Suggest Treatment For Anxiety And Depression Just Before Exams

Posted on Wed, 25 Feb 2015

Question: Sir am amedico studying 3rd mbbs,still 2 days to go fr xms,am having severe anxiety nd depression since 10 days,nt able to concentrate nor even sit before book,having previously this type of attacks during exams,i hve covered the syllabus but since5 days i hve readnothing,sir pls help i dont want to skip xms and want to read,am nt having goodsleep frm 7 days nd iam feeling unworthyness and cant figure out the problem,this occurs only during exams

Answered by Dr. Manisha Gopal (54 minutes later)

Brief Answer:
zolfresh for sleep, study with others& pray

Detailed Answer:
Hello,

First and foremost is-- this is common than you can think of and is manageable..ok So, please have courage!

For refreshing sleep many medicos take zolfresh now a days..as it induces sleep in 10-15 min and one wakes up fresh. It is a short acting benzo ( you would have read in pharma!).

Apart from this drug you dont need any other psychiatry medicine but you do need councelling.

Skipping exams will only increase the problem- how will you face them next time? Moreover, dont you feel the situation might be worse than now you are having?

Even though you fail this time you wont be thrown out of college or course...you can again give it after 6 months...so why to skip??

There is no need to become so worried....you have taken previous two years exams and you will give these too.

Better sit and study with other students,
Revise what you have already read & pray to God to help you...this will give you confidence and peace.

Anxiety is part and parcel of any such thing..so, take it as such..donot allow it to break you.

You should also take walnuts and almonds daily. Also, take some antacid - this will reduce gastric symptoms which you might be having.

All the best.
Feel free to ask more questions.
Dr. Manisha Gopal
MD Neuropsychiatry

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Gopal (16 minutes later)

Thank you madam,but am feeling heavy burden on my head,cant able to manage it,il read for sure from tomorrow morning but atleast i have to get sleep tonight soundly,k il take zolfresh,which one 10 mg or other?

Answered by Dr. Manisha Gopal (7 minutes later)

Brief Answer:
zolfresh 10mg,eat well & give exam- good luck

Detailed Answer:
Hello
Good to hear that you have decided to appear for exams for sure!!!

Thats like a beginner..now heaviness in head is due to anxiety and also mainly coz of lack of proper sleep.

Zolfresh 10 mg usually helps all. One wakes up fresh after that- this will help you get free to heaviness...

Do eat well please.
You may try to get a head massage from someone if possible.

Good luck.
Dr. Manisha Gopal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Gopal (5 days later)

Madam ihave completed succesfully ent and opthalmology exams,i wrote good enough to pass,today i wrote opthalmology but i didn't studied yesterday and sorry to say that i even took alcohol yesterday evening but i didn't get sleep nor stop feeling tension nd day before yesterday i didnt get sleep thats why i took alcohol,i entirely actually studied syllabus before thats why i think i have written them good,my tension was increasing madam,day after tomorrow i have spm exam for consecutively for 2 days,i dont want to fail ,please help me out of this permanently,am feeling hopeless ,i dont want this type of sitation happening to me once again,madam am a merit student who got admitted with 1700 rank but my confidence was nil especially during exams,am hoping to start preparation from tomorrow morning but am scared that my situation may again get worse

Answered by Dr. Manisha Gopal (2 hours later)

Brief Answer:
lorazepam can help. add multivitamin

Detailed Answer:
Hello

Good that you have appeared and done well enough in ent and eye. Psm or spm is rather an easy one..just keep in mind the points and fill the pages of answer sheet!!

It is smart of you to learn everything prior to exams and not only when they come near.

You havent told me anywhere clearly f you took zolpidem and didnt sleep even after that or you just didnt take it?
If you took it and still couldnot sleep then- you can take lopez 1-2 mg. It will help you.

I usually donot prescribe this to exam going but you have already taken zolpidem and alcohol and still could not sleep...and also you have one day gap for spm now..so, you can take it.

You can also take almonds and one becosule or anyother good multivitamin daily. It does helps!

please donot repeat mistake of taking alcohol during such critical times....you never know when you develop withdrawal or even excessive sleepiness and then it becomes difficult to get up..

Please dont worry...the exams are almost over now..and the battle is half fought & im sure you will pass..

Good luck and study well..
Dont let heaviness in head bother you much. You were amonst very few intellegent and lucky persons who cleared mbbs enterance...these exams are nothing compared to that. Ok

All the best.
Dr. Manisha Gopal
MD Neuropsychiatry

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar