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Suggest Treatment For Depression

Posted on Mon, 5 May 2014

Question: i am married for 14 years. my wife has depression and her will to live is very low. she blames every one for her health related problems and will not trust anyone. she is not willing to do effort for getting well even for our two kids. kindly help. she will never go out or socialize. taking her out for treatment is very difficult.

Answered by Dr. Srikanth Reddy (36 minutes later)

Brief Answer: Depression Detailed Answer: Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it is quite clear that she is having a depressive episode. Depression can occur with regular stress and it can also occur biologically without any stress as well. She will need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If she is averse to the drug therapies then there is also an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.

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

Follow up: Dr. Srikanth Reddy (22 hours later)

thanks for the reply. can you tell how to take suggested medicines for depression and anxiety, i mean the dose and duration. Her general checkup reports are all normal i.e. no sugar, liver function OK. but she always face problem of constipation and her throat gets infection easily. First child was by normal delivery and second child through C-section 3.5 years ago. she refuses to eat in morning complaining that soon after eating even a small quantity she feels pain in her abdomen. she eats a small diet in the night. under these situation the suggested drugs will be safe for her? also can you suggest some psychologist or a psychiatrist in Gurgaon / Noida for therapy.

Answered by Dr. Srikanth Reddy (3 days later)

Brief Answer: Dr. XXXXXXX Parmar Detailed Answer: Hello Thanks for the follow-up. According to the general conditions you have stated, it appears that she has some gastritis and this will need medicines such as ranitidine. However with this health condition, she can be treated for depression. As health care magic is an online forum, legally we are not supposed to prescribe medications without physically examining you. Such regulation are primarily meant for the safety of the patients as well as the Doctor. Further any prescription given in E-mail will not be honored by the pharmacy in your country. Sincere apologies for the same. But for similar patients whom I attend in my clinic, I prefer to start them on Fluoxetine 20mg in morning with Clonazepam 0.5mg at night. I ask them to take it after food and they need to continue this for atleast 6-7 months. I know a very nice psychiatrist in Noida who can take care of you. You may contact: Dr. XXXXXXX Parmar XXXXXXX Consultant Psychiatrist Yathart Wellness Super Speciality Hospital and Heart Centre, Sec 110, Noida. Monday to Saturday; 5 pm to 6 pm. Hope I am able to help you with your concerns, If you need any further clarifications, do let me know. Kind regards Dr. Srikanth Reddy MD

Above answer was peer-reviewed by : Dr. Prasad