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Dr. Andrew Rynne

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Emotional shock, severe anxiety, clinical depression. On neuro feedback. Treatment options?

I had an emotional shock last year which sent my mind reeling and put me in a severe anxiety state - I have not been able to recover since, despite trying many different medications and also natural therapies (including counselling). I still have extreme anxiety and this has subsequently gone into a clinical depression - to the point where I can hardly function anymore. The only thing that worked a couple of months ago was neurofeedback , but that only lasted a couple of weeks. I am at desperation stage of what to do.
Sat, 27 Oct 2012
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Psychiatrist 's  Response
hi..well, if this is clinically depression, you must try for proper management..combined approach of both pharmacotherapy and psychotherapy can work..visit a psychiatrist and let him prescribe anti-depressants in full dose first..also we have augmenting agents if they don't work..we have add-on regimens further..also ECT and rTMS..so don't worry..about counseling, you should visit a clinical psychologist once again and request for some another form of psychotherapy like interpersonal therapy and cognitive therapy if neurofeedback fails..so we have enough of options left..so please don't lose heart..have a good health..
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Psychiatrist Dr. Jayaprakashan KP's  Response
The nature of the emotional shock is important in knowing current problem. Traumatic events can cause what is termed post traumatic stress disorder or PTSD. The clinical features are
1. re-experience of the event in sudden flash-backs or intrusive recollections or dreams which is very distressing
2. Avoiding certain situations or places which will invoke memories of these events
3. almost always feeling tense or anxious or numbing, symptoms of hyper arousal like sudden startling reflex,
It can be present along with depression.
This condition may need prolonged treatment. A combined treatment of psychotherapy and medicines will be more effective than one alone.
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I had an emotional shock last year which sent my mind reeling and put me in a severe anxiety state - I have not been able to recover since, despite trying many different medications and also natural therapies (including counselling). I still have extreme anxiety and this has subsequently gone into a clinical depression - to the point where I can hardly function anymore. The only thing that worked a couple of months ago was neurofeedback , but that only lasted a couple of weeks. I am at desperation stage of what to do.