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Treatment for anxiety, depression and sleeplessness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I need psychological help
Doctor :   Hi
User :   hi
Doctor :   How can I help you?
User :   hi
User :   can I know your name please
User :   hello
User :   hello?????
Doctor :   I am Dr XXXXX
User :   ok
Doctor :   Please proceed with your query.
User :   do you offer psychological help??
Doctor :   I am a general practitioner.
Doctor :   I shall help you within my expertise.
User :   I think I am having a problem with forming habits
Doctor :   Ok
User :   I cant stick to anything for too long and I stay awake at night too much
User :   I keep craving for some activity something I fear has come out of a gaming addiction I had years and years ago
Doctor :   Ok
User :   I am not able to relate to people and this inability to stick to anything at all is very serious
User :   its affecting my confidence and additionally I am not able to concentrate throughout the day as I cannot sleep
User :   any advice
Doctor :   Since when are you having these symptoms?
User :   more than 4 years
User :   in the sense in and out
Doctor :   Can you briefly describe what you meant by inability to stick to anything?
User :   like almost everyday I decide I am going to do a certain task daily
Doctor :   Ok
User :   and then the next I either dont remember it or maybe consciously ignore it
User :   next day
User :   I feel the need to have a task list to be organised
Doctor :   May I know your age and your occupation?
User :   I am 27 working in a family business
Doctor :   Are you married?
User :   no
Doctor :   Do you stay with family?
User :   yes
Doctor :   Have you tried any methods or seen a doctor in the past?
User :   yes
Doctor :   Is this problem of your affecting your daily life activities?
User :   I have seen a psychologist in the past but it hasnt worked
Doctor :   Are you able to perform well at your occupation?
User :   yes because it affects my sleep
User :   no because of sleep trouble
Doctor :   Ok
User :   also one more thing is paranoia
User :   I feel paranoid about people around me
Doctor :   Do you have depressive thought
User :   yes a lot
Doctor :   Do you feel weak, tired and fatigued without much work?
User :   as in can you please elaborate?
Doctor :   Do you have any other medical illness?
User :   no
Doctor :   I mean do you get fatigued very easily?
User :   I am a little overweight
Doctor :   like almost everyday?
User :   yes
User :   very much so
User :   but I think its more to do with lack of sleep but I am not sure
Doctor :   Does any one else in your family have any psychological illness?
User :   no
Doctor :   Lastly before, I can comment, can I know the treatment your previous psychologist suggested?
User :   but I remember my father once said that he used to experience a lot of ocd and when I said how did he get over it he said just by working
User :   she said I am afraid to make mistakes
User :   too afraid to make mistakes
Doctor :   Ok
Doctor :   I shall brief you.
Doctor :   From the brief history that you have provided your main symptoms has been sleeping difficulty.
Doctor :   They may be caused by various reasons.
Doctor :   2. Your problem with performing tasks.
User :   yes
Doctor :   I shall suggest you few measures that may help you.
User :   ok
User :   ...
Doctor :   Since your symptoms are not persistent, you may find help by the use of medical pills.
Doctor :   there are various drugs that are available.
User :   ok...
Doctor :   You can try OTC drugs such as tylenol cold and sinus or tab phenargan.
Doctor :   These are not sleeping pills, they just cause drowsiness and shall help you in aiding in sleep.
User :   ok
Doctor :   The other methods that can help aiding you sleep are
User :   do you think I need to consult full time a psychologist or someone
Doctor :   1. Modifying the sleep environment that would include the room paints, the use of low intensity bulbs, use of soft mattress and pillows.
User :   there is also something else I would like to share
Doctor :   2. Avoiding heavy meals at night.
Doctor :   3. Avoiding music, television, computers before you hit the bed.
User :   ok
Doctor :   4. Following a regular sleeping pattern.
Doctor :   5. lastly meditation and physical exercises will also help.
Doctor :   Have you followed?
User :   yes sir
Doctor :   Now, regarding your second problem.
User :   just one minute
Doctor :   Proceed.
Doctor :   Are you there?
User :   ya
User :   recharging
Doctor :   Ok
Doctor :   Now regarding your second problem.
User :   yes
User :   a long time ago back in college
User :   are you there?
Doctor :   yes.
User :   a very long time ago in college in fact before school I used to have problems with reading
Doctor :   Ok
User :   and I remember I used to repeat reading a lot and during that time due to the pressure to read or maybe to read and retain what I have read I used to visualise stuff
Doctor :   Ok
User :   like for everything I have to remember I would visualise and then remember that
Doctor :   Visualisation is abnormal if you thoughts are persistent.
User :   during that time I felt a lot like I was disorganised and to keep myself 'organised'
User :   I used to have this illusion of a circular shape on my hand....
User : sounds ridiculous but...
Doctor :   Let me explain to you.
User :   ...what I went through back in that time is what I am a lot confused and paranoid about
User :   and that kind of illusion returns sometimes
User :   yes please
Doctor :   A persistent thought problems can be evaluated by face to face confrontation alone.
User :   ok
Doctor :   If your thought abnormality is persistent and occuring very often then that needs to be evaluated.
Doctor :   if your thoughts are not very frequent and are not affecting you severely, then they will over a time fade away, once you recognize it as false.
Doctor :   Are you following?
User :   it is just that I feel that some paranoid thoughts that I have now may have route in that sort of stupid visualisations I used to do in that time
User :   root
Doctor :   The cause may be many and that may not be important now.
Doctor :   Its these thoughts that have to be looked after.
Doctor :   Hence I would not suggest you to take them lightly, if they are very frequent and is impairing your daily activities.
User :   ok
Doctor :   And similarly if they are not that frequent, once you recognize them as false and start ignoring them, they will over a period of time disappear.
Doctor :   Have you followed?
User :   yes
Doctor :   Ok.
Doctor :   finally about your inability to perform task, it is important that you correct if there is a cause for it.
User :   ok
Doctor :   Its important that you have confidence in what you are doing.
Doctor :   I shall suggest you a simple method that you may follow.
Doctor :   1. Start knowing the importance of the task that you are about to do.
Doctor :   There can be a few ones that may be ignored but not all.
User :   ok
Doctor :   this can be achieved by making a list and marking them as the ones that are really important.
User :   ok...
Doctor :   2. You can break those tasks into simple ones and fix a time limit to it.
Doctor :   Go about them.
User :   ok
Doctor :   Once you have achieved them, you would be able to get the confidence which may inturn guide you to the next step with more confidence.
Doctor :   3. Stop worrying of the mistakes that you commit, but fail to rectify them.
User :   you mean dont fail
Doctor :   * yes don't fail to rectify them.
User :   ok
Doctor :   4. Read books, there are various books available which can help you in building confidence in oneself and with their work.
Doctor :   You can look for these and can follow them.
Doctor :   These are the few simple measures that can be used.
User :   can you suggest a book because I dont read enough something I can easily read?
User :   ?
Doctor :   They may not help you in giving results instantly.
Doctor :   However over a period of time you will be able to over come them.
Doctor :   If these measures fail to help you, then you can take the help you clinical psychologist and their counsellings.
User :   ok
User :   great thank you doctor
User :   ti clarifies a lot of issues
Doctor :   Do you have any other query?
User :   no sir
User :   thanks a lot
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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