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Treatment for depression in life - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   I am constantly anguished or scared I have no longer control over my life and other than being lonely I am constantly swindled and betrayed by people who apparently seem to be friends or friendly. Whatever I do turns out to be failure I wonder what I am doing with my life I am already dead I am just like a zombie and i have no one to talk to. Insomnia is another terrible part of my daily routine and unemployment and financial difficulties make me feel just like a living flop. I am too gullible and tend to trust people too easily. i wish i could live but it seems to me that there is no place for me. Why is it so hard to admit that depression is an illness and why on earth is it so hard to treat it? living like an outcast, losing dignity, hope, joy, dreams and that life according to physician?
Doctor :   hi
User :   Hello
Doctor :   let me read what you have typed
User :   lots of rubbish, I sincerely apologize
Doctor :   no, life and depression is not like that to a physcian
Doctor :   are you on any medication currently for depression?
Doctor :   was any counseling sessions prescribed for you?
User :   I take an anti depressant that maybe is sold in XXXXXXXX too, Lexotan
User :   I have seen a few psychiatrists
Doctor :   ok. are you regular in taking it?
User :   yes I am
Doctor :   when was your last follow-up with a psychiatrist?
User :   last year
Doctor :   ok. since you are stil having symptoms, I would recommend follow-ups every months along with dose adjustment of medications
Doctor :   to make sure you are out of symptoms
User :   I would certainly do that but honestly I think it is too late but thanks for your advice, I hope I am not wasting your time
Doctor :   and also combine it with therapy for behavior modifications and to help you learn techniques to cope with life situations
User :   I see
Doctor :   you are not wasting my time. I am here to help you and guide you
User :   thanks
Doctor :   if you feel that Lexotan is not able to give you good symptom control
Doctor :   then you should discuss with your psychiatrist about getting you put on other higher drugs to control symptoms better
User :   Lexotan is quite helpful but i can't expect it to change facts, people and so on and all this bad luck
User :   I should find a new and proper psychiatrist
Doctor :   this is your mental build up that has been formed over a lot of time, it will nor\t change with medications, hence i suggested you help with therapy like the behavior modification therapy
Doctor :   yes you can go ahead wth finding a new one and this time
Doctor :   discuss about getting you strated wth counseling sessions every week along with follow ups every month
Doctor :   and behavior therapy classes/sessions
Doctor :   to help you in a complete way to be out of your feelings
User :   I hope they do that in Italy
Doctor :   and life life a better and more meaningful ways
Doctor :   do not worry about past, move on, t is your life and future that you should dream of corecting
Doctor :   and take steps towards betterment
User :   if only I had a life :-)
Doctor :   you do have lfe
Doctor :   you are discussing with me about yourself
User :   future? I don't even know if I have got a future. Strange how a person can change future used to be my main source of comfort and hope
Doctor :   you do have got a future, you are too very much caught up with past and present, so you are not able to see future
User :   I appreciate your kindness enormously, I hope my English is good enough. I wonder If I can make myself undertsood.
Doctor :   I can assure you that teh counseling will help you to see it and strive towards beterment
Doctor :   it depends on your will power and wish to have a good life ahead apart from the depression
User :   I take your word for it, I didn't mean to object to your suggestions
Doctor :   I understand you and your feelings, do not wory about the english
User :   Yes I do, I used to be a translator
Doctor :   that id good, you can interact with so many people
Doctor :   and help them
Doctor :   *is
User :   my command of English must have died with me along the way and how could I ever help someone else much as I would like to?
Doctor :   what you were doing, will not go away completely
Doctor :   do not worry about it. you will get it back
Doctor :   all you need is to get back your confidence
Doctor :   and youwill get back the talents back too
Doctor :   who knows, you might even be better at it than before if you can overcome all the present difficulties.
Doctor :   as gold is better in quality after melting in furnace, for t\you too this time of testing would turn out to be something good.
User :   the fact I am no longer fluent at English is another cause of sufferance and I wish I had been told that another day notnow when it is so late
Doctor :   think about how you came to learn about people around you.
User :   I only receive bad news
Doctor :   and think about how you can utilize your experiences such that no one takes advantage of you.
Doctor :   you have come to know reality about people around you and your friends.
Doctor :   start your life anew with a new beginning
Doctor :   go ahead with a consultation with anotehr psychiatrist first
Doctor :   get started on counseling and therapies
Doctor :   you will start feeling better.
User :   i am even feeling worse
Doctor :   the medication might also need a change to help you in a better way
User :   Don't you realize that my English has worsened so much is another traumatic notion? What if you forgot your medical education? How do you think you would feel?
Doctor :   i will feel worse , but I also know that I will not forget my education
Doctor :   I am trying to sya that you will get your talents back
Doctor :   yuare feeling all these as you are still not out of your problems
Doctor :   so you are not able to see beyond it
Doctor :   please follow my advice as above
User :   I can't believe that at 5:26 in the morning I have to cope with other grief.
Doctor :   see for 1-2 months with getng strated with psychiatrist follow ups and with counseling and therapies
Doctor :   come back for repeat /follow-up discussion with me
User :   I was talking about my English why does it is so meaningless to you?
Doctor :   and I am sure that your follow up discussion would be a better one, if you follow my advise.
Doctor :   your English is fine to me. i do not see much mistakes
Doctor :   and such minor mistakes do not mater to me
User :   many mistakes
Doctor :   as I know they will automatically get corrected
Doctor :   when you are at peace of mind
Doctor :   and here with therapies and additional counseling help
Doctor :   pateints do get beter
Doctor :   come out of their problems
User :   I believe you
Doctor :   and lead a new life with more vigour and vitality
Doctor :   I have seen it with my patients, so I hope for similar outcome for you too
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