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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Depression?

i feel low these days cant enjoy life like i used to but i dont feel like depressed as im trying to fight..i cant speak or behave like an extrovert as i used to..can u figure it out .i am 21yrz old,height 5.7 inch weight 55kgs and i have long ago faced this type of situation about 3yrz bfr since then i was alrt and i have never consulted a doctor for a remedy as i was ok till now
Wed, 16 Jul 2014
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Psychiatrist 's  Response
Hi..Thanks for the query. Can you tell me how is your sleep & appetite over last 15 days or so? when you tell that you are feeling ''depressed'' thus this mean that you feel sad/low all the time irrespective of events going as per your likings or desires & whether this feeling of sadness has persisted over last 2 weeks or so? Simply putting depressive episode or a syndromal diagnosis of depression in Psychiatry requires a minimum of 2 weeks period of persistent sadness, decreased energy levels, decreased self confidence/esteem which remain irrespective of positive/negative events. Additionally there are associated symptoms of sleep disturbances like sleep onset & maintenance difficulties or excessive sleepiness,disturbed appetite (under or over eating), disturbed sexual drive (libido) etc. If untreated these symptoms may progress to ideas of guilt, feelings of hopelessness, suicidal ideas & attempts. You mentioned that you had similar symptoms 3 years ago; so how long these symptoms lasted then? Did you take any medical help at that point for these symptoms? It will be a good idea to visit your primary care doctor once for a detailed evaluation. Good luck
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What Causes Depression?

Hi..Thanks for the query. Can you tell me how is your sleep & appetite over last 15 days or so? when you tell that you are feeling depressed thus this mean that you feel sad/low all the time irrespective of events going as per your likings or desires & whether this feeling of sadness has persisted over last 2 weeks or so? Simply putting depressive episode or a syndromal diagnosis of depression in Psychiatry requires a minimum of 2 weeks period of persistent sadness, decreased energy levels, decreased self confidence/esteem which remain irrespective of positive/negative events. Additionally there are associated symptoms of sleep disturbances like sleep onset & maintenance difficulties or excessive sleepiness,disturbed appetite (under or over eating), disturbed sexual drive (libido) etc. If untreated these symptoms may progress to ideas of guilt, feelings of hopelessness, suicidal ideas & attempts. You mentioned that you had similar symptoms 3 years ago; so how long these symptoms lasted then? Did you take any medical help at that point for these symptoms? It will be a good idea to visit your primary care doctor once for a detailed evaluation. Good luck