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Suffering from depression, taking cap, no relief. What are treatment options? - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Depression
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1692 Questions
User:hi sir
Doctor:welcome to XXXXXXX
User:actuly i want to discuss about my wife
Doctor:sure, please proceed
User:she is suffering from depression
Doctor:May i know her age , and how long she had this ?
Doctor:was she been seen by a psychiatrist and was she on any treatment ?
User:her age is 22 yrs
User:she had this prob 8 months
User:yes she has been taking medicines since last 8 months
Doctor:how did it start ?
Doctor:may i know her educational qualification ?
User:she is doing last yr
Doctor:was there any predisposing event , like stress family loss, etc ?
User:no.. not now
Doctor:what medication is she on ?
User:flutee, mirtaz
User:mirtaz 15 mg
Doctor:is there any improvement in her response ?
Doctor:how often does she see her doctor ?
User:can i talk 2 u in hindi
User:it much be better to me to discuss u better way
User:actuly hamari love marriage hai
User:n sadhi se pahle hamne apne parents ko manane ke bahut kosish ki thi
User:issliye vo marriage se pahle dippression mai gai thi..
User:but medicine ke baad she feel better
User: XXXXXXX kuch time se fhir se usko ye prob ho rahi hai sir
Doctor:can u tell , me what are her feelings ?
Doctor:tell me what her exact issues are
User:she is weeping sometime
Doctor:does she tell, the cause for crying ?
User:medicines to wo leti h bt prb ye hai ki medicines se hang over rehta h
Doctor:when was the last time, she was seen by her doctor ?
User:jiske XXXXXXX usko kaam krne me prb aati h
User:soo aap medicines ke XXXXXXX koi reason batao jisse wo depressed na ho
Doctor:depression in a young female, with sudden onset, can be due to number of causes
Doctor:1. lack of emotional help,
Doctor:2. change in surroundings and situations, from that before marriage
Doctor:3. her expectations before marriage, not meeting that after marriage
User:yaa may be
Doctor:4. thyroid conditions like hypothyroidism
User:could u plz tell me wht can i do for her..
Doctor:first and foremost, i would advice both of you to take a break, and go for a short vacation
Doctor:this will help u guys to get more time to spend with each other
Doctor:also, try to spend time with each other, at least 1 hr in a day, apart from that duing lunch, - this should be with the TV etc shut off
Doctor:involve each other in activities like jogging , walks, etc
Doctor:so that they increase endorphins in the body, and create a sense of well being
Doctor:apart from this, first was there any proper counselling of your wife ? or just that medications were prescribed ?
User:k...i m understanding
Doctor:counselling is the most important part
Doctor:medications may not be necessary in some cases, if counselling does its work
User:acutuly doctor i hv very tight schedule
Doctor:can u tell me the time she has spent for counselling ?
User:as such no counselling hv been done
Doctor:how much time, does she spend with her doctor, each time ?
User: XXXXXXX 15 mins
Doctor:that appears to be too little
Doctor:for a case of depression, she needs at least a counselling, for a longer duration, say 30 minutes, to know her progress and advice her accordingly
Doctor:i would recommend you to consult a psychologist
User:ok thanxs
User:ok doctor ...i ll keep ur advises in my mind...n trying to support her n give her time as mush as possible..
Doctor:they can advice her proper methods to manage her issues
Doctor:and advice her, how to make the best of her situation
Doctor:and also give her methods to cope with her anxiety , stress,
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