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Suggest Treatment For Mental Health Problem In Children

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Posted on Thu, 20 Nov 2014
Question: My son have problem (story of patient about one year back when he was in tenth std one day he stopped the school he was fear to to the school. Then we meet a neruosychiatrisy doctor he refers nexito 20
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (36 minutes later)
Brief Answer:
Please put your questions

Detailed Answer:
Hello,
Thanks for using healthcaremagic.

I read your query and understand that your son is suffering with psychiatric ailment since last one year for which psychiatrist prescribed 20 mg of Nexito per day.

I request you to post your questions for which you need answer. The questions may be related to diagnosis, treatment or drug compliance to mention a few.

Once I get your questions, I will try to answer to the point.
Thanks and regards
Dr Ashok Kumar
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (43 minutes later)
Sir I visit Dr XXXXXXX brata dash applo hospital bbsr bbsr XXXXXXX He study the patient and he referred medicine nexito 20 and antidept 25 for 3month.some improvement is appear .but he don't willing to meet other to day.to day he take naxito 10.he is good student but he is not going to school today.he has no other problem


.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (13 minutes later)
Brief Answer:
Query is incomplete

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

As I can see he responded partially to nexito and antidep, there is possibility to add some other drug or treatment as per needs.

To be XXXXXXX the query is still incomplete and and there is no question, to which you need answer. It is ok if you can write in hindi if that is your preferred language.


From the available description it appears that your son is suffering with depression which is common problem with teen agers.

Regarding medication I feel nexito is good option and it can be continued. The optimum dose of Nexito is 10-20 mg and if he is not responsing with 10 mg well, the dose can be kept higher like 20 mg or 15 mg a day. As you said he already completed three months of treatment and still having lots of symptoms, in my view another medication should be added to current treatment. The another medication can be in form of atypical anti psychotics. When you visit your doctor next time, please talk to him about adding the above said medication. There are about 10 medications from this category and your doctor will decide as per the requirement of the patient.

Secondly psychological intervention s required for better functioning of your son. It is never a better idea to stay at home after the illness. It has been observed that, those who start working early have good outcome in compare to home staying depressed patients. You need to motivate him to attend school, social gatherings, functions and festivals as much as possible.
You also need to motivate him for daily exercise. t is essential to get at least 30-45 minutes per day to keep the brain healthy.

His use of laptop need to be bring down and more disciplinary measures should be taken.

Thanks and regards
Dr Ashok Kumar
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Ssir thank you .suggests me in which hospitals in XXXXXXX .I gave batter care for my son.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (5 minutes later)
Brief Answer:
Any nearby hospital with psychiatry department

Detailed Answer:
Hello,
Thanks again.

You can see any psychiatrist in your city to get treatment for your son. As I said it is common problem and almost all psychiatrists are capable of doing right for him.

I am not supposed to name a hospital as it is against healthcaremagic policy. I just want to tell you that please make sure that psychiatrist and psychologist both are available in the hospital where you visit.

"If you do not have any clarifications, you can close the discussion and rate the answer.

Wish you good health".


Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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Suggest Treatment For Mental Health Problem In Children

Brief Answer: Please put your questions Detailed Answer: Hello, Thanks for using healthcaremagic. I read your query and understand that your son is suffering with psychiatric ailment since last one year for which psychiatrist prescribed 20 mg of Nexito per day. I request you to post your questions for which you need answer. The questions may be related to diagnosis, treatment or drug compliance to mention a few. Once I get your questions, I will try to answer to the point. Thanks and regards Dr Ashok Kumar