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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Depression

sir ,

My younger brother of age 35 unmarried,he keeping himself isolated,untide,waring same clothes even after bath,bathing continously with a lot of water.If we advice him to make himself mix with others,and do some littel work like going out ,talking with people,prchasing some clothes,provision..etc I have observed him he avoids and says no to do even his personal work like shaving,waering good clothes.

I had colsulted many phyciatric doctors, they have given medecine oleanzapine-10mg daily , Iam giving my this medecine secretly,once the medecine is given he sleeps well, and the next I find in same state of symptoms like lazy,dull,hopeless.and another major problem is he continuesly scolds in very filthy language without adressing anybody's name,this symptoms are since 10years,my mother is also suffering in the same since 28years,and my elder sister is divorced and depressed

I request you to kindly give some good suggestion and better medecine

to fast recovery of my brother to narmal life track.

sir,for this I will be verymuch thanckful and greatful to youself.

we are from india



regards



T Madhusudan
Tue, 3 Feb 2015
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Psychiatrist 's  Response
Hello thanks for asking from HCM

I can understand your problem. He has symptoms like poor self care, poor social interaction, remaining isolated and alone, hopelessness, using foul language etc. These symptoms can occur due to some depressive disorder but usually individuals don't use foul language and other cardinal symptoms of depression are also found. Other possibility for such symptoms and behaviour is some psychotic disorder though proper psychiatrist evaluation is needed to make proper diagnosis.

He has been given olanzapine and the drug is an antipsychotic drug. The drug usually result in improvement of positive psychotic symptoms and cause sedation, so should be taken in evening times only. For his symptoms of poor interaction, remaining alone medicines like Amisulpiride can be used. The drug can help to control his negative and depressive symptoms. As you also have family history of psychiatrist disorder so I would advise you to visit his psychiatrist again and discuss about these medicines.

Thanks, take care
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Suggest Treatment For Depression

Hello thanks for asking from HCM I can understand your problem. He has symptoms like poor self care, poor social interaction, remaining isolated and alone, hopelessness, using foul language etc. These symptoms can occur due to some depressive disorder but usually individuals don t use foul language and other cardinal symptoms of depression are also found. Other possibility for such symptoms and behaviour is some psychotic disorder though proper psychiatrist evaluation is needed to make proper diagnosis. He has been given olanzapine and the drug is an antipsychotic drug. The drug usually result in improvement of positive psychotic symptoms and cause sedation, so should be taken in evening times only. For his symptoms of poor interaction, remaining alone medicines like Amisulpiride can be used. The drug can help to control his negative and depressive symptoms. As you also have family history of psychiatrist disorder so I would advise you to visit his psychiatrist again and discuss about these medicines. Thanks, take care