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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Anxiety And Depression

I have severe anxiety and depression that the medications no longer help. Have been clenching my teeth, as well as my hands while asleep and wake up from nighttime panic attack that I can feel starting in my dreams. I am at a loss for what to do anymore.
Tue, 26 Mar 2019
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General Surgeon 's  Response
Hi,

First of all I like to inform you that history of anger outburst during last delivery does not make it clear that same thing going to take place again. I understand there is increased risk in compare to other people but still there is hope to minimize the risk of post partum depression.

The most important thing here is stress management. I am writing down few of the strategies that will help you in management of stress leading to reduction of your anger and other symptoms.
1. Diet: Ensure intake of adequate quantity of fiber. 2 servings of vegetable salad and 2 servings of fruits (One preferable citrus fruit). Orange is good source of anti-oxidants. Avoid junk food and fast food especially pizza, burgers and excessive sweets.

2. Ensure adequate water intake: Follow rule of 1 which I usually advise. 1 glass of water 1 hour before and 1 glass of water 1 hour after every meals will ensure adequate consumption of water . Recommended intake of water is 2 to 3 liter a day. Insufficient intake of water could be a contributing factor in causation of symptoms.

3. Early morning Exercise: walking for 30 minutes at a stretch preferably in garden will be very helpful. Walking is the best exercise, it also promotes release of Endorphins( naturally occurring pain killers released in brain) which causes mood elevation and generalized feeling of well being. Make it a daily habit and incorporate in your lifestyle.

4. Avoid tea/coffee/ nicotine and alcoholic beverages: If at all you want to drink something, drink fresh lime water. It is very much refreshing.

5. Start your day with a glass of Lemon water with 2 spoons of honey added. have a good breakfast.

6. Don't take work so seriously: We all have the feeling to excel in our respective fields and don't spend adequate time with our own self trying to understand our own needs. Spend time with your family and friends who ever seems understanding you.

7. While working take frequent regular breaks: Taking regular breaks will not waste the time, but it will definitely increase the productivity, concentration and reasoning. Take break for 5 minutes every 30 minutes. Close your eyes and rotate the eye balls for couple of minutes.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein,
General Surgeon
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Suggest Treatment For Severe Anxiety And Depression

Hi, First of all I like to inform you that history of anger outburst during last delivery does not make it clear that same thing going to take place again. I understand there is increased risk in compare to other people but still there is hope to minimize the risk of post partum depression. The most important thing here is stress management. I am writing down few of the strategies that will help you in management of stress leading to reduction of your anger and other symptoms. 1. Diet: Ensure intake of adequate quantity of fiber. 2 servings of vegetable salad and 2 servings of fruits (One preferable citrus fruit). Orange is good source of anti-oxidants. Avoid junk food and fast food especially pizza, burgers and excessive sweets. 2. Ensure adequate water intake: Follow rule of 1 which I usually advise. 1 glass of water 1 hour before and 1 glass of water 1 hour after every meals will ensure adequate consumption of water . Recommended intake of water is 2 to 3 liter a day. Insufficient intake of water could be a contributing factor in causation of symptoms. 3. Early morning Exercise: walking for 30 minutes at a stretch preferably in garden will be very helpful. Walking is the best exercise, it also promotes release of Endorphins( naturally occurring pain killers released in brain) which causes mood elevation and generalized feeling of well being. Make it a daily habit and incorporate in your lifestyle. 4. Avoid tea/coffee/ nicotine and alcoholic beverages: If at all you want to drink something, drink fresh lime water. It is very much refreshing. 5. Start your day with a glass of Lemon water with 2 spoons of honey added. have a good breakfast. 6. Don t take work so seriously: We all have the feeling to excel in our respective fields and don t spend adequate time with our own self trying to understand our own needs. Spend time with your family and friends who ever seems understanding you. 7. While working take frequent regular breaks: Taking regular breaks will not waste the time, but it will definitely increase the productivity, concentration and reasoning. Take break for 5 minutes every 30 minutes. Close your eyes and rotate the eye balls for couple of minutes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon