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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Mental Health Problem

Hi I am a 23 year old female. I work part time in retailing. I am severely unhappy in my job hence have chosen to quit. But I know that even this will not 100 percent help I how I feel. Most days I feel unhappy and sad. Some days I start crying for no reason. I tend to suffer from mood swings on a regular basis. These usually occur many times during the week. I also seem to feel tired quite a lot. I have lost interest in many aspects of life that before I would have found enjoyable such as socialising with friends or even sex. I feel that I would love to get away from everything and everyone around me sometimes. These feelings have been going on for about 2 years or so but have become worse in the last 6 to 8 months. A good thing though is that I have never thought about taking my own life as I know life is precious as a close relative of mine passed away a few years ago and I have been in a relationship with someone and this relationship has caused me a lot of stress. There are relatives of mine who suffer from depression and I am curious to find out if this is my problem also. I would appreciate any help so that I would be able to get hep. Many thanks in advance
Tue, 5 Aug 2014
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Psychiatrist,  's  Response
Hello & thanks for the query. Short answer is yes you are suffering from depression. Long answer is you are suffering from a chronic low grade depression known as dysthymia where one tends to feel low, tired, non energetic most of the times but not to the extent that it would severely hamper a persons work performance. In addition stress from a non helpful relationship, job etc. usually adds up the woes of a dysthymic person causing an episode of major depressive disorder superimposed on dysthymia known as double depression. Good news is this condition can be treated fairly easily by a multimodal treatment approach. There are drugs of SSRI group like escitalopram, sertraline, fluoxetine, paroxetine; one of which will be prescribed to you depending upon your clinical profile. Next up, a Psychiatrist or Psychologist will take up with you lifestyle mofication; how to manage job & relationship stress, doing daily physical exercise to keep mental as well as physical health at a premium & ;lastly factors unique to your personality, environment & possible stressors to avoid to prevent a relapse will also be dealt with. Do consult a Psychiatrist & if required; revert back to me for further help. Good Luck
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Suggest Remedy For Mental Health Problem

Hello & thanks for the query. Short answer is yes you are suffering from depression. Long answer is you are suffering from a chronic low grade depression known as dysthymia where one tends to feel low, tired, non energetic most of the times but not to the extent that it would severely hamper a persons work performance. In addition stress from a non helpful relationship, job etc. usually adds up the woes of a dysthymic person causing an episode of major depressive disorder superimposed on dysthymia known as double depression. Good news is this condition can be treated fairly easily by a multimodal treatment approach. There are drugs of SSRI group like escitalopram, sertraline, fluoxetine, paroxetine; one of which will be prescribed to you depending upon your clinical profile. Next up, a Psychiatrist or Psychologist will take up with you lifestyle mofication; how to manage job & relationship stress, doing daily physical exercise to keep mental as well as physical health at a premium & ;lastly factors unique to your personality, environment & possible stressors to avoid to prevent a relapse will also be dealt with. Do consult a Psychiatrist & if required; revert back to me for further help. Good Luck