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Suggest Treatment For Loss Of Confidence And Fatigue Along With Depression
Question: Dear doctor, these days I am having some kind of depression (I will be happy & full of energy but suddenly I loose the energy level, I become moody. I feel as if I have worked a lot & feel tired!!! though I have just entered the office). I am having very low confidence level these days. Can u pls suggest some medicines to over come this issue (I have already contacted Psychiatrists for counselling but they have just guided me to be calm etc. This hasn't helped me in any ways because I will be calm but those mood swings spoil my day). Pls help.
Brief Answer:
I need more information to provide specific help
Detailed Answer:
Dear XXXXXXX
Thanks for contacting me directly. I read your query and can understand your concern.
From your history I cannot make specific diagnosis of your problem. To help you further I need more information from your side.After that I can suggest medicine.
- Let me know your some personal background in brief and relevant with your problem. Your education, occupation, marital life, social life.
- Since when are you suffering from this problem?
- How did it start? Suddenly or gradually increased? Is there any stress or even related to this?
- Did persons around you (family members, friends, colleagues) notice change in your mood?
- What did psychiatrist has exactly say about your problem? Was there any diagnosis?
- In mood swings were there any excessive anger, increased money spending, cheerfulness, suicidal ideas/attempt? Please describe symptoms of mood swings with some details.
- How much your social/occupational life has been affected due to your problem?
Dear though information asked is long please try to give answer so I can have more idea about your problem.
I am waiting for your response to guide you further.
Regards,
Dr.Chintan Solanki.
I need more information to provide specific help
Detailed Answer:
Dear XXXXXXX
Thanks for contacting me directly. I read your query and can understand your concern.
From your history I cannot make specific diagnosis of your problem. To help you further I need more information from your side.After that I can suggest medicine.
- Let me know your some personal background in brief and relevant with your problem. Your education, occupation, marital life, social life.
- Since when are you suffering from this problem?
- How did it start? Suddenly or gradually increased? Is there any stress or even related to this?
- Did persons around you (family members, friends, colleagues) notice change in your mood?
- What did psychiatrist has exactly say about your problem? Was there any diagnosis?
- In mood swings were there any excessive anger, increased money spending, cheerfulness, suicidal ideas/attempt? Please describe symptoms of mood swings with some details.
- How much your social/occupational life has been affected due to your problem?
Dear though information asked is long please try to give answer so I can have more idea about your problem.
I am waiting for your response to guide you further.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I completed MBA & I am working in MNC. I am happily married (Love marriage). Have a lovely kid. I have bunch of good friends & I am happy socially, personally & professionally.
I have been facing this problem from past few months.
It started suddenly. I used to be a very energetic person with a lot of cheerfulness. I dont have any stress in office, neither in family or with friends. I eat good, I sleep properly.
Ya my friends & family members have noticed that I will be so talkitive & full of energy & suddenly I go down. They have asked like "What happened, u have become dull, look tired, Cheer up"
When I consulted psychiatrists, they told me to be calm, start doing yoga /meditation etc. I have been doing yoga & meditation from so many years. I always try to be calm but their suggestion didn't help me.
Well there were no situations like anxiety, stress, anger etc.. Mood swings all of a sudden. I go silent, loose energy & loose confidence all of a sudden. When I loose confidence, I wont be having confidence to walk with confidence (Straight walk), I wont be able to look into any one's eyes, I wont be able to talk with confidence etc.
Nothing like increased money spending like that & never thought about suicide. Never.
This depression, loss of confidence hasn't affected my personal, social & professional life much. I mean to say like during these mood swings, I would be a little slow in completing work in office, talking very less to colleagues. Thats all. It hasn't affected so seriously. In family, when mood swings, I keep quiet, though interesting topics /events are happening at home (While watching tv with family etc.) I just keep quiet, react only for name sake. etc.
My intention is to correct / treat this now itself before it goes worse or before it affects my social /professional /personal life.
I have been facing this problem from past few months.
It started suddenly. I used to be a very energetic person with a lot of cheerfulness. I dont have any stress in office, neither in family or with friends. I eat good, I sleep properly.
Ya my friends & family members have noticed that I will be so talkitive & full of energy & suddenly I go down. They have asked like "What happened, u have become dull, look tired, Cheer up"
When I consulted psychiatrists, they told me to be calm, start doing yoga /meditation etc. I have been doing yoga & meditation from so many years. I always try to be calm but their suggestion didn't help me.
Well there were no situations like anxiety, stress, anger etc.. Mood swings all of a sudden. I go silent, loose energy & loose confidence all of a sudden. When I loose confidence, I wont be having confidence to walk with confidence (Straight walk), I wont be able to look into any one's eyes, I wont be able to talk with confidence etc.
Nothing like increased money spending like that & never thought about suicide. Never.
This depression, loss of confidence hasn't affected my personal, social & professional life much. I mean to say like during these mood swings, I would be a little slow in completing work in office, talking very less to colleagues. Thats all. It hasn't affected so seriously. In family, when mood swings, I keep quiet, though interesting topics /events are happening at home (While watching tv with family etc.) I just keep quiet, react only for name sake. etc.
My intention is to correct / treat this now itself before it goes worse or before it affects my social /professional /personal life.
Brief Answer:
after some investigations start medicine
Detailed Answer:
Hi,
Thanks for required information.
You seem to be in depression though it is not full blown depressive episode. That is why psychiatrist has likely denied medicines. I appreciate your understanding of prevention is better than cure.
However there is no specific stress or worry and it has started suddenly it is more biological depression.
In this case I recommend going for serum Vitamin B12 level and thyroid hormone profile testing as deficiency of either can cause depressive features. Better to go for blood testing in morning with empty stomach. If feasible revert back to me with reports.
If I were your treating doctor I would like to start sertraline 25 mg at night in your case and review status after 10 days. Your physician should be aware about this medicine and he/she can prescribe to you. As such this is very safe medicine without significant side effects.
Feel free to discuss further.
after some investigations start medicine
Detailed Answer:
Hi,
Thanks for required information.
You seem to be in depression though it is not full blown depressive episode. That is why psychiatrist has likely denied medicines. I appreciate your understanding of prevention is better than cure.
However there is no specific stress or worry and it has started suddenly it is more biological depression.
In this case I recommend going for serum Vitamin B12 level and thyroid hormone profile testing as deficiency of either can cause depressive features. Better to go for blood testing in morning with empty stomach. If feasible revert back to me with reports.
If I were your treating doctor I would like to start sertraline 25 mg at night in your case and review status after 10 days. Your physician should be aware about this medicine and he/she can prescribe to you. As such this is very safe medicine without significant side effects.
Feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. before going to any tests, I would like to go with the medicine that u r talking about. along with that, I Wil also try my best not to be lazy, not to think negative etc. let me see if the medicine works.
can u pls type the complete name of the tablet, how much mg is that, what will it do (in what way it helps me).. I wil go to my physician to get the prescription. by the way am allergic to Sulpha. Wil it be okay?
can u pls type the complete name of the tablet, how much mg is that, what will it do (in what way it helps me).. I wil go to my physician to get the prescription. by the way am allergic to Sulpha. Wil it be okay?
Brief Answer:
it is non sulfa drug
Detailed Answer:
Hi XXXXXXX
Thanks for follow up.
I appreciate your attitude to deal with problem. I have already mentioned generic name of drug sertraline (trade name Daxid, serta, zosert) and in 25 mg dose at night for 10 days. After 10 days we can increase dose to 50 mg. Your physician can guide you as most of the physicians are generally used to with this medicine.
It is SSRI (selective serotonin reuptake inhibitor) group of drug. It increases serotonin level in brain which is responsible for happy mood. Optimum response will come after 4 weeks. It is non sulfa drug so no need to worry.
Hope I have answered your query. If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page at the same cost with three follow up questions.
Take care.
it is non sulfa drug
Detailed Answer:
Hi XXXXXXX
Thanks for follow up.
I appreciate your attitude to deal with problem. I have already mentioned generic name of drug sertraline (trade name Daxid, serta, zosert) and in 25 mg dose at night for 10 days. After 10 days we can increase dose to 50 mg. Your physician can guide you as most of the physicians are generally used to with this medicine.
It is SSRI (selective serotonin reuptake inhibitor) group of drug. It increases serotonin level in brain which is responsible for happy mood. Optimum response will come after 4 weeks. It is non sulfa drug so no need to worry.
Hope I have answered your query. If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page at the same cost with three follow up questions.
Take care.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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