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Ask the Doctors • Acute Care & Emergency Psychiatry

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Dr. Harish Shinde

Answered by a real, verified doctor — never AI

Patient question
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Likely cause
Symptoms may be related to anxiety, stress, depression, sleep disturbance, or another mental-health condition. The exact cause depends on the patient’s symptoms, duration, triggers, medical history, medications, and substance use. Medical conditions should also be considered where appropriate.
What to watch for
Worsening anxiety or low mood, persistent insomnia, panic attacks, social withdrawal, reduced functioning, irritability, poor concentration, changes in appetite, substance use, or increasing hopelessness. Pay particular attention to thoughts of self-harm or suicide.
What you can do
Maintain a regular sleep–wake schedule, stay physically active, eat regular meals, avoid excess caffeine/alcohol and recreational substances, and maintain supportive social contact. Encourage the patient to discuss symptoms openly and consider a structured mental-health assessment with a qualified clinician.
When to see a doctor
Seek professional evaluation if symptoms persist, worsen, interfere with work/studies/relationships, or significantly affect sleep or daily functioning. Urgent psychiatric/emergency assessment is needed for suicidal thoughts or plans, self-harm, severe agitation, hallucinations, delusions, or markedly abnormal behaviour.

This is general information from a verified doctor and is not a diagnosis or a substitute for an in-person consultation. In an emergency, seek immediate medical care.

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