Suggest Treatment For Depression And Low Confidence
This happens to him in every two three days. I think the heavy medicines are making his mind dead. But don't have dare to stop them. Doctors please help as I cant see my little brother loosing in front of my eyes.
I am attaching the reports and prescription of my brother. Please let me know if he is taking correct medicine,what is his illness, and most important how can I get him back as a normal person. Also let me know the best doctor in Delhi/NCR region whom I can consult in person if required.
His issue began 2 years back. Initially the symptoms were sleepless nights and used to walk around in home thinking and thinking for 2-3 hours in one go.... Now over the course of medication he has developed rigrous eye ball movementand other symptoms as described above..
He needs antidepressant with aripiprazole
Detailed Answer:
HI
Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query.
I think, your brother has depression. Low confidence, not interacting other people, low mood, sleep disturbance, headache etc are symptoms of depression and in that case, he needs antidepressant. He is already on antidepressant like escitalopram or sertraline, but on sub-optimum dose. Dose of sertraline could be increased up to 200 mg per day, but in last prescription on 23rd May, he was on 50mg of sertraline. Along with antidepressant, he was on antipsychotic. This could be the reason of rolling of eye ball or movement in eye ball. It could be the side effects due to antipsychotic like risperidone. If he does not have any psychotic symptoms in form of hallucination, delusion etc, then there is no need to give him risperidone. These drugs would further aggravate the eye symptoms.
If i was his treatting doctor, i would have preferred sertraline with tab aripiprazole or combination of antidepressants. These would help him in improving in depressive symptoms.
Please tell me the exact location in NCR, where you stay, so i could recommend a psychiatrist to you.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Thanks
Detailed Answer:
Thanks
You can either contact to Dr XXXXXXX Mittal in XXXXXXX Asia hospital Sec 23. You can call XXXXXXX Asia hospital to get appointment. If you want to consult me, I have OPD tomorrow in XXXXXXX Hospital (6 to 8pm).
Regards
Dr. Abhishek Kapoor
Psychiatrist
Improvement would take time
Detailed Answer:
Hi
XXXXXXX Hospital is in Sector 14, XXXXXXX He is on low dose of antidepressant and that has to be increased. There is no need of psychotic if he does not have any psychotic symptoms. Rest, i could tell you after examining him. Improvement would take time, how much?? that depends upon severity of illness.
Regards
Dr. Abhishek Kapoor
Psychiatrist