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Treatment for depression , stress and anxiety - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
Doctor :   Hi
Doctor :   Dr ccccc here
User :   Hello
Doctor :   How may i help you?
User :   I'm interested in seeing a psychologist
User :   or a psychiatrist
Doctor :   Ok
User :   If i'm not sure what my issue is does the specialist try to find out what the problem might be?
User :   and how?
Doctor :   do you want me to arrange an e opinion with the psychiatrist
Doctor :   Can you plz proceed with your query
User :   What is that?
Doctor :   so that i may guide you
User :   Anyways
Doctor :   Specialists are not available for online chats
User :   I'm always stressed out
Doctor :   Your age/ location
User :   27/usa/mn
Doctor :   Ok
Doctor :   Have you recently shifted places /jobs ?
User :   I went to see my GP over a year ago to get tested for depression and i was told that i had anxiety instead
Doctor :   Ok
Doctor :   Are you married?
User :   I think i'm depressed but also have anxiety but their testing said different
User :   No job change
Doctor :   Ok
User :   No, i'm single
Doctor :   Since when do you face these issues
User :   for over 10 years now
User :   but didn't start to address them til now
Doctor :   Are you undergoing anykind of financial crisis
User :   No financial crisis either
Doctor :   You should never leave these issues unaddressed
Doctor :   they require immidiete attention
Doctor :   Do you pracitise meditation/ yoga
User :   Well my family are very religious and look down at these issues
User :   No, meditation/yoga
Doctor :   Ok
User :   I just deal with it the best that i can
Doctor :   Ok
User :   and my way of dealing with it is sleeping
User :   and other things which i am too embarrassed to mention
Doctor :   Thats fine
Doctor :   As said do you develop any suicidal tendencies
Doctor :   Feeling of hatredness to life?
User :   I've had thoughts but never attempted to, and will never attempt to
User :   Yes
Doctor :   this confirms that there some kind of depression activity
User :   My parents were first generation refugees that came to the united states
Doctor :   So i would rather advise you to start on anti depressant drugs
User :   I was on lexapro for quite a while
Doctor :   Did the drug help you?
User :   it helped in the beginning but stopped working
User :   I'm not on it anymore
User :   and it's been well over a few years
Doctor :   Might be you need a higher dosage or a different medication
Doctor :   Because the drugs only cant help you
User :   it wasn't taken for depression
Doctor :   you should have life style changes too
User :   it was taken for anxiety but i think the issue is more then anxiety
User :   I tried with the life style change but can't
Doctor :   Anxiety and depression both are treated with anti depressants
User :   I was only on 10mg
Doctor :   You should never give up. how many attempts were taken for lifestyle change
User :   too many to count
User :   I have no feelings for anyone
Doctor :   Ok
User :   I don't care about anything
User :   I don't want to go out
Doctor :   I will suggest you to change your location of trouble, like go for an holiday
User :   I don't want to socialize. I've dropped out of college because i felt as though it is too much stress in my life
Doctor :   And also try meditation
Doctor :   There are things which you should accept in life
User :   i did go on a vacation and felt much better but the thoughts were still carried
Doctor :   Its not always easy for everyone
User :   i think my situation is different then others
User :   Way different
Doctor :   You should be bold and try to face it, plz dont segregate from others
Doctor :   Ok
Doctor :   Then I may suggest you have an councelling done
User :   It's not easy for me to intertwine with others
Doctor :   And then and psychiatrist consultation too
Doctor :   You dont make up your mind like that
User :   What does this consist of?
Doctor :   What you think you are, you become that
User :   i worry about everything
Doctor :   An councelling followed by an EEG
User :   I'm scared of risk
Doctor :   That will help us put you on the appropriate drug
Doctor :   Is there anything else that scares you
User :   What is an EEG?
Doctor :   Electro encephalogram of the brain
Doctor :   Records the brain activity
User :   ok
Doctor :   Similar to ECG recording cardiac activity
User :   I'm not scared of dying
Doctor :   Ok
Doctor :   Then scared of life
User :   but yet i have a hard time sleeping because i am scared of dying
Doctor :   Are you staying alone
User :   i have a hard time focusing
User :   No, i live with parents but i think it would do better for me to live alone
Doctor :   Nol thats not an wise decesion
User :   My parents are the reason i'm having all these issues
User :   i can't even remember my childhood
Doctor :   If that the case then why dont you consider shifting with your uncle or any relative
User :   i don't know what i like/dislike
Doctor :   Ok
User :   I've never been able to enjoy life
Doctor :   What about your friends
User :   or enjoy anything people my age enjoy
Doctor :   Do you use any illict drugs?
User :   because we dont' talk to any of our relatives
User :   I have a hard time trusting people so i don't have that many friends
Doctor :   Ok
User :   yes, but it's not a hard core drug
Doctor :   What the drug
User :   Marijuana
User :   and it's not a consistant use
User :   I only use it when i've had it
User :   When i get frustrated to the extreme ONLY
Doctor :   The drug is porne to cause mood arousal at intial stages then followed by severe mood depression on long term use
User :   It has a different effect on me.
User :   Drugs have the opposite effects on me
User :   Caffine makes me drowsy and tiresome
Doctor :   What kind of effect

User :   They have the opposite effects on me
Doctor :   Ok
User :   Marijuana knocks me out
Doctor :   But rather i would ask you to discontnue
User :   helps me go to sleep, and not think of anything
User :   There is no point of arousal for me when taking marijuana
Doctor :   Because you will land up in severe depression follwing the use
Doctor :   You dont need, but the drug has got very adverse effects on long term usage
Doctor :   So better try to control the habit
Doctor :   or reduce and then stop it
User :   I'm not a daily user, and neither do i have an addiction to the drug
Doctor :   Ok
User :   I have no hard time stopping the usage
Doctor :   When was your last annuals done
User :   recently
User :   within the last 5 months
Doctor :   were everything in normal limits
Doctor :   Were you diagnosed of any other medical condition
User :   everything except for my cholesterol levels
Doctor :   Ok
User :   not sure of the values though
Doctor :   Any medications prescribed for that?: User :   No medicine was prescribed
Doctor :   I would also suggest you to have an ECT therapy
Doctor :   That can help you
User :   I've had some chest pain
Doctor :   Ok
Doctor :   since when
User :   which i've addressed but nothing came up
Doctor :   The type of pain
User :   for the last 2-3 years
User :   A sharp pinch
User :   that lasts a few seconds then goes away
Doctor :   Is it decreasing following food intake

Doctor :   Do u smoke/consume alchol
User :   It's' just random
User :   I do smoke
User :   no alcohol consumption
Doctor :   Ok
Doctor :   Smoking might that kind of a problems
Doctor :   Probably could be GERD
Doctor :   Gastro esophegeal reflux disease.
User :   I was still having the same pain during the year i stopped smoking
User :   I use to have a peptic ulcer
User :   as a youth
Doctor :   Most common in smokers, will complain of chest pain either shortlived or prolonged
Doctor :   Was any treatment given
User :   i stopped having the pain, and took the prescribed medication for a while
Doctor :   Ok

User :   but when the pain stopped i stopped taking the medication
User :   and never got it checked again
Doctor :   When are you planning to meet the psychiatrist?
User :   I haven't set up an appointment
User :   I didn't know how to
User :   I'm not a doctor person
Doctor :   You should be confident dont hesitate to be free with doctor
User :   so it's very difficult for me to talk to one
User :   in person that is
Doctor :   He is your best pal for the moment
User :   i get embarrassed and freeze up
Doctor :   So plz try to overcome
Doctor :   First introduce your self in the first session
User :   I've tried to set up an appointment plenty times but i end up canceling
Doctor :   follwoing sessions once you grow confident you can explain your problems to him
Doctor :   This time dont cancel it you require councelling at present
User :   is this with the GP or psychiatrist?
Doctor :   Psychiatrist
User :   See, the issue is in order for me to set-up an appointment with a psychiatrist i need to see my GP
User :   for a referral
User :   I can't do it
Doctor :   OK then follow up with the primary
User :   I feel as tough i've addressed this issue in the past only to get no results
Doctor :   Hope you get better results
User :   I think the way i was treated as a child is outnumbering me today
Doctor :   You should not feel like that
User :   I too hope so
User :   Thanks
Doctor :   May god bless
User :   and you as well
Doctor :   thanks for consulting me
User :   thanks for the consultation
Doctor :   Bye for now
User :   Good bye
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