Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Irritability While Having Depression
Question: May daughter aged 36 married two children one son one daughter aged 7&2years successively is not well.She is highly qualified done M Tec by her own choice she is housewife.Now she started irritating .Now and then she starts shouting on children & and. Husband .Her husband is very supportive whatever she wants he give her.He helps her in household works also whenever he is at home He is also software engineer an IIItian.He owns a software company .Her irritation can not be tolerated .For very smallsmall. Things she calls him in office and start shouting at him .some times she says l will do this and that .what is her problem and what is the remedy please let me know . We are very upset don't know what to do .
Brief Answer:
these can be symptoms of depression or adjustment
Detailed Answer:
Hello,
Thanks for writing to us. I can understand your concern for your daughter.
She is highly educated and not working and that is logically a big stress. Irritability is very common presentation of underlying hidden depression. Consulting a psychiatrist is the solution.
Sad mood, lack of interest in routine/pleasurable activities, weeping/crying spells, hopelessness, reduce appetite, excessive fatigue or weakness, lack of concentration, sleep disturbances, death wishes, suicidal ideas are the symptoms of depression. If few of them are there for more than 2 weeks possibility of depression is there.
To confirm diagnosis detail history should be evaluated and mental status examination should be done by a psychiatrist in person.
Treatment of depression includes both medicines and psychotherapy.
In psychotherapy I prefer cognitive behavior therapy (CBT).In mild cases only CBT is sufficient. In moderate to severe cases initially medicines and then CBT is added. And later on medicines stopped gradually.
In medicines SSRI group of drugs (fluoxetine, paroxetine, sertraline, escitalopram) are main stay of the treatment. There are other group of drugs as well with different mechanisms and excellent results.
Benzodiazepines group of drugs (clonazeapm, lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.
One can stop medicines gradually after 100% recovery according to doctor's guidance.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
these can be symptoms of depression or adjustment
Detailed Answer:
Hello,
Thanks for writing to us. I can understand your concern for your daughter.
She is highly educated and not working and that is logically a big stress. Irritability is very common presentation of underlying hidden depression. Consulting a psychiatrist is the solution.
Sad mood, lack of interest in routine/pleasurable activities, weeping/crying spells, hopelessness, reduce appetite, excessive fatigue or weakness, lack of concentration, sleep disturbances, death wishes, suicidal ideas are the symptoms of depression. If few of them are there for more than 2 weeks possibility of depression is there.
To confirm diagnosis detail history should be evaluated and mental status examination should be done by a psychiatrist in person.
Treatment of depression includes both medicines and psychotherapy.
In psychotherapy I prefer cognitive behavior therapy (CBT).In mild cases only CBT is sufficient. In moderate to severe cases initially medicines and then CBT is added. And later on medicines stopped gradually.
In medicines SSRI group of drugs (fluoxetine, paroxetine, sertraline, escitalopram) are main stay of the treatment. There are other group of drugs as well with different mechanisms and excellent results.
Benzodiazepines group of drugs (clonazeapm, lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.
One can stop medicines gradually after 100% recovery according to doctor's guidance.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
