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Can you suggest me the best psychological therapy for a major depressive disorder complicated by the bipolar spectrum?

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Posted on Mon, 17 Sep 2018
Question: Dear Dr,
I suffer from a major depressive disorder. It's also complicated by some bipolar spectrum which manifests with anger. I would like to receive psychological therapy for depression. My hobbies, job, friends, family and daily routine is easy to say, I spend all day in my bedroom, mostly watching TV or in front of the computer. I have almost zero interaction with a friend, ultimately I do not have friends, I lost them all, I don't have a job, so basically I'm living a crappy life.
Exercise and physical activity almost zero.
Even taking medications I don't get better. I know it is a very complicated and severe depression case.
I hope you can help me Dr,
doctor
Answered by Dr. K. V. Anand (9 hours later)
Brief Answer:
Motivation and Depression centered CBT

Detailed Answer:
Hi,
I went through all the details and as you said, it seems that you have moderate to severe depressive disorder.

Depression is a neurochemical disorder. Therefore the treatment is always a combination of medicines and psychotherapy techniques and continuous counseling.

There are several kinds of psychotherpies. For depression, we usually employ Depression-Centered Cognitive Behavioral Therapy (DCCBT).

Because continuous counseling and therapeutical trial and error methods are involved, you will need to contact me every 10 days at least.

Psychoeducation is given for appraising you about the many facets of depression and then to streamline your thoughts and confusions if any.

Motivation counseling and motivation therapy are given in the beginning so as to motivate you for a positive state of mind, physical exercise, socialization etc. These three are essential for managing the serotonin which is the basic cause of your depression.

Life style changes are a must so as to enable the therapy process.

In all, the therapy process is a long procedure and you need to have the patience to have such a therapy procedure.

Please let me know which are the medicines you take current. Take care.

Regards
Dr. K. V. Anand, Psychologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. K. V. Anand (14 hours later)
Dear Dr,
The medicines that I currently take are paroxetine 40mg, Mirtazapine 30mg, clonazepam 4mg, amisulpride 50mg and pregabalin 75mg bid.
Thanks in advance for your response,
doctor
Answered by Dr. K. V. Anand (9 hours later)
Brief Answer:
Therapy

Detailed Answer:
Hi,

Hope the medicines are providing relief.

Go to this website- www.excelatlife.com

Read as many articles as possible about DEPRESSION

Download relaxation audios and practice relaxation twice daily

Do the exercise for 30 minutes daily.

I hope I have answered your query.
With Best Regards,
Take care
Dr. K. V. Anand, Psychologist
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. K. V. Anand

Psychologist

Practicing since :1993

Answered : 7322 Questions

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Can you suggest me the best psychological therapy for a major depressive disorder complicated by the bipolar spectrum?

Brief Answer: Motivation and Depression centered CBT Detailed Answer: Hi, I went through all the details and as you said, it seems that you have moderate to severe depressive disorder. Depression is a neurochemical disorder. Therefore the treatment is always a combination of medicines and psychotherapy techniques and continuous counseling. There are several kinds of psychotherpies. For depression, we usually employ Depression-Centered Cognitive Behavioral Therapy (DCCBT). Because continuous counseling and therapeutical trial and error methods are involved, you will need to contact me every 10 days at least. Psychoeducation is given for appraising you about the many facets of depression and then to streamline your thoughts and confusions if any. Motivation counseling and motivation therapy are given in the beginning so as to motivate you for a positive state of mind, physical exercise, socialization etc. These three are essential for managing the serotonin which is the basic cause of your depression. Life style changes are a must so as to enable the therapy process. In all, the therapy process is a long procedure and you need to have the patience to have such a therapy procedure. Please let me know which are the medicines you take current. Take care. Regards Dr. K. V. Anand, Psychologist