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Cure for dysthymia - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 623 Questions
User :   hI I ALWAYS FEEL DEPREESED I AM IN AUSTRALIA I AM UNABLE TO ADJUST HERE BECAUSE OF CAREER PROBLEMS I CANT COME BACK TO INDIA WHAT TO DO
Doctor :   Hi
User :   hi
User :   how are you
Doctor :  
May I know your symptoms?
User :   may i know ur name please
Doctor :  
Can you describe your symptoms?
Doctor :  
Dr XXXXXXXX
User :   thanks
User :   i feel anxious before going to work
Doctor :  
Ok
User :   low mood
User :   feel inferior
Doctor :  
Ok
User :   i am here for 4 years
Doctor :   Ok
User :   i want to settle in india
Doctor :  
Since when are you having these symptoms?
User :   for 10 years
User :   dysthymia sort of thing
Doctor :  
Have you seen a doctor?
User :   i had a course of antidepressant
Doctor :  
Ok
Doctor :  
Did they help you?
User :   yes
User :   i feel helpless most of times
Doctor :  
Ok
User :   like here at workplace i am doing very small job
User :   i feel angry
Doctor :  
Have your symptoms progressing inspite of the medications?
User :   no
Doctor :  
Are you staying alone?
User :   no
User :   i have wife and kid
Doctor :  
Do you have any other stressors apart from the work stress?
User :   my wife past
Doctor :  
Ok
User :   he had affair in college
User :   i am unable to accept past is past
Doctor :  
May I know your age?
User :   33
Doctor :  
Do you have any other medical illness?
User :   no
Doctor :   Ok.
User :   she also doesnt accept me
User :   sometime i feel i should resign
User :   and start from scrach in india
Doctor :  
Does any one else in the family have depression?
User :   no
Doctor :  
Ok.
User :   i know avoidance makes anxiety worse
User :   but what to do
Doctor :  
Let me explain it to you.
Doctor :   The treatment of depression involves cognitive therapy and medical drugs.
Doctor :  
You are on medical drugs which are helping you.
Doctor :  
Continue with these drugs.
Doctor :  
I can understand that the cause for your symptoms are mostly emotional.
User :   ok
User :   but this life has real problems
User :   if i become emotional and stupid and run away from here
User :   this will make things worse
User :   how to restart and reconnect
Doctor :  
I would suggest you try a few relaxing exercises, first.
User :   ok
Doctor :  
this would include breathing exercises, yoga, physical exercises.
Doctor :  
Good sleep and regular dietary habits.
User :   but what is my diagnosis
Doctor :   The diagnosis is in favour of depression.
User :   ok
User :   is there any treatment for dysthymia
Doctor :  
Definitely.
Doctor :  
They would take some time however.
User :   cbt
Doctor :  
Those I had mentioned earlier are the initial steps.
User :   ok
Doctor :  
If they are not helping you then behavioural therapy, in the form of CBT Is the choice.
User :   should i take 6 month off from work
Doctor :   Yes, taking off from work can be a double edge sword.
User :   how
Doctor :  
If your symptoms are severe, then you can take off from work.
User :   ok
User :   my wife is a nice girl
User :   how to accept her
User :   my indian believes
Doctor :   It is because since you have factors at home too, being alone at home can aggravate the symptoms.
User :   constant unconcious conflict
User :   ok
Doctor :  
Do you have any other query?
User :   yes
User :   what should i do
User :   for this anxiety
User :   are you there
Doctor :   1. Start off with the mind relaxing exercises first.
User :   like
Doctor :  
Those includes the yoga, meditations, physical exercise.
User :   ok
Doctor :   When your symptoms are severe, you can try the breathing excercises or counting breathes.
User :   ok
Doctor :  
Get into the shower and have a cool bath.
User :   how to accept my wife
Doctor :   This is your personal query,
Doctor :  
I cannot comment on that.
User :   ok
User :   sorry
Doctor :  
But as an Indian, I can only tell you this.
User :   how to change my believes
Doctor :  
If you still love her and she wants to come back, then you can accept her.
User :   ok
User :   do u give computerised cbt
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