Ask a Psychiatrist and Get Answers to Mental Health Questions ASAP
Hello, I have a general question for dentist & mental health (I placed it in two categories, I recently removed some metal amalgam fillings (5-6 of them) from my teeth which were old (30 years) as part of maintenance and restoration and replaced them with modern fillings (I think called white ones). After the removal, I heard they contained mercury (plus other metals as wel) which can be toxic. I heard some bad things in regard to mercury toxicity, including possible mental health problems? I would like to know more if you have any info and what may be done in case of mercury poisoning, or toxicity. I beleive my dentist used some degree of protection but including a dental dam before removing, but not any other special equipment etc. For the bigger fillings, he did give me a mask to wear, the same as he was wearing. That is all I know. If you have any info, I would appreciate. Thanks.
Hi Doctor, thank you. I understand what you say. I had about 6-7 metal fillings for 30 years and I removed them over a period of last 2 months. Additionally, I stopped eating fish for last two months. The reason is because I was told that mercury in fish and mercury in amalgam fillings may make people mad, i.e. cases of schizofrenia among other symptoms of memory loss and immune deficiency, etc?
Is this possible and what should I do if I have such symptoms? Also coupled with the fact that I removed the amalgams in what may seem to be now a not very protective way, i.e. with a surgical mask and dental dam only. I am concerned that I may have inhaled mercury in the process, or absorbed through the skin/ mouth, or swallowed.
Additionally I was told recently that B vitamins, particularly B12 binds with elemental mercury (I beleive?) in the body and may form the more toxic form methylmercury that you mentioned. Is this true? Unfortunately, I have been supplementing with B vitamins (B50 and sometimes even B100) for quite some time - perhaps months, or even year(s) - and only recently (last few days) I quit B vitamin supplementation.
Is it possible I may have any problem, serious or not, with mercury poisoning? Should I go see a doctor?
These are my questions.
P.S. I will leave a tip also.
Thanks doctor, I understand what you say. I have another question so i will double the payent amount to $60 (plus tip) if you can answer.
The reason I am asking these questions is because I dont seem to really feel very well. It appears it coincided with the removal of the amalgam fillings i.e. about 2 months ago and as we speak now it seems I may be having some unexplained depression. I never had this before, so is difficult to know what depression is but it seems I am not exactly myself as probably before removing the amalgam fillings. I dont know if it is the mercury or other reason but recently I been feeling a bit spacious, a bit depressed which seems like a gloomy, or negative pessimistic feeling which i dont beleive I had before a well as more like empty/ idle mind.
Also, I had some unexplained diarhea for days lately, though sometimes it improves to normal so it is difficult to attribute it to any pathology except the food I eat mostly - I should say this - a yogic diet.
Additionally, insomnia is another problem for me. the last 2 months seems to be creeping in and I noticed I shifted my hours of sleep to being able fall asleep in the morning hours and wake up late in the noon time.
I am also perceiving some kind of unexplained 'psychosis', but I dont really know what this word means as I had no experience before (and i would prefer I never have of course) but, in other words, I have in and out different perception, or sometimes I may hear screams of what seems to be dispair, or see people sometimes in my mind/ imagination, not so agreeable people to add.
Also, whatever sleep I get, I may have dreams usually of horror content, i.e. once last week I remember seeing a small black demon or something of sort circling around my bed, always running behind my back when trying to turn to see him directly. Now the problem is, I dont remember if waiking up, the dream continued for brief amount of time, and it scared me or creeped me out in this sense. Is this a psychosis? I dont know and I sure hope it is not. I dont know anything about mental health.
Another situation I noticed past 2 months is I may be having some form of fear of knifes in the kitchen? Is this normal? I avoid knifes, or pointed things, which alerts me that something isn' t probably right, i.e. my mind seems agitated in this sense. Additionally, I may avoid being alone, or in solitute, or when I go to sleep because the mind still seems to be a bit active? I also may feel some pressure in the head sometimes but not headache and hopefully there is no cranial infection, or miningetis, or something like this. I don' t know what these things are and I hope not schizofrenia, or losing once' s mind, or anything like this. I have no experience of these things and I would hope - god help - I never get in such conditions, etc.
So, my question is from where do these agitated symptoms come from? I dont think I should ignore them, or at least any more. Is it from mercury? If not, what has been the trigger then in last two months? Is it viral infection, or bacteria? All my tests show ok, ie. blood, hormones, even urine and stool all look ok. Could it be toxin overload, or still some infection somewhere? I dont have cancer - at least as of I know which I thank god of course, I tested for HIV some time ago and I was negative - again thank god - and also I dont have signs of herpes, etc and I did test once couple years ago for herpes and was negative (thank god again).
So, where can we attribute that I get mental disturbance, or depression and the other symptoms when I did not have before?
Anyhow, since you are from India, I can mention I am a yoga practitioner for 5 years. I do hear some things in the yoga circle about some problematic yoga practice, specifically raja yoga, etc, but anyway may be is not of the matter of discussion here.
So, my question based on these findings what should I do? I hope not any chance of worsening symptoms, I dont think I would welcome that and I should find where these problems stem from so I can fix it.
Thank you very much. i will print out both your diagnosis and the Hypochondriasis page you put the link to and i will go to my doctor - a pathologist - and he can recommend me to a psychologist, or psychiatrist. The pathologist did say over a year ago, I may be a hypochondriac... but I had no idea what he meant, neither did he pursue any further treatment for me - he just dismissed my anxiety symptoms.
To say the truth my recent anxiety over amalgam fillings is from a book which lists certain symptoms - among others - as follows:
Frequency of symptoms in those of mercury amalgam fillings:
Death wish, or suicidal intent
This freaked me out to the point I removed the amalgam fillings and it still scares me until today for possible mercury poisoning. I actually stopped eating fish which I still beleive is a good thing to do, as I heard fish contain methylmercury a substance 1000 times more toxic than mercury. Again, eating fish all my life until 2 months ago, again freaked me out quite considerably.
Is it possible a hypochondriac develop suicidal symptoms just by reading statements such as the above in relation to amalgam fillings? I also heard that dentists who work with mercury amalgams - as well as their assistants - may have higher suicidal rates than other groups. Do you know anything like this in your field or practice?
This scared me again, probably causing me obsession with mercury poisoning.
Is it possible someone termed hypochodriac to enter into such situation to envision, or play out/ act suicidal intent scenarios? Because that would be quite bad and how I guard against such situation?
I dont think it is any fear of me falling ill, or dying, as in coardice, that may be causing my situation, but I may consider such occurance very unfortunate.
Anyhow, you do give me hope, your diagnosis seems quite correct and i will have it in mind. You are the second doctor to specify this, or more precicely the third - a neurologist also told me the same thing about inconsistency in symptoms not matching any illness.
Thank you very much for what you have said.
If you are still available I would like to ask a follow-up question on the same topic for additional $30.
All/ most of the above symptoms I described are gone. Especially the feeling of depression i mentioned initially, it is gone.
What seems to be remaining is I keep having aversion, or fear of knifes in the kitchen and I am afraid of walls, i.e. not hit my body/ head on walls. This is sort of strange sensitivity, I hope is not anything self- destructive.
I tried to read some books on certain relevancy to the above, I found some info, the first talking about panic, the second about guilt/ shame being repressed and may manifest as fears, or self-destructive tendencies, third that certain behavior may be associated with possession by a spirit which is not considered pathological, etc...
Anyhow, I am just mentioning these, do you have any insight on these? I' d appreciate very much.
Welcome to the site.
Well you see the fear that you harbor about knives and walls etc seem to be associated with underlying generalized anxiety which must have been there for long time without your conscious awareness and which could have been stemmed from a past traumatic life experience which occurred many years back in the form of emotional or physical abuse which has still not resolved within your mind and has been presenting itself in this particular manner of making you anxious and fearful of such inanimate objects without any reasonable explanation known for the same.
I will thereby encourage you to ask your doctor to start you lexapro ( generic name -- escitalopram) at dose of 10 -20 mg / day along with clonazepam at dose of 0.5 mg twice a day and continue this regime for at least 6-8 weeks so as to overcome this pervasive fear / anxiety.
You see CBT as suggested before too can perhaps be used to unearth and give plausible explanation to your condition and also help to solve the unresolved emotional complex which might have been brewing within you all this while and using such a presentation of symptoms to express itself.
I hope this makes sense. I can understand if you find some of the concept hard to understand since it involves psychology but the botXXXXX XXXXXne here is that there could very well be a past traumatic life experience which has not been resolved till date and which is leading to your current anxiety.
I do not think this is a self destructive behavior but it is anxiety ridden behaviour which can be dealt with if you use the two drug regime and support them with CBT.
I hope this helps.
Wish you all the best.
Please kindly leave a Positive rating if you are satisfied with the answer.
Now that I think of it, some events in my life may have been sort of perhaps 'turning points'.
Early in my career I quit my job and became a stockbroker. After about 10 years when I was just starting to turn out some positive profit, my investing money was wiped out by the stockmarket crash of 2008. I may have lost $30,000, or more perhaps, even double, I am not sure as I may have not really checked, I beleive I sort of forgot the situation and thought to move on.
Additionally, my mother passed away of cancer in 2008.
Any other events, well, perhaps that I had a car accident when I was younger and my car which was quite expensive was about totaled, I thought to forget that event too and move on.
I still am cautious now of cars, it perhaps taught me I not drive when is not safe.
Now I mainly stay at home, I live from my savings, I turned to other kinds of investments like real estate and I may tend to prefer to use subway, walk, or ride my bike than car to supermarket, etc and I like to play guitar, do yoga, go to gym and other activities. Perhaps I am contemplating I become a musician/ guitar player, or yoga instructor, or fitness trainer in the near future but until now it seems taking some time & money for fruition.
These are some of my thoughts about this topic. Well, we should always try to be positive in life and I will consider your recommendations as well.
Thanks very much.
Thank you doctor.
I appreciate very much what you mentioned.
I am grateful - thank God - I was ok after the car accident, but it occurs to me, if it is really sometimes events in life become wake-up calls to avoiding certain situations. I beleive it may have been perhaps even light drinking (alcohol) in causing the accident in my younger years, though I never was fan of alcohol anyway and only used slight in social situations but still perhaps taught me again to avoid drinking entirely in an outing and perhaps in life in general as well as, that cars may indeed have some risk, not generally that people may develop some disorder after perhaps such an event. This is my opinion again.
Perhaps it is better someone learn not by trial and error as in case perhaps of certain events - traumatic, or not - happening but by knowledge, maturity and avoidance of any dangerous situations/ conditions in the first place.
I' m not 100% in favor of drug treatments but I will consider your recommendation, as well as I may research myself further into psychology theory and practice.
Thank you very much.
I have some other/ different symptoms now and I would like to discuss them with you. I am willing to pay another $30 for this consultation so that I may have some understanding of what may be happening.
New symptoms I have are, I hear voices in my head saying 'I have to work' or something similar... does this make any sense to you, please?
Is my mind perhaps compromized in some way and behaves like this, i.e. could it be perhaps the mercury, or stress, or hypochondriasis, or a virus? I dont understand.
What is 'work' having to do with my situation and why I hear such phenomemon in my head? Have you perhaps had any such case study, or can explain this? I do hope is not something bad, or serious (God forbid).
Is it because I have been off work since 2008 after I lost my money on the stock market? Is it perhaps some kind of guilt that is surfacing, or acting up? This is what I may have read in a psychology book.
If the mind perhaps remains idle for some time, is it possible it may start to play tricks on the person, I am not sure if such case may be true or fiction.
My situation is that I do perhaps live alone, I may be what is termed lonesome guy to an extent perhaps, i.e. perhaps not so many friends and I may not go out much to clubs, or coffee shops.
But I do keep occupied i.e. I switched investments to real estate as well as I have my interests of Guitar, Yoga and Fitness Training, and I am contemplating for quite a while I may promote them to make some living from them, but I need to get some more cash first.
Additionally, I gained new interest lately for financial investing again since the economic crash seems it is over (I know since I am financial analyst) and other occupations like software programming that I like to do as I used to do that in the past.
But mainly I try to pass peaceful vacation time since 2008 and I moved in the countryside away from the city, noise, pollution, etc and I dont seem to like to get back to city living, or corporate environment, or anything like that.
And it keeps being strange to me, why would anyone be perhaps apologetic for such things, especially to my own self, hearing voices of what seems to be some form of guilt for not work? This may seem really ridiculus since noone gives account to anyone about such things. We are free human beings.
I also do have an income from my continuing investments and the various things I do, so I am quite happy in this respect and I may not be a big spender anyway.
Therefore I dont understand, perhaps you can help me figure out what is happening?
I paid close attention to my diet as well, I made changes towards healthy food since I am familiar with both Yogic diet as well as I study Nutrition for my Fitness Trainer diploma and I am putting on investigation my Yoga schedule, i.e. reducing it and eliminating any advanced postures like Headstand, or Shoulderstand etc, so as not to overstimulate the brain perhaps with oxygenation too much but I keep the routine of yoga stretches and flexibility postures.
Also, any increased stress I may have perhaps I notice this too, but the stress I have seems to be these voices I mentioned earlier I may hear in my head talking about 'having to work' etc.
That is all doctor. Hopefully you can shed some light in this situation and I always do hope is nothing serious, i.e. I like to be positive always.
Sorry for the delay, I thought about this situation the last few days and probably I came to the conclusion that these thoughts may be part of the hypochondriasis.
The phenomenon seems as follows: Something in my psychology may be finding weaknesses in my personality and may be amplifying these to create the hypochondric stress to me. It seems perhaps happened the same thing with mercury a few months ago, now we resolved that and it changed to these new perhaps feelings of guilt that I was off work for last 5 years.
The hypochondric state may have been with me for quite a while, I beleive it' s been one year since my pathologist mentioned that I may be merely a hypochondriac and that there is nothing wrong with me.
So, i forgot the issue for the last 1 year.
But I may have stress sometimes as I went from doctor to doctor to see what is wrong with me and the blood tests/ physical exams show nothing (thank God) so I stopped this part of worrying.
This hypochondriasis, seems may be dynamic because it is perhaps changing, or trying to find some weaknesses to my personality and then perhaps try to create the stress on that.
The voices I heard recently, I beleive they said "Why don' t you work?" trying for example to cause me to get some kind of job perhaps, or causing me to find reasons, or answers to this question. Well, I have answers but I dont know to what extent someone may resolve such questions in the mind.
If you ask me furthermore, I beleive it may be some form of complex, i.e. that' s why they call it complex i.e. two sides of a difficult question not being able to be resolved?
To calm the situation down, I am thinking of may be returning to certain occupation to see if I can silence it perhaps and get it back to normal until I know more of what I may be dealing with.
I dont think I may recognise the voice and it is one voice, sometimes I may hear some screams in the background but rarely.
Up to now I may have recognised these symptoms as stress and I used to have some stress in the past perhaps like insomnia, panic attacks, some tremors sometimes which were being resolved by diet and relaxation.
Well, that is all I can say. The truth may be that I may not be leading life to the fullest because of this stress which I am trying to manage. Lately, this situation with the voices is starting to interfere perhaps with my fitness training work and I havent been to the gym for quite the last couple months staying home to relax which I beleive may be better for the time being. But I would like to get back returning to my gym & fitness training routine.
So stress management has been of interest to me perhaps for quite a couple years.
I will stop here and I may add more thoughts as I may have more info.
P.S. I dont think I may have many thoughts which may cause me to be unable to think. I just feel sometimes that there may be another 'entity' or something interfering in my mental field perhaps, which I would like if I could get rid of it perhaps, or it stops.
Thank you again.
I think the voice may become apparent when I may have stress. It is at some point during the day perhaps, or after a couple days. It does not seem continuous, or persistent, unless perhaps I may not listen to it? I dont know, I do hope it is kept in check.
It does not seem to interfere with whatever I do, but I am thinking perhaps I incorporate some form of work in my schedule so it may get relaxed perhaps until perhaps I learn more about this situation? I dont know, because this phenomenon is new to me as well. Most probably is asking me perhaps I get some kind of job that pays money for example, or something that I may be supposedly of service to the world...?
Anyhow, I just sure hope it does not get worse, or develop (God forbid) to something worse.
I do also stress management to help along, so I may clear it perhaps, rather than supress it and I am not generally happy listening to whoever, or whatever telling me what to do so I am curious to know what is happening and how it may be cleared.
What is related perhaps to this is that I beleive a few months ago, I had an occasion when a girl friend of mine and somewhat close to me, approached me and asked me a question whether people have to work. I unconciously replied to her that of course not and that they are not slaves and I advised her if she has stress perhaps to try to relax/ not worry, be happy, do some yoga, eat well and go to Church every Sunday.
That is all. I dont seem perhaps to understand the whole situation, as it may be baffling, so perhaps you can shed some light.
I will add an additional amount to the payment over and above $30 since this question has probably taXXXXX XXXXXer than normal on JustAnswer to answer.
I beleive you may be right in this, that the voice I hear may be two opposing thoughts, which I may qualify as stress. Being perhaps myself a moral person I may scrutinize all my decisions in such a way, i.e. if they will provide some good, or do harm. So it may stem from a subconcious, or moral issue perhaps, i.e. either personal, or societal. Does this identify it as a complex perhaps?
And what are my chances perhaps of resolving such a complex? Should I perhaps listen to it, i.e. go along, or may I have option also to oppose it? Or is there in this process any risk it may become more prominent perhaps? What would you recommend?
In view of such complex, may it be personal, societal, etc, it gives me some reason to question whether people have free will perhaps for example? Or again this may be different from one individual to another.
Also, some of my previous symptoms still seem to show up perhaps from time to time, one of them is I may seem to fear going near walls as if I may hit my head on them and the other symptom is I may avoid handling kitchen knives, again, for some reason that I may hurt myself with them. I seem to continue have these 'sensitivities' perhaps, which I am beginning to probably identify again as some form of stress build-up perhaps.
My question is now, may this stress, or the voice above be detrimental perhaps to my health in any way? For example, if the stress may happen to not be managed, cleared, or controlled, could it perhaps overflow and cause me physical damage?
I will have in mind perhaps also the medication you have prescribed.
If you can answer these questions of mine, as I mentioned above I will add additional payment, or tip.
If I have any more questions I may come to ask once again.
In the meantime, I found out I may have been taking some mercury mobilizers the last couple months which may have caused a too high rate of mercury detox effect to my system. Provided that I may had the amalgam dental fillings for over 30 years and that some mercury may have accumulated in my body because of them, at least after removal of the fillings recently there should be gradual clearing of the mercury rather than accelerating the process, because I found out that it may be detrimental to hasten the clearing process because mercury stored in the tissues may come out and accumulate in the blood, thus if not cleared readily from the blood then it may do damage to the body.
I will more closely look at this above possibility as well and I already reduced the mercury clearing products I use, i.e. chlorella etc, to a safer level.
I will also have in mind your recommendations you gave. Thanks again.
Hi doctor, sorry to bother you. I gave some more reflection on this case and I wanted to ask some more information from you. I will rate your answer once again for $30.
The main symptom I may have now is that when I go near a wall, I may see visions of bumping my head on it. I probably identified some underlying stress that I may have and when this stress increases then I may get such vision as above.
So, I try to manage stress in general by various methods, i.e. relaxation, yoga, good food and I recently started going to church also because a neurologist that I asked, mentioned specifically not to neglect spiritual aspect as well.
I will also do some more physical tests, i.e. perhaps for virus, or toxic overload, or dental problems.
Anyhow, whatever it is, or causing it, I would prefer it is stopped, i.e. so it may not affect my life, or be preoccupied with it perhaps and also I look for explanation. Based on the above, therefore, I would like if you can give me again a diagnosis.
I already incorporated some form of work in my schedule, so perhaps it will quiet down this way?
In regard to the PTSD you mentioned, the car accident I had was about 20 years ago and I believe I hit my head, or caused perhaps cuncation at the time, and I did not have any neurological symptoms after that (thank God for this). I did own various cars since then and I also had a ticket speeding at about 100mph which landed me in court and I paid fines, etc., but anyway, I may be a bit weary of cars nowadays, simply just because perhaps God made people to walk, rather than drive afterall.
Anyhow, also I am checking at my past as you mentioned, could it be perhaps some past transgression that shows this way?
When I was teenager I wanted to be a priest and I was actually ordained once, then I changed my mind and canceled my plans of being clergy. I do beleive perhaps not anything wrong with this.
Also, I' ll check for military service etc, because I am dual citizen, Eruopean and American, I lived in two countries and was exempted from one and also did not do any service as an American since it is not compulsory.
Anyhow, also in regard to my mother pass away in 2008, again, I beleive I got over it.
That is all. I may also go see a local doctor as well, so I am fully informed what this situation, or case may be.
Thanks again very much.
Thanks doctor. Sorry for the late reply, I incorporated some form of work in my schedule so I may keep busy, so this way perhaps I don' t have the mind idle; perhaps as they say 'Idle mind, the devil' s playground'.
I noticed 3 more symptoms the other day, 1 being some loss of sleep, i.e. insomnia perhaps, 2 some headache during the night and what seemed to be pressure in the forehead region perhaps, and 3 is bruxism, or TMJ, which is clenching of the teeth perhaps while sleeping. For the last symptom, I already went to a dentist and did a dental plastic cover to put on teeth so I dont grind them during the night.
Thanks again very much. I' ll decide to talk to a doctor in my area and I take your information with me when I go.
Please let me know if the last 3 symptoms i described may have any significance as well.
Perhaps as a psychiatrist/ psychologist do you know why bruxism, or TMJ is caused? I beleive is from the stress/ anxiety perhaps. My dentist also is interested to know as he said he may have cases often of this condition, who may require the plastic dental cap.