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Suggest Treatment For Severe Depression

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Posted on Mon, 8 Dec 2014
Question: Hi doctor , am a 25 m having feeling sucidal thoughts and even was about to do it.i had a recent break up from a long lasting relationship and she is getting married next month moreover am jobless at the moment and don't know what to do seems to end is the best choice and lost interest in everything my mood is changing so fast ... Plz help me
doctor
Answered by Dr. Ravi Soni (46 minutes later)
Brief Answer:
You need to consult a psychiatrist urgently

Detailed Answer:
Hi, Thanks for your query. Welcome to HCM.

Feeling suicidal thoughts and ideation is present in severe depression. I think you urgently consult a psychiatrist.

Stress always plays part but beyond this there is a life for you. Everything happens for a reason. You will know your reason one day. Meanwhile get up and get active.

You should visit a psychiatrist and tell all your problems. he will start some antidepressant drug along with anxiolytics. Once your depression and suicidal thoughts subside you can go for counselling and psychotherapy sessions. In a depression which develops due to some stress, role of psychotherapy particularly cognitive behavior therapy is there.

SSRI antidepressants like lexapro, zoloft, prozac will help you. These drugs wont resolve your stress but they will give you strength to fight. Withing 15 days after starting the drugs you will experience improvement in your depression and thoughts. You have to continue drug for at least 6 to 8 months. Follow your psychiatrist's advice.

Meanwhile do not act upon your suicidal thoughts. Use helpline for suicide.
Do not remain alone at any time. Always accompany with someone. Try to share your thoughts to your friends and family. Engage your self in activities.

Hope I have answered your query. If you have further query then feel free to ask.
Wish you good health.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ravi Soni (16 hours later)
Doctor I understand ... At times I feel am over it but then again few days later again back to the same old ... Can you please tell me some exercise to make myself feel better ..and at times I feel a real pain from inside how can I get rid of it ...
doctor
Answered by Dr. Ravi Soni (32 minutes later)
Brief Answer:
Initially you have to take drugs

Detailed Answer:
Hi, thanks for writing again.

In depression when it is severe the self help exercises wont help much. These activities can be helpful when your symptoms severity has decreased, when you can concentrate on one activity. But you can still try because you are willing for that and that is good. You can help yourself.

Just go for psychiatric consultation and take drugs for 4 weeks, then you can go for all these self help activities for depression. Even your psychiatrist will guide you in better way.

It is very difficult to explain all these activities and programs here, so I am sending you a link of the pdf file which shows evidence based non pharmacological treatment options in depression. Just go through it and if you need extra details then search, it is easily available on the internet.
Following is the link:
http://www.sign.ac.uk/pdf/sign114.pdf

Hope I have answered your query. If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Ravi Soni

Psychiatrist

Practicing since :2010

Answered : 538 Questions

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Suggest Treatment For Severe Depression

Brief Answer: You need to consult a psychiatrist urgently Detailed Answer: Hi, Thanks for your query. Welcome to HCM. Feeling suicidal thoughts and ideation is present in severe depression. I think you urgently consult a psychiatrist. Stress always plays part but beyond this there is a life for you. Everything happens for a reason. You will know your reason one day. Meanwhile get up and get active. You should visit a psychiatrist and tell all your problems. he will start some antidepressant drug along with anxiolytics. Once your depression and suicidal thoughts subside you can go for counselling and psychotherapy sessions. In a depression which develops due to some stress, role of psychotherapy particularly cognitive behavior therapy is there. SSRI antidepressants like lexapro, zoloft, prozac will help you. These drugs wont resolve your stress but they will give you strength to fight. Withing 15 days after starting the drugs you will experience improvement in your depression and thoughts. You have to continue drug for at least 6 to 8 months. Follow your psychiatrist's advice. Meanwhile do not act upon your suicidal thoughts. Use helpline for suicide. Do not remain alone at any time. Always accompany with someone. Try to share your thoughts to your friends and family. Engage your self in activities. Hope I have answered your query. If you have further query then feel free to ask. Wish you good health.