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Disturbed sleep cycle, depression, behavioural therapy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Depression
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2227 Questions
User :   I need a second opinion on something
Doctor :   Hi
User :   I am 28 years old
Doctor :   yes
User :   I need a second opinion on something can you please guide me
Doctor :   yes i can help you
User :   well the trouble started nearly 4 years back when I started doing a job for work
Doctor :   ok
User :   that was my first job experience and I was facing a lot of sleep problems
User :   and I also got a feeling I was having issues with perfectionism
Doctor :   ok
User :   till this day I am feeling very disoriented and my sleep cycle is very haywire
User :   I feel tired very easily and feel older than my age
User :   have trouble concentrating
User :   I visited a neurologist recently and she diagnosed me with Obstructive sleep apnea
User :   I am little overweight
User :   I feel depressed in the evenings as I get tired
User :   later I was diagnosed with depression symptoms and referred to a psychiatrist
Doctor :   ok
Doctor :   How about your appetite and sexual life?
User :   I do dieting in a bid to reduce weight and experience binge eating a lot
Doctor :   That is good
User :   but try hard to reduce weight so my normal appetite I have lost sight of
User :   ...frankly
User :   I am attending matrimonial meetings time and again but things have clicked yet
User :   *havent
Doctor :   Are you sexually active?
User :   no
Doctor :   Have you or anyone in your family ever suffered from depression or another mental disorder? If so, how was it treated?
User :   my dad tells me he suffered from depression once but he makes small of it
User :   he tells me he used to suffer from OCD and had taken medication for it
Doctor :   Do you get satisfaction and pleasure from your life?
User :   I feel depressed because of work mainly
User :   and I feel depressed because I used to have a very good group of friends but everybody moved on as they got overseas opportunities for work
User :   I was ultimately as per the psychiatrist diagnosed with pseudo-neurotic disorder
User :   however I am not told what exactly is it and the doc has not given me any time frame for curing it
Doctor :   I feel the same
Doctor :   the time cannot be bracketed as it is individualistic
User :   can you please tell me what it is
User :   and what it exactly means
User :   and does it mean I will have to make lifestyle changes?
Doctor :   You need treatment first
Doctor :   along with Behavioural therapy
User :   but what does it mean and how serious is it?
User :   I have been taking medications from my psychiatrist but they have not suited me at alll
User :   The result of the medicines is I am sleeping more and more
User :   do you think I should check with another psychiatrist
Doctor :   No you shoudl continue with the same
Doctor :   Along with it, you should see a Psychologist too
Doctor :   Clinical Psychologist
Doctor :   yes the side effect of the medicines is the excessive sleep
User :   what is the time frame in such cases
User :   it is scary because I have kept some important decisions of my life on hold
User :   including matrimony and doing a job
User :   can you please advice on the same
User :   hello?
Doctor :   The time frame would be 3 to 6 months
Doctor :   if you follow up with the doctor alogn with proper counselling it is shorter
User :   is this something to do with Schizophrenia?
Doctor :   Your doctor can change the medicines that is the reason for frequent follow u
Doctor :   I do not think so
User :   is this a tabooed thing in the sense is it very wierd having something like this?
Doctor :   Not at all
Doctor :   both financial and professional goals
Doctor :   It was considered a social stigma but when the human has started to have goals
User :   ?
Doctor :   every one tends to fall in this maze
Doctor :   It is how one perceives early and seeks help
Doctor :   he is the champ
User :   ok :)
User :   how much will the disorder affect sleep patterns?
Doctor :   Very much
User :   I mean without the side effects of the medicine it can affect sleep issues right?
User :   can it cause Insomnia?
User :   another issue is my psychiatrist isnt allowing me for psychotherapy
Doctor :   yes
User :   he says I need to stabilize first
Doctor :   Ok
Doctor :   You may follow him religiously as he is better person
User :   ok
User :   I feel out of place and disoriented a lot is that part of the symptoms?
User :   and I am asked to stay awake all through out the day which I find very difficult with the medication
User :   hello
Doctor :   I totally understand all your reason
Doctor :   but you cannot have fix which is instant
Doctor :   if you have a family history you have to accept it
Doctor :   and good that you have started to recognise
Doctor :   it early
Doctor :   The early you recognise it, the better would be yoiur life
Doctor :   and you should go ahead with rest of life
Doctor :   without great disturbance
Doctor :   Are you with me?
User :   yes
Doctor :   Did you follow
User :   yes
User :   the thing is I have been putting off a lot of things on hold because of this illness and thats why I am feeling anxiuos and depressed even further more
User :   well to be honest
User :   a lot of my friends are getting married about right now
User :   and I have put matrimony on hold is that wise or should I proceed there?
User :   and honestly as a result my family is not very supportive of this
Doctor :   ok
Doctor :   Family support is key here
User :   and I feel a lot of pressure as a result
Doctor :   the idea of putting the wedding on hold is not wise
Doctor :   I think you should go ahead
Doctor :   and in fact tell the bride that I am working on a better life
User :   but thats what freaks me out
Doctor :   I am sure we can live better than what you think
Doctor :   You should sound positive
Doctor :   and more energetic
User :   I dont know if I can reveal it to her let alone being supportive
Doctor :   Get out of the place when you feel negativity is the dimenstion
User :   ok
Doctor :   Do not get depressed
Doctor :   You have lot of life ahead
User :   I was seeing a psychologist in between and he was telling me to utilize my strengths in such a condition do you think there is a particular kind of job suitable for people affected by this condition
Doctor :   You are very young
Doctor :   I am not sure and may not be the best person
User :   ok
User :   well I have been fighting these issues since the last more than 4 years and it is tiring :(
Doctor :   I totally understand
User :   can I have a word with you later sometime how can I get in tough with you in the future?
User :   *touch
Doctor :   You can come on chat same time
Doctor :   on weekdays
User :   ok
Doctor :   Anytime you need a suggestion / advice, just ping me here
Doctor :   Each decision may not turn your life dramatically
Doctor :   but these thoughts or steps can build a life
User :   ok
User :   one last question I am repeating here but
Doctor :   shoot
User :   The medications will help me in my sleep patterns right
User :   because thats what I am most afraid of
Doctor :   yes
User :   ok
Doctor :   Next time you see the doc for follow up, ask this question if his medicines help
Doctor :   because old age medicines are slighly bothersome on sleep
User :   medicins help as in help in stabilizing sleep patterns?
Doctor :   Newer medicines are good in stablizing the sleep
User :   ok
User :   thanks a lot doc
User :   will ping you later :)
Doctor :   Bye
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