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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering from seasonal affective disorder and Enteric Nervous System. Treatment?

Answered by
Dr.
Dr. Ashish Mittal

Psychiatrist

Practicing since :2004

Answered : 1857 Questions

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Posted on Tue, 2 Oct 2012 in Mental Health
Question: I have suffered from SAD since 2006 and since 2009/10 ENS
has made things worse.
My wife and I role reverse so its I who was at home with the children. Oldest is now in her own flat in XXXXXXX. Number 00 is about to start work on north sea oils rigs and hopes to get a flay in Plymouth and number 3 is in her 3rs year at Satfford doing computer forensics (he has Aspergers) Then of course i fell guitly about not wanting them to leave.....
doctor
Answered by Dr. Ashish Mittal 6 hours later
Hello,

Thanks for your query.

I appreciate your efforts for medical consultation in so much distress.

Important aspects of your query are:

•     60 year old married male
•     Known case of SAD (Seasonal affective disorder)for 5 years and exacerbation from 2009/2010
•     Presence of multiple co morbidities as you are already taking: Mertformin, insulin, Atorvastatin, Asprin and Lorstan
•     Guilt related to role reversal at home and children leaving home gradually

First you need to understand that you are not responsible for the problems, but it is your illness because of that you are facing all these problems. So, never have guilt feeling inside you. Once you will improve things will become better.

Apart from that you need to understand following facts:
•     Your age is already 60 years and people usually retire at this age, so no need to worry about role reversal.
•     Your children leaving home because of work opportunity and not because of you.
•     Ideas of guilt also a symptom of your illness, in which patient feel himself guilty for minor things.

The best way you can help your family member in current situation:
•     Take medicine on time.
•     Keep proper follow up with physician and psychiatrist to control SAD, blood pressure and diabetes, as one illness exacerbate symptom of other illness.

Final message to you: Do not feel guilty as this time will also pass, take medicine on time and enjoy your work (whatever you doing in current situation).

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.

Regards,

Above answer was peer-reviewed by : Dr. Radhika
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