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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Depression, Insomnia And Panic Attacks Be Treated?

THIS MIGHT BE AN EMERGENCY patient : 20 years old, male, student, no loved ones around - lives in a hostel and I can t go and help him, HE DENIES MEDICAL CARE. I MAY USE ANY SUGGESTION TO HELP HIM DEAL WITH HIS DEPRESSION. My friend is going through depression for about a year now. I m his love of his life. He has had panic attacks, insomnia, no hunger - vomits right after eating, lost interest in things once he used to enjoy, can t feel any emotion, suicidal thoughts. Yesterday, he had a trigger, followed by a panic attack, he said he had shivers, body cold, was taking breath 2-3 times a second, he is presently having an acid reflux PLEASE ASSIST ME HELP HIS CONDITION THANKS
Thu, 4 Oct 2018
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Psychiatrist 's  Response
consultant a doctor immediately

in my opinion pantoprazole 40 mg daily before breakfast

to treat depression mirtazapine 7.5 mg every night

u r being very sensitive to your friend. plz

support your friend

encourage him to be active
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Psychiatrist Dr. Sivaraman's  Response
Hai
1 Find the recent trigger which made him worse
2.Depression can trigger suicidal ideas. But unless one act upon it, the illness natute won't lead to death
3.So a controlled safe environment will prevent him acting upon suicidal ideation
4.Kindly Don't Underestimate his suicidal expression.
5.Also Don't overestimate your ability that by mere talking with him will improve him
6.He needs Professional support. Take him to a nearest hospital by some means.
7.Counselling,Antidepressent,Regular follow up with Psychiatrist will make him recover soon.

Thank you
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How Can Severe Depression, Insomnia And Panic Attacks Be Treated?

consultant a doctor immediately in my opinion pantoprazole 40 mg daily before breakfast to treat depression mirtazapine 7.5 mg every night u r being very sensitive to your friend. plz support your friend encourage him to be active