HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Depression Even When On Medicines

default
Posted on Wed, 7 Jan 2015
Question: Please answer my question...I am so depressed that all I do is lie in bed all day and cry. I am on medication but all I do is cry..I don't get up to shower or do anything and cannot even concentrate on TV...I feel like my life is over..I talked to my case manager and she thinks I am doing the best I can...but I miss my schizophrenic boyfriend XXXXXXX and am certain that he will never again be in my life again..I just lie in bed all day crying.please help me..my son was finally able to get an email through to XXXXXXX two days ago but since we have not heard back from him and we are certain that he hates us..I have even given up on God
doctor
Answered by Dr. Seikhoo Bishnoi (40 minutes later)
Brief Answer:
Keep your optimism alive and hope for best

Detailed Answer:
Hello thanks for writing again

The symptoms of depression like continuous crying, lying on bed all the day, not concentrating on anything, no interest in doing anything, feelings like life is over are all occurring because of significant life trauma you have suffered due to your boyfriend who is a patient of paranoid schizophrenia. You are in acute stress reaction.

If we consider psychological aspect of any life trauma then there are different stages that an individual passes from- First phase is denial, second is anger and third is bargaining. You have passed these psychological stages and currently you are in depressive stage. This is the reason your case manager is telling you that you are doing best. Once you pass from stage of depression then stage of acceptance will start. This will help to in passing the time, which you are probably finding difficult to pass. I would advise you to keep your optimism alive, don't think about bad aspects of life.

Try to relive memories you spent with him by talking to your son or some other close person. This will help to reduce the intensity of emotions. Don't cry again and again instead try again and again to accept that he is under influence of schizophrenia and paranoid delusions. When you would start accepting that he has no insight then your trauma will become a little less severe. This is really very difficult for me to say but you have to wait, and you have to have very high optimism in order to reduce your trauma.

For now don't expect that he will reply, at least he unblocked and this can be taken in positive manner. Give him time to recover, to come out of his delusions. If you are finding it very difficult you can discuss with your case manager for start of mild doses of anti-depressants to pass on that bad phase. He doesn't hate you but her has no insight (as schizophrenia patients have no insight) so he is doing all this under the influence of illness only.

Keep your hope and faith in GOD alive to see good thing happening in end.

Hope this helps in reducing some of your trauma, please don't hesitate to contact again in follow up question if you have more to say.

Thanks


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Seikhoo Bishnoi (19 minutes later)
Thank you so much.... XXXXXXX told me that this is traumatic for me but he has hope too. He and XXXXXXX know God is working and that I am blessed. She was moved to tears yesterday by what God is doing in my life. Both of them are Christians like us. I have written and re written what I would like to say but as he is in delusions and fear of the courts and police it is hard to know what he is thinking and I wouldn't want to make things worse for him OR me. I wish I could see him. He always calmed down once he saw me... I know if that was allowed he would see I only want to help him but that is not allowed until the end of August... thank you so much Dr Bishnoi....God bless you...
doctor
Answered by Dr. Seikhoo Bishnoi (19 minutes later)
Brief Answer:
Keep waiting and try to pass your traumatic phase

Detailed Answer:
Hello again

I don't know much about legal system but if you can request the court that he is under delusions and is not under proper insight and this is the reason that he is behaving strangely, then the legal order can be reviewed and probably you can see him. But yes I am not sure about that.

Just one thing again, keep waiting and try to move past your traumatic phase. GOD will do best for you.

Thanks
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Seikhoo Bishnoi (12 hours later)
Unfortunately there is nothing I can do legally about his delusions. Our system is very strict and people are not allowed to petition the court unless he is actively a danger to himself or to others. Because I cannot see him there is no way of knowing exactly what he is thinking so in the U.S. people who are mentally ill have all the rights and loved ones cannot do anything...thanks for your help though..I wonder when I email him in a month or so if it would be okay to tell him that his actions have hurt us or not or would that make him even more suspicious and delusional...I am not quite sure what to say...I know he is afraid of the court and the cops as am I ...they were not very nice to me when I tried to get him help and threatened to charge ME with harassment as he was "fine and doing okay." thanks for your help...it is doubtful he will ever want to see me again...he told the cops he" wants nothing to do with her( me)" so I guess I may never see him again...unless I am allowed to go up to his business it is doubtful I will be allowed to see him again before we go to Israel which I am not sure I want to do..thanks for your help..
doctor
Answered by Dr. Seikhoo Bishnoi (7 minutes later)
Brief Answer:
Don't write much in email

Detailed Answer:
Hello thanks for asking again

Even if you could not notify court about his illness still there is no problem. When you email him in a month please don't mention that he has caused a lot of harm to you and hurt you. This may make his delusion more strong. Just mention that you wanted to tell him that you are leaving and you care about him. Don't write a long email instead make it short but specific.

Right now don't think about the things that you will not see him again or will not see him before Israel. Just hope for best and wait for a month and then mail him. Keep your faith alive.

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

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5192 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Depression Even When On Medicines

Brief Answer: Keep your optimism alive and hope for best Detailed Answer: Hello thanks for writing again The symptoms of depression like continuous crying, lying on bed all the day, not concentrating on anything, no interest in doing anything, feelings like life is over are all occurring because of significant life trauma you have suffered due to your boyfriend who is a patient of paranoid schizophrenia. You are in acute stress reaction. If we consider psychological aspect of any life trauma then there are different stages that an individual passes from- First phase is denial, second is anger and third is bargaining. You have passed these psychological stages and currently you are in depressive stage. This is the reason your case manager is telling you that you are doing best. Once you pass from stage of depression then stage of acceptance will start. This will help to in passing the time, which you are probably finding difficult to pass. I would advise you to keep your optimism alive, don't think about bad aspects of life. Try to relive memories you spent with him by talking to your son or some other close person. This will help to reduce the intensity of emotions. Don't cry again and again instead try again and again to accept that he is under influence of schizophrenia and paranoid delusions. When you would start accepting that he has no insight then your trauma will become a little less severe. This is really very difficult for me to say but you have to wait, and you have to have very high optimism in order to reduce your trauma. For now don't expect that he will reply, at least he unblocked and this can be taken in positive manner. Give him time to recover, to come out of his delusions. If you are finding it very difficult you can discuss with your case manager for start of mild doses of anti-depressants to pass on that bad phase. He doesn't hate you but her has no insight (as schizophrenia patients have no insight) so he is doing all this under the influence of illness only. Keep your hope and faith in GOD alive to see good thing happening in end. Hope this helps in reducing some of your trauma, please don't hesitate to contact again in follow up question if you have more to say. Thanks