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Suggest Treatment For Depression, Lack Of Concentration And Chest Pain
Question: hi
I am XXXXXX, a Software professional.
I live in Gurgaon. I am an attention seeker. I am suffering depression due to which I feel lack of concentration, absent mindedness, severe pain in heart. I have been like this from time to time, mostly because I could not impress the girls I like in matrimony sites. When I fall for a girl. I feel heaven on earth and I am the most happiest person on earth. I form a very strong attraction and longing for some girls. Once they say no, I feel very dejected and depressed. Though they dont see me as a bad person I tend to develop a depressive feeling that I could not be attractive, the way they want. I feel do not have any originality , I try to mend myself to their tastes and desire. At last, they tell that I am so sweet, we can be friends, which hurts me severely.
Please help me come out of this depressive feeling and lead a positive life. Help me identify my true self.
sincerely
XXXXX
I am XXXXXX, a Software professional.
I live in Gurgaon. I am an attention seeker. I am suffering depression due to which I feel lack of concentration, absent mindedness, severe pain in heart. I have been like this from time to time, mostly because I could not impress the girls I like in matrimony sites. When I fall for a girl. I feel heaven on earth and I am the most happiest person on earth. I form a very strong attraction and longing for some girls. Once they say no, I feel very dejected and depressed. Though they dont see me as a bad person I tend to develop a depressive feeling that I could not be attractive, the way they want. I feel do not have any originality , I try to mend myself to their tastes and desire. At last, they tell that I am so sweet, we can be friends, which hurts me severely.
Please help me come out of this depressive feeling and lead a positive life. Help me identify my true self.
sincerely
XXXXX
Brief Answer:
Hi XXXXX
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
Important aspects of your query are:
• 36 year old male
• Complaints of: attention seeker, lack of concentration, absent mindedness, severe pain in heart, ideas of worthlessness (could not be attractive), lack of confidence and low mood.
From your query it is apparent that you are have chronic anxiety and depression along with introvert personality. Chest pain can occur in depression due to muscle spasm, but it is better to rule out cardiac illness, after examination and investigations like ECG & 2-D Echo.
There is need for treatment, if symptoms cause significant personal distress or affect personal (not able to get marry)/professional life (poor concentration) like in your case. Both drug and non drug treatment like cognitive behaviour therapy (form of psychotherapy) are used for treatment. Choice of treatment depends on severity of symptoms, personal preference and availability of treatment. In my personal opinion, considering long term suffering combined treatment (drug with counselling) will be best for you.
Anxiety and depression occur due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter. In drug treatment two types of medicine used. For immediate relief of distress benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect. All these medicines are prescription medicine and given after in person examination by psychiatrist.
All these process is complex. I have just simplified it to make you understand it. As you are in Gurgaon you can meet me personally.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,
Hi XXXXX
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
Important aspects of your query are:
• 36 year old male
• Complaints of: attention seeker, lack of concentration, absent mindedness, severe pain in heart, ideas of worthlessness (could not be attractive), lack of confidence and low mood.
From your query it is apparent that you are have chronic anxiety and depression along with introvert personality. Chest pain can occur in depression due to muscle spasm, but it is better to rule out cardiac illness, after examination and investigations like ECG & 2-D Echo.
There is need for treatment, if symptoms cause significant personal distress or affect personal (not able to get marry)/professional life (poor concentration) like in your case. Both drug and non drug treatment like cognitive behaviour therapy (form of psychotherapy) are used for treatment. Choice of treatment depends on severity of symptoms, personal preference and availability of treatment. In my personal opinion, considering long term suffering combined treatment (drug with counselling) will be best for you.
Anxiety and depression occur due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter. In drug treatment two types of medicine used. For immediate relief of distress benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect. All these medicines are prescription medicine and given after in person examination by psychiatrist.
All these process is complex. I have just simplified it to make you understand it. As you are in Gurgaon you can meet me personally.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your reply. I am staying at dlf phase 3 gurgaon. Please let me know the nearest place at which I can meet you. Give me an appointment to meet you in the evening. Also suggest me the tests that I should do whose reports i should show you when I meet you.
Brief Answer:
Hi XXXXX.
Detailed Answer:
Hello again,
Thanks for follow up.
From DLF-3 my Sohna road clinic will be near to you. You can come today between 5 and 8 pm.
Address: Dr Mittal Clinic (Confidence Clinic), The Sapphire Mall, 248 (Second Floor), Opposite Omaxe city centre/ Orchid Petals, Sohna Road, Sector 49, Gurgaon (Haryana)
Consultation Time: Friday (5-8 PM) and Sunday (3PM-6PM)
Google map link: https://maps.google.co.in/maps?q=confidence+clinic,+sohna+road,+gurgaon&bav=on.2,or.r_qf.&bvm=bv.0000,d.bmk,pv.xjs.s.en_US.M4-36_38X9A.O&biw=1024&bih=629&um=1&ie=UTF-8&hl=en&sa=N&tab=wl
We will plan tests after your interview and examination.
Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you.
Wish you good health.
Regards
Hi XXXXX.
Detailed Answer:
Hello again,
Thanks for follow up.
From DLF-3 my Sohna road clinic will be near to you. You can come today between 5 and 8 pm.
Address: Dr Mittal Clinic (Confidence Clinic), The Sapphire Mall, 248 (Second Floor), Opposite Omaxe city centre/ Orchid Petals, Sohna Road, Sector 49, Gurgaon (Haryana)
Consultation Time: Friday (5-8 PM) and Sunday (3PM-6PM)
Google map link: https://maps.google.co.in/maps?q=confidence+clinic,+sohna+road,+gurgaon&bav=on.2,or.r_qf.&bvm=bv.0000,d.bmk,pv.xjs.s.en_US.M4-36_38X9A.O&biw=1024&bih=629&um=1&ie=UTF-8&hl=en&sa=N&tab=wl
We will plan tests after your interview and examination.
Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you.
Wish you good health.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
the place is too far from where I am.
Brief Answer:
Hi
Detailed Answer:
Hello,
Yes it is far but nearest to you compare to my other practice location. Other place where I practice:
1) Columbia Asia Hospital (Palam Vihar), Block F, Gol Chakkar Palam Vihar, Gurgaon, Delhi NCR
Consultation Time: 5 - 8 PM (Monday to Saturday except Friday)
Contact : 0124-0000(for appointment) (Telephone lines may be busy sometime)
2) The Apollo Clinic, SCO-2, Sector 14, Between XXXXXXX Cinema & XXXXXXX office, Old Delhi-Gurgaon road, Gurgaon
Consultation Time: Sunday (12-2PM)
Contact : 0124-0000 (for appointment)
Regards
Hi
Detailed Answer:
Hello,
Yes it is far but nearest to you compare to my other practice location. Other place where I practice:
1) Columbia Asia Hospital (Palam Vihar), Block F, Gol Chakkar Palam Vihar, Gurgaon, Delhi NCR
Consultation Time: 5 - 8 PM (Monday to Saturday except Friday)
Contact : 0124-0000(for appointment) (Telephone lines may be busy sometime)
2) The Apollo Clinic, SCO-2, Sector 14, Between XXXXXXX Cinema & XXXXXXX office, Old Delhi-Gurgaon road, Gurgaon
Consultation Time: Sunday (12-2PM)
Contact : 0124-0000 (for appointment)
Regards
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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