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Depression, unable to think straight, suicidal thoughts, sleeplessness, sweating. On lexapro. Help

i am severely depressed my stomach feels rotten i'm not sleeping well days and nights upside down i sweat even though i feel cold and feel faint when standing from time to time. i have trouble thinking i stopped at a stop sign yesterday and waited three minutes for it to turn green. i have no money because i can't work much. i have suicidal thoughts every day but do not think i will act on them. i take lexapro. i feel worse when i don't take it but still very depressed. any suggestions would be welcome. thank you. i am sorry but i don't even have 15 dollars.
Asked On : Sat, 23 Mar 2013
Answers:  2 Views:  61
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Psychiatrist 's  Response
Hi there, thanks for asking. Depression is a situation that is related to social factors, biological factors and psychological factors. If you have problem with work or family, the medication will not work as well as the normal situation. The symptoms you mentioned are a combination of anxiety and depression disorders. You can practice Yoga or medication and other methods to decrease your anxiety level. Your function will improve just in few weeks. You can consult your doctor to see if he can increase the dose of your medication a little. I wish you the best.
Answered: Sun, 24 Mar 2013
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Psychiatrist Dr. Gourav Monga's  Response

welcome to health care magic

You probably have "major depressive disorder". All the symptoms mentioned by you like feeling depressed, feeling rotten stomach, disturbed sleep, suicidal thoughts etc are indicative of depressive episode. Sweating when feeling cold could be due to associated anxiety.
Lexapro contains escitalopram which is an SSRI which is quite effective as antidepressant. But for its full efficacy, you have to take it regularly (no gaps) and that too for adequate duration (6-9 months at least). However, discuss all the stuff with your treating psychiatrist and have full faith in him.
You may also require psychotherapy sessions and relaxation exercises.

Wish you good health
Dr. Gourav Monga
Consultant Psychiatrist
Answered: Mon, 25 Mar 2013
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