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Dear Dr. XXXXXXX Before Starting For CBT, I Would Like

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Posted on Fri, 3 Jan 2020
Question: Dear Dr. XXXXXXX

Before starting for CBT, I would like to share one thing. I have two problems. One is Depression. Of course, the causes known to me. Anxiety Part I will discuss with next session.

D

Dr. you know my life is going smoothly but with the problem of Anxiety Disorder. The main story starts here. Kindly go through this and advise me as well as prescribe me medicines for me.

In 2011 I took the personal loan from HDFC (Rs.10 lakhs) and Citi Bank (Rs.6 lakhs). I will tell you why I have taken. From 1998 I started taking medicines for Anxiety and Depression (herein called as AD) for which I used to spent Rs.5000 (Inclusive medicines and for Doctors). By the time 1998 I don’t know it is called AD. But when I got job in XXXXXXX in 1998 I came to know it is called as AD. So on an average Rs.5000x12 months comes out to Rs.60000. So for 12 months, the amount has gone to Rs.720000 plus I used to take money from my colleagues with interest which comes out Rs.0000. Now the crux of the problem is I was not in a position to pay EMI. So I took some amount from some of our relatives. I was in the Finance Minister’s office during 2012, I made settlement with these banks. HDFC has given NOC but Citi Bank left SETTLED in CIBIL. Due to this, I don’t get not even a single XXXXXXX from the bank.

In 2013 when the amount was accumulated to Rs.16 lakhs, my father (with his hard earned money constructed house in XXXXXXX in 1974 sold to some one and that was dismantled by another party). This gives a big jolt to me. Second thing, I had apartment which was sold off and my mother had flat which was also sold off. Because I had dues along with my father had also some dues (he was also a Government employee and spent on our family).

Before 2013 dismantling of our house, sold of our flats, I was very influential person in our families. Becoz before I was introvert. After I came to XXXXXXX I became extrovert and gained knowledge, language, education, good reputation in office, friends and family circle. Within a span of few time, everything collapsed.

Everyone started blaming me saying that he was womanizer go to whores and some say all these money gave it to his second wife (he got another marriage). Some says that he is a drunker, smoke cigarettes and drugs. He beat his wife and kids. Some says he killed his wife. Now he is in the jail. Every one in my family, friends and who knows to me to my family used to talk according to their whims and fancies.

Now the main point comes. My wife also started suspecting since 2013 till date and not talk to me, share anything to me, always scold me, use abusive languages. From 2013 to till date the same thing is happening between us. Several discussion were held between my family and theirs.
Now the position is like this. My children aged 12 years and 8 years are also mocking me as every Government employee gets same salary and no part time jobs available now a days. My wife completely ignored me. She don’t talk to me, share anything to me.. There is always a quarrel between myself and my wife. My parents says that you are good for nothing. There is nothing in XXXXXXX you come to XXXXXXX and do any small Central Government office. Prior to this I proud to say every one that I was in the PLANNING COMMISSOIN (PRESENT XXXXXXX AAYOG) and I am in the Ministry of Finance. But they adhere this. My siblings stopped talking to me. My relatives, friends in relatives, my friends since childhood, my colleagues in the past and present office every one stopped talking to me. When any urgency comes for money no body is giving a single rupee to me and my cibil is low so private ones are also not giving any loans to me. What ever salary I am getting that is not sufficient my family.

Every day same problem when I went to house. Stereotype of my wife and children about money.

NOW YOU CAN UNDERSTAND MY MENTAL AGONY. HOW DEPRESS I AM. ONLY THING IS I AM CONTROLLING THIS BY TAKING MEDICINES. BECAUSE MY PARENTS, SIBLINGS, FAMILY MEMBERS, RELATIVES, FRIENDS AND HERE IN XXXXXXX IN MY COLONY, MY PAST COLLEAGUES, PRESENT COLLEAGUES DON’T TALK TO ME. EVERY ONE TALK TO ME (TAKE WORK FROM ME BUT DO THE BACKBITING). ALSO IN 2013, I TRIED SUICDE 2 TIMES BUT NOTHING HAPPENED. IT GIVES ME WONDER. BECOZ WHEN I SLIT BOTH MY NERVES IN THE BOTH HANDS, I WENT TO SLEEP IN THE OFFICE AND WAKE UP AFTER SOME TIME. NEXT DAY I DRUNK BEGAN SPRAY AND EAT RAT BISCUITS NOTHING HAPPENED. NOW I DON’T HAVE DARE TO DO SO BECAUSE OF MY CHILDREN AND WIFE WHO WILL LOOK AFTER THEM.

SO OUT OF MY ANXIETY (PANIC ATTACKS) AND DEPRESSION. THIS IS COMPLETE STORY ABOUT MY DEPRESSION. IN THE NEXT EPISODE, I WILL COME WITH ANXIETY. KINDLY GIVE ANSWER AS EARLY AS POSSIBLE AS YOU ARE GOOD DOCTOR GIVE BEAUTIFUL REASONING OF THE PROBLEMS.ALSO IF REQUIRED KINDLY SUGGEST ANY MEDICINES.

PRESENTLY I AM TAKING VENLIFT OD 150 MG 4 TABLETS.
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Follow up: Dr. K. V. Anand (0 minute later)
Dear Dr. XXXXXXX

Before starting for CBT, I would like to share one thing. I have two problems. One is Depression. Of course, the causes known to me. Anxiety Part I will discuss with next session.

D

Dr. you know my life is going smoothly but with the problem of Anxiety Disorder. The main story starts here. Kindly go through this and advise me as well as prescribe me medicines for me.

In 2011 I took the personal loan from HDFC (Rs.10 lakhs) and Citi Bank (Rs.6 lakhs). I will tell you why I have taken. From 1998 I started taking medicines for Anxiety and Depression (herein called as AD) for which I used to spent Rs.5000 (Inclusive medicines and for Doctors). By the time 1998 I don’t know it is called AD. But when I got job in XXXXXXX in 1998 I came to know it is called as AD. So on an average Rs.5000x12 months comes out to Rs.60000. So for 12 months, the amount has gone to Rs.720000 plus I used to take money from my colleagues with interest which comes out Rs.0000. Now the crux of the problem is I was not in a position to pay EMI. So I took some amount from some of our relatives. I was in the Finance Minister’s office during 2012, I made settlement with these banks. HDFC has given NOC but Citi Bank left SETTLED in CIBIL. Due to this, I don’t get not even a single XXXXXXX from the bank.

In 2013 when the amount was accumulated to Rs.16 lakhs, my father (with his hard earned money constructed house in XXXXXXX in 1974 sold to some one and that was dismantled by another party). This gives a big jolt to me. Second thing, I had apartment which was sold off and my mother had flat which was also sold off. Because I had dues along with my father had also some dues (he was also a Government employee and spent on our family).

Before 2013 dismantling of our house, sold of our flats, I was very influential person in our families. Becoz before I was introvert. After I came to XXXXXXX I became extrovert and gained knowledge, language, education, good reputation in office, friends and family circle. Within a span of few time, everything collapsed.

Everyone started blaming me saying that he was womanizer go to whores and some say all these money gave it to his second wife (he got another marriage). Some says that he is a drunker, smoke cigarettes and drugs. He beat his wife and kids. Some says he killed his wife. Now he is in the jail. Every one in my family, friends and who knows to me to my family used to talk according to their whims and fancies.

Now the main point comes. My wife also started suspecting since 2013 till date and not talk to me, share anything to me, always scold me, use abusive languages. From 2013 to till date the same thing is happening between us. Several discussion were held between my family and theirs.
Now the position is like this. My children aged 12 years and 8 years are also mocking me as every Government employee gets same salary and no part time jobs available now a days. My wife completely ignored me. She don’t talk to me, share anything to me.. There is always a quarrel between myself and my wife. My parents says that you are good for nothing. There is nothing in XXXXXXX you come to XXXXXXX and do any small Central Government office. Prior to this I proud to say every one that I was in the PLANNING COMMISSOIN (PRESENT XXXXXXX AAYOG) and I am in the Ministry of Finance. But they adhere this. My siblings stopped talking to me. My relatives, friends in relatives, my friends since childhood, my colleagues in the past and present office every one stopped talking to me. When any urgency comes for money no body is giving a single rupee to me and my cibil is low so private ones are also not giving any loans to me. What ever salary I am getting that is not sufficient my family.

Every day same problem when I went to house. Stereotype of my wife and children about money.

NOW YOU CAN UNDERSTAND MY MENTAL AGONY. HOW DEPRESS I AM. ONLY THING IS I AM CONTROLLING THIS BY TAKING MEDICINES. BECAUSE MY PARENTS, SIBLINGS, FAMILY MEMBERS, RELATIVES, FRIENDS AND HERE IN XXXXXXX IN MY COLONY, MY PAST COLLEAGUES, PRESENT COLLEAGUES DON’T TALK TO ME. EVERY ONE TALK TO ME (TAKE WORK FROM ME BUT DO THE BACKBITING). ALSO IN 2013, I TRIED SUICDE 2 TIMES BUT NOTHING HAPPENED. IT GIVES ME WONDER. BECOZ WHEN I SLIT BOTH MY NERVES IN THE BOTH HANDS, I WENT TO SLEEP IN THE OFFICE AND WAKE UP AFTER SOME TIME. NEXT DAY I DRUNK BEGAN SPRAY AND EAT RAT BISCUITS NOTHING HAPPENED. NOW I DON’T HAVE DARE TO DO SO BECAUSE OF MY CHILDREN AND WIFE WHO WILL LOOK AFTER THEM.

SO OUT OF MY ANXIETY (PANIC ATTACKS) AND DEPRESSION. THIS IS COMPLETE STORY ABOUT MY DEPRESSION. IN THE NEXT EPISODE, I WILL COME WITH ANXIETY. KINDLY GIVE ANSWER AS EARLY AS POSSIBLE AS YOU ARE GOOD DOCTOR GIVE BEAUTIFUL REASONING OF THE PROBLEMS.ALSO IF REQUIRED KINDLY SUGGEST ANY MEDICINES.

PRESENTLY I AM TAKING VENLIFT OD 150 MG 4 TABLETS.
doctor
Answered by Dr. K. V. Anand (3 hours later)
Brief Answer:
Provide some more details.

Detailed Answer:
Dear Ukamesh30. Thank you for the question. I went through the whole details given by you. I can understand the mental agony you are going through. I also understand that you feel lonely and emotional. Even in office, you try your level best to adjust with the situation and work hard, but nobody is giving any support to you. So present scenario is, you worked hard for your family, still work hard for your family, but nobody is understanding you. Your wife, children, parents, siblings they do not support you emotionally, and in fact, they are avoiding you. At your office, your colleagues are also of the same behavior pattern. Pathetic.

The stress and disappointment you experienced throughout the given period had accumulated and became reason for your present psychological condition. You are taking medicines for depression. (Are you taking medicine for anxiety? As and when anxiety attack happens?)

Are you feeling with Venlift OD 150 mg for the time being? If yes, no need to change that medicine. If you are not satisfied with the action of the medicine, please consult your psychiatrist. I am a psychologist and I cannot prescribe any medicines. My expertise is to provide psychological counseling and different kinds of therapies to the clients. Please understand. Psychotherapy (CBT is one technique) with psychiatry medicine do provide much needed relief.

Do you do physical exercise?
Have you trained for yoga, meditation, breathing exercise, mindfulness meditation etc?
What is your present socialization pattern?
Do you have friends?
After or before office hours, what are your pass time or hobbies?
What is your general weekly diet? Veg or Non-veg?
How is your sleep generally?
Are you able to concentrate on your job ?

Please provide all the above information. Take care


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. K. V. Anand (0 minute later)
Brief Answer:
Provide some more details.

Detailed Answer:
Dear Ukamesh30. Thank you for the question. I went through the whole details given by you. I can understand the mental agony you are going through. I also understand that you feel lonely and emotional. Even in office, you try your level best to adjust with the situation and work hard, but nobody is giving any support to you. So present scenario is, you worked hard for your family, still work hard for your family, but nobody is understanding you. Your wife, children, parents, siblings they do not support you emotionally, and in fact, they are avoiding you. At your office, your colleagues are also of the same behavior pattern. Pathetic.

The stress and disappointment you experienced throughout the given period had accumulated and became reason for your present psychological condition. You are taking medicines for depression. (Are you taking medicine for anxiety? As and when anxiety attack happens?)

Are you feeling with Venlift OD 150 mg for the time being? If yes, no need to change that medicine. If you are not satisfied with the action of the medicine, please consult your psychiatrist. I am a psychologist and I cannot prescribe any medicines. My expertise is to provide psychological counseling and different kinds of therapies to the clients. Please understand. Psychotherapy (CBT is one technique) with psychiatry medicine do provide much needed relief.

Do you do physical exercise?
Have you trained for yoga, meditation, breathing exercise, mindfulness meditation etc?
What is your present socialization pattern?
Do you have friends?
After or before office hours, what are your pass time or hobbies?
What is your general weekly diet? Veg or Non-veg?
How is your sleep generally?
Are you able to concentrate on your job ?

Please provide all the above information. Take care


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. K. V. Anand (41 hours later)
Do you do physical exercise?
Have you trained for yoga, meditation, breathing exercise, mindfulness meditation etc?
What is your present socialization pattern?
Do you have friends?
After or before office hours, what are your pass time or hobbies?
What is your general weekly diet? Veg or Non-veg?
How is your sleep generally?
Are you able to concentrate on your job ?

Dear Sir,
Kindly note the answer for above points:
1) I do regular physical exercise but that is moderate (from top to bottom)
2) I do yoga, deep breathing (slow complete breathing and exhaling out through mouth 15 mins)
3) Meditation – In between eye brows for 15 mins
4) I do XXXXXXX regularly. In this also, there is also lot of concentration.
5) Apart from I take regular diet with fruits, plenty of water and sleep.
6) Now socialization pattern is extrovert. Prior to come to XXXXXXX from my birth 1972 to 1997 I was introvert. Now I make friends, I move easily with opposite sex. I don’t have any problem. But I don’t have not a single close friend to share to my problems and thoughts. All these friends are only to say hai.
7) Sir in the morning I do not get time. I wake up at 5’00 clock and arrange along with my wife all the things to my kids who are going to school at 7’00 AM. After that I go for sleep again and wake up at 8’0 clock and do all exercises, XXXXXXX and breakfast and come to office. My wife doesn’t share anything during this period. After coming to office hours that depends on boss on an average at 7’0 clock, I bring milk and rest of the household things. Then take dinner. Kids enjoy with XXXXXXX and wife as well. No body is there to talk too me. I just take my breakfast and go for sleep. My kids are 12 yrs and 7 yrs so they spend some time to me but my wife does not. Then I go for sleep. Of course, Sundays we want to go out becoz of financial problem we will not.
Then come to the point of Anxiety ( I have three problems: 1) Tightening of jaw when laughing or talking to some one. For this I am taking Inderal (Propronol) 40 mg twice a day) 2) Rivotril 2mg (highly addictive medicine) taking 2 tabs since 2002 for Anxiety related problems.
This is my medication, exercise, diet, sleep, socialization etc.
PROBLEM WHEN STARTED: As far as I remember, I was lean, prone to stomach related problems when I was childl. My face becomes red. This problem continued till my age was 16 years. Also I detected the panic problem when I was at 11 years I was giving independent speech. Panic attack occurred. At that time I did not know this is related to social anxiety.
Second episode occurred at the age of 16th year when I entered into college. Then Panic attack occurred. Till that time to presently I have been facing the problem. Of course gravity of problem was peak at that point. When I talk to any person, when I meet a person and see that person again, in group in all sorts of social activities, even talking to single individual panic attack occurs. Fortunately, reddishness in the face vanished at the 16th year and tightening of jaw muscles started. I came to 1998 in XXXXXXX for job purpose the gravity was so much. During this period, I did not have friends, family friends, not attended any parties, did not attended parties, picnicks etc.
When I came in 1998 to XXXXXXX I met one psychiatrist. He gave me zolax sr 1.5 mg. It worked wonder. Almost 6 years it suppressed the symptoms but later stopped functioning on the body. Due to this I gained weight from 60 kgs to 80 kgs (till date my weight 80 kgs). Then in 2002 when one doctor gave rivotril 2mg. Regularly since 2002 to till date I am taking this one. Otherwise I will become mad. One more I want to say Doctor, fortunately, all my thoughts are under my control. I do not get any negative and unnecessary thoughts.
Finally I come to the conclusion that apart from doing exercise taking diet, sleep pattern, taking medicines, I am facing these problems:
1) Tightening of jaw (especially when laugh or in group)
2) Unable to talk individually or in group (though of fear of fear – panic attack occurs)
3) Argumentable situation (Thought comes he may hit me).

So this is my Anxiety problem. Depression problem already I discussed with you. Kindly help me.
default
Follow up: Dr. K. V. Anand (0 minute later)
Do you do physical exercise?
Have you trained for yoga, meditation, breathing exercise, mindfulness meditation etc?
What is your present socialization pattern?
Do you have friends?
After or before office hours, what are your pass time or hobbies?
What is your general weekly diet? Veg or Non-veg?
How is your sleep generally?
Are you able to concentrate on your job ?

Dear Sir,
Kindly note the answer for above points:
1) I do regular physical exercise but that is moderate (from top to bottom)
2) I do yoga, deep breathing (slow complete breathing and exhaling out through mouth 15 mins)
3) Meditation – In between eye brows for 15 mins
4) I do XXXXXXX regularly. In this also, there is also lot of concentration.
5) Apart from I take regular diet with fruits, plenty of water and sleep.
6) Now socialization pattern is extrovert. Prior to come to XXXXXXX from my birth 1972 to 1997 I was introvert. Now I make friends, I move easily with opposite sex. I don’t have any problem. But I don’t have not a single close friend to share to my problems and thoughts. All these friends are only to say hai.
7) Sir in the morning I do not get time. I wake up at 5’00 clock and arrange along with my wife all the things to my kids who are going to school at 7’00 AM. After that I go for sleep again and wake up at 8’0 clock and do all exercises, XXXXXXX and breakfast and come to office. My wife doesn’t share anything during this period. After coming to office hours that depends on boss on an average at 7’0 clock, I bring milk and rest of the household things. Then take dinner. Kids enjoy with XXXXXXX and wife as well. No body is there to talk too me. I just take my breakfast and go for sleep. My kids are 12 yrs and 7 yrs so they spend some time to me but my wife does not. Then I go for sleep. Of course, Sundays we want to go out becoz of financial problem we will not.
Then come to the point of Anxiety ( I have three problems: 1) Tightening of jaw when laughing or talking to some one. For this I am taking Inderal (Propronol) 40 mg twice a day) 2) Rivotril 2mg (highly addictive medicine) taking 2 tabs since 2002 for Anxiety related problems.
This is my medication, exercise, diet, sleep, socialization etc.
PROBLEM WHEN STARTED: As far as I remember, I was lean, prone to stomach related problems when I was childl. My face becomes red. This problem continued till my age was 16 years. Also I detected the panic problem when I was at 11 years I was giving independent speech. Panic attack occurred. At that time I did not know this is related to social anxiety.
Second episode occurred at the age of 16th year when I entered into college. Then Panic attack occurred. Till that time to presently I have been facing the problem. Of course gravity of problem was peak at that point. When I talk to any person, when I meet a person and see that person again, in group in all sorts of social activities, even talking to single individual panic attack occurs. Fortunately, reddishness in the face vanished at the 16th year and tightening of jaw muscles started. I came to 1998 in XXXXXXX for job purpose the gravity was so much. During this period, I did not have friends, family friends, not attended any parties, did not attended parties, picnicks etc.
When I came in 1998 to XXXXXXX I met one psychiatrist. He gave me zolax sr 1.5 mg. It worked wonder. Almost 6 years it suppressed the symptoms but later stopped functioning on the body. Due to this I gained weight from 60 kgs to 80 kgs (till date my weight 80 kgs). Then in 2002 when one doctor gave rivotril 2mg. Regularly since 2002 to till date I am taking this one. Otherwise I will become mad. One more I want to say Doctor, fortunately, all my thoughts are under my control. I do not get any negative and unnecessary thoughts.
Finally I come to the conclusion that apart from doing exercise taking diet, sleep pattern, taking medicines, I am facing these problems:
1) Tightening of jaw (especially when laugh or in group)
2) Unable to talk individually or in group (though of fear of fear – panic attack occurs)
3) Argumentable situation (Thought comes he may hit me).

So this is my Anxiety problem. Depression problem already I discussed with you. Kindly help me.
doctor
Answered by Dr. K. V. Anand (8 hours later)
Brief Answer:
Hi,

Detailed Answer:
Dear friend. Thanks for the detailed answer. You are doing many things which should have been benefited you by now regarding your anxiety and depression. Why you are not benefited should be analyzed thoroughly. Then accordingly CBT tips and methods can be incorporated. I wish to speak to you through telephone. Please arrange for that through healthcaremagic customer care. In the meantime,

1. I request you to start writing a cognitive diary in which you will write all those negative incidents, negative thoughts, negative words spoken by you etc. You can write this diary daily at night.

2. You need to restructure your thoughts. Your wife and children and office friends may not be thinking as bad as you think. Try introspection and get your perception correct. I will help you.Take care
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. K. V. Anand (0 minute later)
Brief Answer:
Hi,

Detailed Answer:
Dear friend. Thanks for the detailed answer. You are doing many things which should have been benefited you by now regarding your anxiety and depression. Why you are not benefited should be analyzed thoroughly. Then accordingly CBT tips and methods can be incorporated. I wish to speak to you through telephone. Please arrange for that through healthcaremagic customer care. In the meantime,

1. I request you to start writing a cognitive diary in which you will write all those negative incidents, negative thoughts, negative words spoken by you etc. You can write this diary daily at night.

2. You need to restructure your thoughts. Your wife and children and office friends may not be thinking as bad as you think. Try introspection and get your perception correct. I will help you.Take care
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. K. V. Anand (2 days later)
Dear Doctor. Thank you for your suggestions. yesterday, I wrote complete journal and gone through several times every point. Finally, I came to the conclusion that every day I maintain diary for the problems viz., for Depression I write what is the problem (Depression), Where it occurred and Solution for the problem. Likewise for Anxiety also. I hope along with Medication, regulary Exercise, Diet and addressing the problems in a proper and positive way I will come out of the problem. I will give you for example. Why I am getting Panic attack in group. I thought because of lack of confidence and courage. Confidence in the sense that lack of good communication. So I started practising again more and more discussions. Second why courage is not there. I am practising taking topic and practising before mirror to overcome fear. Also for example why I am getting Depression because financial problem. I want to learn courses and address my problems. In this way I want to overcome Depression and Anxiety problems. If you have mail id can you give me so that I can share with you along with phone number also. So I divided the life into Personal (Health), Career, Finance and Misc (rest of above). So when I achieve good health, good in career, sound finance and Misc in the sense enjoyment in life, I hope I will overcome all these problems. So this is my strategy. If there is any lacuna kindly let me know Doctor. Waiting for your reply. Once again I am telling my strategy. Medicines, Exercise, Diet, Sound sleep, Over come all the problems and mingle in the society and application.
default
Follow up: Dr. K. V. Anand (0 minute later)
Dear Doctor. Thank you for your suggestions. yesterday, I wrote complete journal and gone through several times every point. Finally, I came to the conclusion that every day I maintain diary for the problems viz., for Depression I write what is the problem (Depression), Where it occurred and Solution for the problem. Likewise for Anxiety also. I hope along with Medication, regulary Exercise, Diet and addressing the problems in a proper and positive way I will come out of the problem. I will give you for example. Why I am getting Panic attack in group. I thought because of lack of confidence and courage. Confidence in the sense that lack of good communication. So I started practising again more and more discussions. Second why courage is not there. I am practising taking topic and practising before mirror to overcome fear. Also for example why I am getting Depression because financial problem. I want to learn courses and address my problems. In this way I want to overcome Depression and Anxiety problems. If you have mail id can you give me so that I can share with you along with phone number also. So I divided the life into Personal (Health), Career, Finance and Misc (rest of above). So when I achieve good health, good in career, sound finance and Misc in the sense enjoyment in life, I hope I will overcome all these problems. So this is my strategy. If there is any lacuna kindly let me know Doctor. Waiting for your reply. Once again I am telling my strategy. Medicines, Exercise, Diet, Sound sleep, Over come all the problems and mingle in the society and application.
doctor
Answered by Dr. K. V. Anand (8 hours later)
Brief Answer:
Live and learn to enjoy your life

Detailed Answer:
Dear UKamesh. You are doing everything you can. That is a nice thing to know. You are your own healer. Go ahead with all these you are doing. But I have a remark to make.

Do not do all these to cure your present problems. Do these as part of your life and to keep you healthy and energetic. You are living your life and enjoying it. Enjoy it. Life has many problems and we need to learn to live it satisfactorily. Now or Today is what "you have". Everything else is uncertain.

Because, the more you try to cure "those", the more you are thinking about "those". "Those" are always stressors. When you think and worry about stressors, the stressors creates negative thoughts, further anxiety and then panic attack.

The only way out is, Live and learn to enjoy your life, whatever and however it may be.

Take care
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. K. V. Anand (0 minute later)
Brief Answer:
Live and learn to enjoy your life

Detailed Answer:
Dear UKamesh. You are doing everything you can. That is a nice thing to know. You are your own healer. Go ahead with all these you are doing. But I have a remark to make.

Do not do all these to cure your present problems. Do these as part of your life and to keep you healthy and energetic. You are living your life and enjoying it. Enjoy it. Life has many problems and we need to learn to live it satisfactorily. Now or Today is what "you have". Everything else is uncertain.

Because, the more you try to cure "those", the more you are thinking about "those". "Those" are always stressors. When you think and worry about stressors, the stressors creates negative thoughts, further anxiety and then panic attack.

The only way out is, Live and learn to enjoy your life, whatever and however it may be.

Take care
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. K. V. Anand

Psychologist

Practicing since :1993

Answered : 7324 Questions

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Dear Dr. XXXXXXX Before Starting For CBT, I Would Like

Dear Dr. XXXXXXX Before starting for CBT, I would like to share one thing. I have two problems. One is Depression. Of course, the causes known to me. Anxiety Part I will discuss with next session. D Dr. you know my life is going smoothly but with the problem of Anxiety Disorder. The main story starts here. Kindly go through this and advise me as well as prescribe me medicines for me. In 2011 I took the personal loan from HDFC (Rs.10 lakhs) and Citi Bank (Rs.6 lakhs). I will tell you why I have taken. From 1998 I started taking medicines for Anxiety and Depression (herein called as AD) for which I used to spent Rs.5000 (Inclusive medicines and for Doctors). By the time 1998 I don’t know it is called AD. But when I got job in XXXXXXX in 1998 I came to know it is called as AD. So on an average Rs.5000x12 months comes out to Rs.60000. So for 12 months, the amount has gone to Rs.720000 plus I used to take money from my colleagues with interest which comes out Rs.0000. Now the crux of the problem is I was not in a position to pay EMI. So I took some amount from some of our relatives. I was in the Finance Minister’s office during 2012, I made settlement with these banks. HDFC has given NOC but Citi Bank left SETTLED in CIBIL. Due to this, I don’t get not even a single XXXXXXX from the bank. In 2013 when the amount was accumulated to Rs.16 lakhs, my father (with his hard earned money constructed house in XXXXXXX in 1974 sold to some one and that was dismantled by another party). This gives a big jolt to me. Second thing, I had apartment which was sold off and my mother had flat which was also sold off. Because I had dues along with my father had also some dues (he was also a Government employee and spent on our family). Before 2013 dismantling of our house, sold of our flats, I was very influential person in our families. Becoz before I was introvert. After I came to XXXXXXX I became extrovert and gained knowledge, language, education, good reputation in office, friends and family circle. Within a span of few time, everything collapsed. Everyone started blaming me saying that he was womanizer go to whores and some say all these money gave it to his second wife (he got another marriage). Some says that he is a drunker, smoke cigarettes and drugs. He beat his wife and kids. Some says he killed his wife. Now he is in the jail. Every one in my family, friends and who knows to me to my family used to talk according to their whims and fancies. Now the main point comes. My wife also started suspecting since 2013 till date and not talk to me, share anything to me, always scold me, use abusive languages. From 2013 to till date the same thing is happening between us. Several discussion were held between my family and theirs. Now the position is like this. My children aged 12 years and 8 years are also mocking me as every Government employee gets same salary and no part time jobs available now a days. My wife completely ignored me. She don’t talk to me, share anything to me.. There is always a quarrel between myself and my wife. My parents says that you are good for nothing. There is nothing in XXXXXXX you come to XXXXXXX and do any small Central Government office. Prior to this I proud to say every one that I was in the PLANNING COMMISSOIN (PRESENT XXXXXXX AAYOG) and I am in the Ministry of Finance. But they adhere this. My siblings stopped talking to me. My relatives, friends in relatives, my friends since childhood, my colleagues in the past and present office every one stopped talking to me. When any urgency comes for money no body is giving a single rupee to me and my cibil is low so private ones are also not giving any loans to me. What ever salary I am getting that is not sufficient my family. Every day same problem when I went to house. Stereotype of my wife and children about money. NOW YOU CAN UNDERSTAND MY MENTAL AGONY. HOW DEPRESS I AM. ONLY THING IS I AM CONTROLLING THIS BY TAKING MEDICINES. BECAUSE MY PARENTS, SIBLINGS, FAMILY MEMBERS, RELATIVES, FRIENDS AND HERE IN XXXXXXX IN MY COLONY, MY PAST COLLEAGUES, PRESENT COLLEAGUES DON’T TALK TO ME. EVERY ONE TALK TO ME (TAKE WORK FROM ME BUT DO THE BACKBITING). ALSO IN 2013, I TRIED SUICDE 2 TIMES BUT NOTHING HAPPENED. IT GIVES ME WONDER. BECOZ WHEN I SLIT BOTH MY NERVES IN THE BOTH HANDS, I WENT TO SLEEP IN THE OFFICE AND WAKE UP AFTER SOME TIME. NEXT DAY I DRUNK BEGAN SPRAY AND EAT RAT BISCUITS NOTHING HAPPENED. NOW I DON’T HAVE DARE TO DO SO BECAUSE OF MY CHILDREN AND WIFE WHO WILL LOOK AFTER THEM. SO OUT OF MY ANXIETY (PANIC ATTACKS) AND DEPRESSION. THIS IS COMPLETE STORY ABOUT MY DEPRESSION. IN THE NEXT EPISODE, I WILL COME WITH ANXIETY. KINDLY GIVE ANSWER AS EARLY AS POSSIBLE AS YOU ARE GOOD DOCTOR GIVE BEAUTIFUL REASONING OF THE PROBLEMS.ALSO IF REQUIRED KINDLY SUGGEST ANY MEDICINES. PRESENTLY I AM TAKING VENLIFT OD 150 MG 4 TABLETS.