental health issues, and stress management workshops for medical students, general practitioners, and with corporate sector.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Aneel Kumar
Dr. Aneel Kumar

Psychiatry

Consult this doctor

Education:

FCPS

Professional Bio:

Dr. Aneel Kumar is a Consultant Psychiatrist, Assistant Professor, and in charge of the Department of Psychiatry at Jinnah Medical and Dental College Suhail University. He is an executive member of the Pakistan Association for Mental Health (PAMH), an NGO that works for mental health and awareness, and a registered member of the Pakistan Psychiatric Society. He did his MBBS at Liaquat University of Medical and Health Sciences and cleared his FCPS exam from the College of Physicians and Surgeons Pakistan in 2014. After the FCPS training at Liaquat National Hospital Karachi and Civil Hospital Karachi, he joined JMDC (Jinnah Medical and Dental College) as an Assistant Professor of Psychiatry in June 2016. He has also Cleared DHA (Dubai Health Authority Exam) and got the Eligibility Letter for DHA in January 2019. He has 20 years of clinical experience and currently practicing at Medicare Cardiac and General Hospital, Karachi, Sindh. His teaching skills include- training MBBS students for primary psychiatric disorders and their management, Ward Rounds, tutorials, and clinicopathological conferences. He was involved in organizing workshops and CME activities for undergraduates, faculty members of Jinnah Medical College Hospital, and general practitioners. He managed the workshop CMEs, a community seminar on mental health issues, and stress management workshops for medical students, general practitioners, and with corporate sector.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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