
Depression, Loss Of Apetite, Sleeplessness, Suicidal Feelings, Drinking And Smoking. Are There Medications To Reduce Depression?

Thanks for your query.
It is nice to see such a nice and precise description of your current suffering. From your detail history, it is clear that you have following symptoms:
• Low mood, lack of motivation in life, feeling of worthlessness, always feeling down
• Loss of interest in previous pleasurable activities (anhedonia)
• Tiredness
• Decrease appetite, sleeplessness
• Loss of confidence
• Ideas of hopelessness
• Self harm ideas (suicidal feelings), making cut with razor
• Drinking and smoking to relieve stress
All these are symptoms of depression and need attention.
Apart from that concurrently you are drinking and smoking excessively which can exacerbate your depression. Depression is not always situational (because of stress). Many times it is biological due to biochemical changes in brain. Such Depression does not improve by exercise or guidance or lifestyle modifications only but all these measures help in recovery with medicines. Your depression appears to biological to me due to its severity.
Depression occur due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter. You need treatment with psychiatrist urgently to treat your depression.
In drug treatment two types of medicine used. For immediate relief of anxiety symptoms benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect.
All these process is complex. I have just simplified it to make you understand it. We can not write drug name directly because of ethical reasons and treatment is highly individualized.
Apart from above advice following simple measures will help you:
-Decrease worrying about symptoms as they will cure after treatment.
-Healthy diet: Milk and fruits in diet.
-Daily morning walk and breathing exercise.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,


Thanks for the response. I would like to tell you that I do take health diets and try to get some exercise as suggested by you. My concern is my that these things are not helping much. I am afraid I am ruining my relationships with everyone and harming myself a lot in the process. Do you think I should seek professional help immediatly? Also please let me know if there are long long term side effects of such medications? Finally, do you know of any consultant you can refer to?
Thanks for follow up,
As mentioned in primary reply: Your complaints are symptoms of depression and need attention. Apart from that concurrently you are drinking and smoking excessively which can exacerbate your depression. Depression is not always situational (because of stress). Many times it is biological due to biochemical changes in brain. Such Depression does not improve by exercise or guidance or lifestyle modifications only but all these measures help in recovery with medicines. Your depression appears to biological to me due to its severity.
Medicines come in market when they have more effects compare to side effects. Side effects are not apparent in every patient.
In my opinion you definitely need professional help. You can visit any nearby psychiatrist as soon as possible. As you are in Gurgaon you can visit me too after taking my detail from my WWW.WWWW.WW profile.
Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.
Wish you good health.
Regards.

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