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Suggest Treatment For Depression

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Posted on Tue, 4 Aug 2015
Question: Hello I have question about my mental disorder.
Sometimes i cant believe what is happening with me I get very anxious.
I was very fine until a month ago and that is when I started losing concentration.
When I listen to redio or Tv in English ( second language) I try to focus very hard to understand everything what they are saying.
I am talking about political discussions or anything that is not easy to understand.
When I read I understand almost everything except some technical terms.
I am writing this because i will tell you now what my problem is. I convinced myself for some reason that I am not smart enough to always understand everything what I want to understand in English and it became my obsession. I listen some show on the radio and I understand everything until I start thinking that I dont understand than I lose focus and than really i missed what they were saying. I am more interested if I will understand what they are saying rather then being interested in the story that the radio show presents. I became obsessed with that even when i listen the shows in my language.
I am very good chess player none of my friends or frinds' friends can beat me.
I am very good in fixing computers. When i am doing something that needs lots of concentration and knowledge in the middle of doing that I start asking my self how am I able to do this. How does the brain function I question my intelect all the time and i can't stop thinking about these stupid questions.
Ita making me very anxious and unhappy I just want to think like i used to but I can't.
All kinds of questions are rushing. Sometimes I manage to stop it and I start to think clearly but they come back. I started exercise and doing meditation. When I dont have these crazy thoughts I feel good but they suddenly pop up out of nowhere. I dont have problem sleeping. I dont have panic attacks. I try to socialize more out of fear of losing confidence. I became wery worried when someone was telling me something important and I wasnt listening because i was lost i my thoughts. Many things that I liked to do I dont anymore I am fighting civil war with my thoughts and nobody knows that sometimes I start crying and it gets better after crying than i ask my self why am i crying i was never crying i was always a tough man.
What is happening I dont know. I think if I go see a doctor that it will only make it worse because I will tell my self that i have serious problem that needs doctors help. I had something similar to this 10 years ago but I met a nice girls and i forgot about these thoughts. I asked myself in between those 10 years what was happening to me why i had those crazy thoughts ccc and than i just go on with my life but now it came back and its much more serious. I am happily married i have everything i need I was very very happy man until these obsessive thoughts came in my life that dont let me think clearly. What is happening?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (23 minutes later)
Brief Answer:
This is depression and treatable

Detailed Answer:
Hello,
Thanks for using healthcaremagic.
I read your question and understand your concerns.

First of all I like to inform you that the features mentioned in your question are indicative of depression. There is no point in thinking you have a serious problem which needs doctors help. We all need doctors help and advice. In addition depression is not a rare problem. It is common across population and around 18 % of women and more than 10 % men affected with depression in their life time.

Rather than rumitating about these things it is more important to seek help as soon as possible as time is more important to tackle depression during early phages.

So talk to your psychiatrist/GP and start the treatment as per advice. For depression there are various types of psychotherapies and medicines which are effective.

Continuing Yoga and exercise important but they half tp certain extent only.

I hope this helps you.
If you have any questions left feel free to write back to me.
Thanks and regards.
Dr Ashok Kumar

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (3 days later)
I was very scared because i couldn't stop thinking about one thing, that thing is nothing it just came out of thinking and that made me depressive and now i question my every thought .When i have to shake hands with somebody for exemple I pose questions How do I understand that i have to shake hands with that person and than during a conversation I Question everything but my conversation is normal and nobody can notice anything.
For exemple when i read something I read one sentence that relates to next sentence and than i ask myself how did I memorize previous sentence and understud the meaning of the paragraph which is ridiculous, which is very stupid but I cant stop those thoughts and they distract my concentration. Sometimes I manage to tell myself that these thoughts are a lie and put my focus back on reading and actually thinking about the story in the book. I ask myself what does this sentence or word mean. Than I define the sentence or word in my thoughts just to prove myself that I understand the sentence. In fact I understand everything except when I drift with my thoughts and than miss what they were saying on the radio show for exemple. Some nights I manage to tell myself that those thoughts are not true and than I stop thinking about that and than I function normally and think clearly . Sometimes I cant stop it and Than I ask myself what is going with me am I gonna go crazy what is gonna happen with me and that made my cry anxious and depressive.
I think that now I explained my problem much better.
Thank you!
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (11 hours later)
Brief Answer:
Yes your description is very informative and diagnosis is clear

Detailed Answer:
Hello,
Thanks for reverting back to me.

In view of latest information I like to change my provisional diagnosis to obsessive compulsive disorder.

This is a disorder where we are obsessed with one or another thing and despite knowing it is ridiculous unable to get rid of unnecessary thoughts.

Like depression it is also treated with SSRI group of medicines albeit higher dosages. In addition exposure and response prevention psychotherapy is effective in management of Obsessive compulsive disorder.

As I suggested earlier talk to your psychiatrist for starting treatment as delayed treatment leads to poor response.

I hope this is helpful to you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (20 hours later)
I have one more thing to say.
I am good in math but now I get lost even before i start doing mathematical operation than I get myself together and manage to solve it but much slower than I used to because of those ridiculous thoughts.
Last night I did it without problem because I did not have thouse scary thoughts in that moment which intimidate me.They Intimidate me because I worry that I will always have them. Questioning what? why? how? should I? what are thoughts? and stupid stuff.
Sometimes I feel as if I do things unconsciously when I dont have those thoughts than my brain works fast like it used to. Is that curable and what medication is good I red reviews about prozac. It has good reviews for OCD.
I just want to be like I used to and be positive and strong. I know I can because when I talk to people I behave like always people dont realize anything different but I feel like can't hold it. Some moments I would be without those thoughts and say something funny people would laugh but It lasts for 5 minutes XXXXXXX . Thank you very much for your time I will leave good feedback

I have an appoitment with my family doctor tomorrow.
I need some medication as soon as possible before I get to Psychiatrist. Do you have any suggestion which medication should I start with and tell him to prescribe me. He is not a specialist and seems always uninterested.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (57 minutes later)
Brief Answer:
It is treatable

Detailed Answer:
Hello,
Thanks for following me.

I understand your concern about effect of disorder on various domains of life. Most people loss more than one hour when they are effected with OCD. Few, those who have severe OCD are unable to function completely and I am glad to notice your OCD falls in Moderate range.

Regarding treatment yes prozac is most studied medication but other SSRI like lexapro, Clexa, Paxil, Zoloft and fluvoxamine are found useful.

In OCD we generally use higher dose of these medication like 60 mg of Prozac per day unlike depression where 20 mg prozac is quite effective.

In my view if you have no contraindication (to determine it needs personal discussion and physical examination) prozac can be started with 30 mg per day with increase of another 20 mg every one to two weeks depending upon tolerability.

I hope this answers your question.
Thanks and regards
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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Suggest Treatment For Depression

Brief Answer: This is depression and treatable Detailed Answer: Hello, Thanks for using healthcaremagic. I read your question and understand your concerns. First of all I like to inform you that the features mentioned in your question are indicative of depression. There is no point in thinking you have a serious problem which needs doctors help. We all need doctors help and advice. In addition depression is not a rare problem. It is common across population and around 18 % of women and more than 10 % men affected with depression in their life time. Rather than rumitating about these things it is more important to seek help as soon as possible as time is more important to tackle depression during early phages. So talk to your psychiatrist/GP and start the treatment as per advice. For depression there are various types of psychotherapies and medicines which are effective. Continuing Yoga and exercise important but they half tp certain extent only. I hope this helps you. If you have any questions left feel free to write back to me. Thanks and regards. Dr Ashok Kumar