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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Depression Be Treated?

Hello , I recently broke up with someone I loved a lot and even after two months I have not been able to get over it. I feel terribly depressed and confused. I cry a lot and spend sleepless nights. I have been trying to keep myself busy at work , with books movies and the gym but it doesnt seem to help. I feel suicidal sometimes since my condition makes my near and dear ones sad. What medical treatment is recommended.?
Tue, 11 Oct 2016
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Ayurveda Specialist 's  Response
**
Thanks for contacting HCM with your health concern

1. As Primary management of any disease is 'treatment of cause' [break up in your case] which cannot be reverted thus secondary management is the best option which can be incorporated in your daily life:

2. Because attacks are repeatable [depression] which means you feel endangered and unable to escape which means there is ‘fear of fear’ i.e. there is vicious anxiety- panic attack- anxiety cycle is there, thus:

i. practice relaxation techniques like yoga, meditation and also Pranayam which will strengthen the relaxation response of body as opposite to stress response during panic attacks.

ii. Stretching Yoga poses [Dhanurasana, Matsyasana, Janu Shirsasana, Paschimottanasana, Hastapadasana], hot shower and massage are simple techniques to overcome muscle tension.

iii. Since the said problems can be grouped under major generalised disorder, Dietary Regime and Lifestyle management along with Medicine is initiated from my side according to “manovaha srotas vyadhi”

iv. Avoid: alcohol, pepper, spices, mustard oil, pickles, rye, spicy food, anger, grief, fear, late night waking, garlic, ginger, onion

Take: mint, coriander, tomato, and cumin, plenty of water, vitamins and mineral supplements, apple, banana, grapes, dates

v. Lemon juice mixed with sugar in a glass of water helps release stress removing hormones from the body and bring mind at peace/rest. And eat 2 spoons coriander seeds with 2 spoons of sugar candy.

vi. Apple, almond, banana, broccoli, cantaloupe, melon, carrot, cashew nut, corn, cauliflower, grapes, guava, lemon, mango, orange, pineapple, soybean, spinach have anti oxidant and detoxifying properties so take them in plenty.

vii. Prescription drugs and procedures available for your problems are: sarpagandha, khus, jatamansi, bramhi, kevada, vacha, tagar, amla, smriti sagar ras, mahakalyanak ghrita, manasmitra vatkam, prabhav vati, mann medhya vati,Ashwagandharishta, sarasvatarishta, stresscom, nasya karma

PS. Since drug therapy is generally only a palliative treatment, we have to look at cognitive and behavior strategies and especially nutritional strategies. I do recommend behavioral practice, whether it’s yoga, or meditation

viii.
a. Since Amygdala is related with emotions thus may result in emotional imbalance/mood disorder like [laughing for no reason, sudden crying, anger outbursts] which can further aggravate Depression thus talk with your Primary care Physician for all necessary possibilities.

PS. Major or clinical depression is a serious but treatable illness and depending on the severity of symptoms, your primary care doctor or a psychiatrist may recommend treatment with an antidepressant medication or may also suggest psychotherapy.
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How Can Severe Depression Be Treated?

** Thanks for contacting HCM with your health concern 1. As Primary management of any disease is treatment of cause [break up in your case] which cannot be reverted thus secondary management is the best option which can be incorporated in your daily life: 2. Because attacks are repeatable [depression] which means you feel endangered and unable to escape which means there is ‘fear of fear’ i.e. there is vicious anxiety- panic attack- anxiety cycle is there, thus: i. practice relaxation techniques like yoga, meditation and also Pranayam which will strengthen the relaxation response of body as opposite to stress response during panic attacks. ii. Stretching Yoga poses [Dhanurasana, Matsyasana, Janu Shirsasana, Paschimottanasana, Hastapadasana], hot shower and massage are simple techniques to overcome muscle tension. iii. Since the said problems can be grouped under major generalised disorder, Dietary Regime and Lifestyle management along with Medicine is initiated from my side according to “manovaha srotas vyadhi” iv. Avoid: alcohol, pepper, spices, mustard oil, pickles, rye, spicy food, anger, grief, fear, late night waking, garlic, ginger, onion Take: mint, coriander, tomato, and cumin, plenty of water, vitamins and mineral supplements, apple, banana, grapes, dates v. Lemon juice mixed with sugar in a glass of water helps release stress removing hormones from the body and bring mind at peace/rest. And eat 2 spoons coriander seeds with 2 spoons of sugar candy. vi. Apple, almond, banana, broccoli, cantaloupe, melon, carrot, cashew nut, corn, cauliflower, grapes, guava, lemon, mango, orange, pineapple, soybean, spinach have anti oxidant and detoxifying properties so take them in plenty. vii. Prescription drugs and procedures available for your problems are: sarpagandha, khus, jatamansi, bramhi, kevada, vacha, tagar, amla, smriti sagar ras, mahakalyanak ghrita, manasmitra vatkam, prabhav vati, mann medhya vati,Ashwagandharishta, sarasvatarishta, stresscom, nasya karma PS. Since drug therapy is generally only a palliative treatment, we have to look at cognitive and behavior strategies and especially nutritional strategies. I do recommend behavioral practice, whether it’s yoga, or meditation viii. a. Since Amygdala is related with emotions thus may result in emotional imbalance/mood disorder like [laughing for no reason, sudden crying, anger outbursts] which can further aggravate Depression thus talk with your Primary care Physician for all necessary possibilities. PS. Major or clinical depression is a serious but treatable illness and depending on the severity of symptoms, your primary care doctor or a psychiatrist may recommend treatment with an antidepressant medication or may also suggest psychotherapy.