Dr. Renata Angelini, MD

Your symptoms could be related to severe anxiety. Patients with anxiety may experience crawling sensation, itching, skin twitches, etc. The mind is very powerful, and to cope with certain emotions, may be interpreting things physically. Have you tried taking a benadryl at night to sleep? Sometimes that helps reduce skin reactions or you may consult with a psychiatrist in person and start buspirone.

It would be good to get a Quantitive EEG done as well as a full neuropsychological evaluation before a diagnosis of ADHD. Anxiety disorder, trauma and some medical issues may present with the similar symptoms

When did you start experiencing these symptoms? do you use any mind altering substances such as cannabis? Exposed to any toxins, or any head trauma?
Important to get a Head MRI, EEG and laboratory work to r/o any medical issues first

Cognitive behavioral therapy (CBT) can be helpful - maintain a healthy lifestyle as well such as eating habits, exercise, time to relax, have a regular sleep pattern, avoid alcohol/caffeine, green teas would be better to manage stress, massage therapy, meditation all could help reduce stress.

Yes, absolutely. Especially if you are the type of person that absorbs other people's problems. it is very important to have a way to maintain a balance between work and down time. You need to find ways to relax or decompress before going home such as exercise, relaxation techniques, meditation, etc

Yes, it would be good to try cognitive behavioral therapy (CBT) or eye movement desensitization and reprocessing (EMDR) to help you resolve the panic attacks.

He can try SAMe supplement I would recommend as well due to diabetes, heart issues, cholesterol to also add CoQ10, and an adaptogen. He may have issues with mitochondria dysfunction at this point.

Do not enable them - addiction can only be helped when the person has reached the end of the rope and realizes they need help. Otherwise, the best thing you can do is just be there to listen but do not lend money, allow this person to stay at your house or promote the behavior by feeling sorry for them. If they verbalize any suicidal thoughts call 911 or take them to the nearest ER.

Antidepressants that work for anxiety such as escitalopram, sertraline, paroxetine, citalopram, etc

First of all you seem very anxious and overloaded with internet information. Each person is genetically unique and will respond to different medications in different ways. I am not sure what symptoms you were trying to target in order to have started Wellbutrin and Effexor. I assume you have a psychiatrist since you are taking these medications.

Now, about your question - What are these things and who benefits from them: neuro psychotherapy; neuromodulation, biofeedback, neuro biofeedback, brain training, biofeedback, virtual reality therapy - you have a lot of the same therapy in different words or repeated. Biofeedback and Neurofeedback are both brain training just that Neuro Feedback uses brain waves or an EEG to help guide treatment. Virtual Reality is limited to PTSD, Anxiety disorders, Panic disorders, Phobias to help desensitization and improvement in symptoms. Perhaps to start with what symptoms you are looking to improve would help guide what kind of treatment would be best for you


Clonazapem as all benzodiazepines can cause short term memory issues with long term use. In the elderly it may accelerate dementia in some cases and therefore we try to avoid if possible.

What does it mean when a meds combo kicks in only once-Wellbutrin and Effexor?--> Don't know what you mean with this question - never heard of combo meds kicks only once. You mean they have an effect once and stop working?

Never seen wellbutrin and effexor cause memory loss or confused thinking or mind going blank - are you taking anything else, do you have any medical problems?

can esketamine work w/o any side effects? Who is it used for? what are the worst/common side effects? --> It is a pretty powerful medication and reason why it has to be administer in the office and patient has to monitored for a few hours post application. Used for severe depression that has been resistant from many other treatments. It is a last resort. Worse side effects hallucinations or respiratory distress.

Wellbutrin & Effexor cause invol.movement and I don't want to add more meds, what to do? Never seen it happen. Are you taking other medications?

Can genomind provide useful results? Yes they can improve chances of getting the right medication up to 70% but nothing is a 100% accurate.

What's the shortest amount of time possible to get off wellb. and Effexor? you should discuss with your doctor what would be the best ways to get you off these medications.

Yes, sugar can worsen depression. Depression is to a certain degree an inflammatory process. Sugar causes and exacerbates inflammation therefore further affecting mood. It would be good to clean your diet and minimize the amount of sugar you intake. Carbohydrates can turn into sugar as well such as pizzas, pasta, etc. Processed and fast foods are also not recommended. Try eating more complex carbs if you need the carbs such as sweet potatoes, peas, oats, etc.

Anxiety does not change your personality but may bring up behaviors that were not usual before the anxiety to cope with it. A person with anxiety may be more irritable, on the edge, easily flammable, not sleeping well, and restless. All those symptoms may bring the worse out from a person. Some people have more fragile personalities and therefore be able o cope less with anxiety. Once anxiety is treated a person will return to its normal baseline.

Exercise, good nutrition (cutting sugars, eating complex carbs, etc), regular sleep. Make sure you get laboratory work up to rule out hormonal imbalance, thyroid problems and any other organic issue that may causing depression. If no allergies/medical problems may add St. John's Wort extract. Note that one should not take St. John's Wort with any other antidepressant and important to let your doctor know if taking this supplement to make sure it does not interact with any other medications you may already be taking. Also, alpha stim aid can be helpful. We use at the office for our patients. Hope this helps

What are your symptoms? Do you have any medical problems such as thyroid issues, hormonal imbalance, anemias, etc.? Any history of substance abuse? Medical problems and drug/alcohol screening should be done to rule out organic causes of depression prior to diagnosing someone with Major Depressive Disorder.

There are many variables that may affect a child that is neglected - severity of neglect, personality of the child (how resilient they are), if child experiences physical, sexual abuse, involvement of drugs/alcohol, is the child malnourished, intellectual functioning of the child, sleep patterns, is the child also abused in school by being bullied, etc.
All those variables will play a part on how the child will respond but in general will affect their ability to develop in a healthy way, grades, health, and behaviors.

Supportive and Group Therapy to re-socialize patient. In some instances Brief Cognitive Behavioral therapy has shown to be helpful as well.
Check https://nami.org/ for further support

Hi - never heard of earache being a withdrawal symptoms but at the same time I don't know what you have been using. It could be a sign of sinusitis, or ear infection especially if you were snorting drugs. I would go to an urgent care or your primary care physician to get that checked out.

Anger is a human emotion and considered protective when elicited in appropriate situations. It is a concern if you are angry all the time or irritable and spending a lot of energy daily containing this emotion.
Anger can stem from trauma, perceptions of abandonment, insecurity and fears. I would seek help with a therapist and try to work through internal conflicts that may be keeping this anger alive

He could try cognitive behavioral therapy and/or neurofeedback treatment if he is afraid of taking medication. If that by itself does not bring the results desired than combine with medication.

You would be the best example to motivate your son to stop eating fast food, so how are your food habits? Who buys him the fast food? What kind of foods do you store in your pantry and cook to your family?