Hello,

Thanks for your query.

I appreciate your efforts for medical consultation in so much distress.

Important aspects of your query are:

•     60 year old married male
•     Known case of SAD (Seasonal affective disorder)for 5 years and exacerbation from 2009/2010
•     Presence of multiple co morbidities as you are already taking: Mertformin, insulin, Atorvastatin, Asprin and Lorstan
•     Guilt related to role reversal at home and children leaving home gradually

First you need to understand that you are not responsible for the problems, but it is your illness because of that you are facing all these problems. So, never have guilt feeling inside you. Once you will improve things will become better.

Apart from that you need to understand following facts:
•     Your age is already 60 years and people usually retire at this age, so no need to worry about role reversal.
•     Your children leaving home because of work opportunity and not because of you.
•     Ideas of guilt also a symptom of your illness, in which patient feel himself guilty for minor things.

The best way you can help your family member in current situation:
•     Take medicine on time.
•     Keep proper follow up with physician and psychiatrist to control SAD, blood pressure and diabetes, as one illness exacerbate symptom of other illness.

Final message to you: Do not feel guilty as this time will also pass, take medicine on time and enjoy your work (whatever you doing in current situation).

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,

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