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Son has low self confidence. Rarely gets up from bed. On medication for anxiety and depression. Treatment?

My son is 21years old. At age 13we noticed changes in his self confidence etc... we took him to the Dr had him evaluated after many Dr visits and the put him on anxiety medicine and anti depressants. Sad to say he continues to go downhill more and more. We have tried treatment at mayo clinic, many psychiatrists and no help to make a short story out of the past 8 years. Now he rarely gets out of bed because he says he has so much physical pain. Can you please give me a direction to try. My son is very smart and always feels like he knows the questions the dr s are going to ask before they ask them and I feel like all of the drs WE have had contact with doesn t want anything to do with him. I know that there has to be a place where these type of people go to get help and be around others that ate intelligent to a scary leg I would appreciate any suggestions. Thank you
Asked On : Wed, 20 Feb 2013
Answers:  2 Views:  34
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Psychiatrist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

I'm sorry to hear that your son has been doing badly despite treatment. In such cases, where multiple trials of medication fail, it is a wise thing to re-evaluate the case completely and re-examine the initial diagnosis.

With the very little information you have provided about your symptoms, it is not possible to get any definitive direction about the diagnosis. I would suggest that you try to get an independent, unbiased second opinion from another psychiatrist. You can also try psychological and behavioural therapies, in adition to the medication.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Thu, 21 Feb 2013
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Psychiatrist Dr. Seikhoo Bishnoi's  Response
Dec 2014
Hello Leesa
Thanks for your question
Depression and anxiety disorders are very common disorders in present times. Depression in youngsters manifest usually in form of low mood, poor self confidence, decreased energy, lack of interest in any activity.
Most of the times it is also associated with symptoms of anxiety like increased heart rate, sweating, tremors etc. With time somatic symptoms like physical pain, poor appetite are also observed.
Depressed individuals usually have different opinion towards self, world and future. They usually see negative in self or consider worthless, negative view towards world like i am helpless, negative views to future like hopelessness. So we have to give special attention to a depressed individual. We should accept depression like any other medical disease, as most of the people even today ignore psychiatric illnesses.

But the good thing is that treatment is available and its very effective. Both medical and psychological treatment are available and combination of treatment is very effective. Medical treatment like he is already taking usually includes drug groups like SSRIs (Fluoxetine, Paroxetine, Escitalopram) or many other drugs.
Non medicinal treatment includes cognitive therapy mainly. Proper support to depressed person and motivation enhancement sessions, modeling etc. are must. Try to encourage him to spend at least 1-2 hours per day in leisure activity and physical activity. Exercise will be beneficial as it releases endorphins which increases confidence and well being.
Group sessions are also one option with very good results.
He will be alright just have faith in treatment. Don't leave treatment without advise of doctor.
hope i solved your query or you can ask again
take care
Answered: Wed, 20 Feb 2013
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