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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Depression

I'm 35, single female. Have been suffering from depression for a number of years, and was taking Remeron. >My state has gotten worse, and it’s affecting my work. It is difficult for me to be in normal relationships with people, I’m unable to relax or sleep properly. Lost the interest in going out or enjoying life. Started getting panic attacks too. I feel my life is very limited and that I’m imprisoned in my shell. I wish to be normal, go out more, travel with friends, I got a very good opportunity for a job in another city, which will be very good for me .. but I’m too scared from all of this. My stomach is upset all the time, with diarrhea. I don’t know what to do .. I just felt like talking to someone. Please advice Dalia
Mon, 27 Apr 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HCM for your health related queries

I can understand your concern. You are 35 years old single female and have depression. Your symptoms like difficulty in maintaining relationship, inability to relax or sleep properly, poor interest in any things, history of panic attacks, inability to work properly etc are occurring probably due to severe depression. You were taking Mirtazapine but now the situation has gotten worse. In my opinion you should visit your psychiatrist again for revaluation.

Treatment options for severe depression are both medicines and psychological treatment. Combination of both result in best results. Medicines like Mirtazapine (like you were taking), SSRIs or SNRIs are commonly used in depression. Cognitive therapy has also best results for depression. Repeated stomach upset can also occur due to irritable bowel like symptoms due to depression. Please try to relax yourself and visit your doctor. Try to take help and join the job. Don't fear about anything.

Thanks, Hope this helps you. Take care
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Suggest Treatment For Depression

Hello thanks for asking from HCM for your health related queries I can understand your concern. You are 35 years old single female and have depression. Your symptoms like difficulty in maintaining relationship, inability to relax or sleep properly, poor interest in any things, history of panic attacks, inability to work properly etc are occurring probably due to severe depression. You were taking Mirtazapine but now the situation has gotten worse. In my opinion you should visit your psychiatrist again for revaluation. Treatment options for severe depression are both medicines and psychological treatment. Combination of both result in best results. Medicines like Mirtazapine (like you were taking), SSRIs or SNRIs are commonly used in depression. Cognitive therapy has also best results for depression. Repeated stomach upset can also occur due to irritable bowel like symptoms due to depression. Please try to relax yourself and visit your doctor. Try to take help and join the job. Don t fear about anything. Thanks, Hope this helps you. Take care