What should i do?

Dear Doctor,

Recently, I have begun to have very dramatic mood swings from being very happy to very depressed.  I'm a 20 yr old male.  I recently started thinking constantly about a repressed memory I have that I was able to forget about and keep out of my mind for the last few years.  In reality, i'm not 100% sure this actually happened, and i've always had memory problems, so I am afraid that my mind is like making it up or something.  But at the same time, why would I have such feelings of guilt and anxiety if this never happened.  Well here goes:  I think when i was somewhere between the ages of  8 and 11 that I made out with my sister a few times and possibly engaged in some humping (with underwear on).  She is 2 yrs younger than I, we shared a room.   I am certain we did not have sex and i didn't coerce her into it or force myself upon her.  This is such a weird thing for me to type this, because i cannot be sure it actually happened. (Although i am afraid that is a consequence me repressing this).  Recently, it has been eating me up, and I don't know what to do.  I have incredible feelings of guilt because i am afraid i have caused her mental anguish or affected her development.   Who should i see?  Should i talk to her (it has never been mentioned between us).  Should i tell her to get help and if so, from what type of doctor/psychologist?    What type of doctor/psychologist should i see?   I have memories of this thing bothering me throughout my youth and I am afraid that it has been bothering her as well, if not to a greater degree.  I don't know what to do and I don't want to mess up my family.  I really don't know what to do, but i think i have realized that something needs to be done.  If you think someone else can better help me, please provide contact information.

[Roger Gould, M.D.]

I would strongly recommend that you see a psychotherapist and that can be either a psychiatrist, a psychologist, or a social worker.  Your feelings of guilt at this point in your life are probably more related to other are things than this event so I would certainly not discuss this with your sister because it may have nothing to do with her and would only cause a disturbance.

You may come to another conclusion about your sister after you've had a full discussion with your therapist but talk to the therapist first, for sure.

[Jaquta]

I think discussing this with a psychotherapist and working through your thoughts and feelings, etc with them could be helpful.

I have been told that the type of therapy you receive is less important than the quality of the relationship you have with your therapist.

You could discuss it with your sister but I would probably ask about the appropriateness of that with your therapist first.  Do what you feel is right.

Your sister may not need help and this may not be affecting her as you believe it is.  ??

Children experiment.  It is how they learn.  It sounds innocent enough.

Many siblings share bedrooms.  I shared a bedroom with my brother.
I think sharing a room with a sibling enhances the bond between you.

Older siblings generally take on a protective role.  This stereotype may also be adding to your sense of guilt, etc.

I think you should discuss your concerns with a psychotherapist.

[Adi16]

Dear Doctor
I am 22 year old male and i was taking following medicines(SSRI) in 2007 because of anxiety disorder :-
DEXANIL-10 (escitalopram oxalate equ. to escitalopram)
LAM PLUS (propranolol hydrochloride alprazolam tablets)
accompanied with Tiam 75 (thiamine propyl disulfide 75mg)
and i was taking the above mentioned medicines for about a month and then i stopped the consumption of these drugs gradually reducing the dose in following manner:-
3/4 of the tablet for 2 days
2/4 of the tablet for next 2 days
1/4 of the tablet for the last day.
without consulting my doctor about the above reduction process,which i think was inappropriate.
Now i am facing problems since i quit taking those drugs its been around more then two years that i am facing following problems:-
*Increased anxiety
*premature ejaculation
*sweaty palms mostly all the time

i was facing the above problems prior taking the above mentioned medicines.it was more of a social anxiety before taking above medicines but after quitting it has increased a lot and my social anxiety disorder has turned to generalised Anxiety Disorder.
Please suggest solution to the above problems.Do you think Cognitive behavioral therapy or any other therapy could help because i don't want to start those medicines again,they used to cause a lot of headache and drowsiness  throughout the day.Please help.

[Jaquta]

If you would like a response from the doctor you will most likely need to post a new question.

The doctor here usually recommends talk therapy with a psychotherapist.  ??

Psychotherapy should be helpful in helping you to address your underlying issues.