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Suggest Treatment For Lack Of Motivation And Enthusiasm At Workplace With Suicidal Thoughts

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Posted on Tue, 9 Aug 2016
Question: I feel always like l should quit my job or i should die to free from this environment where i am working i cant bear anymore this banking job what is wrong with me i don't know
doctor
Answered by Dr. Chintan Solanki (29 minutes later)
Brief Answer:
possibility of depression and it can be treated, please avoid any self harm

Detailed Answer:
Hello Mr. XXXXXXX

Thanks for writing to us. I can understand your concern.

You are suffering from job related stress. Thoughts about dying suggest that you may have depression.

Dear young man, please do not take any step which can harm you or affect your life seriously. Any stress can be treated. At least you can quit the job if you cannot adjust there.

- Please narrate me briefly about your personal details and job stress.

- 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 : among these symptoms which are there in your case and since when?

I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (2 hours later)
Sir i am working in bank as a manager.
I have one brother and a sister both setteled and my parents are living well.

recently i got promoted to manager i am working in this bank for last 4 years and always got a posting in a rural place around XXXXXXX like i was in tamilnadu XXXXXXX and now maharastra all the place i got rural place with no friends. for last 4 years i am living alone and after getting promotion situation got worst because of work pressure increasd and i am unable to handle the work here and it is very difficult for me to bear the work pressure anymore.
Iam getting the feeling of quitting the job for last 2 years but unable to left the job because noone in family will understand this and after getting promotion now for last month or so i am getting feeling of to kill myself.
when i am in my work place i feel very sad , hopeless and my hands shakes and my heart beating get fast and after work all night i think about quitting the job or kill myself now a days shaking of hand increased.
I am sleeping very late in night and don't want to wake up in the morning.
doctor
Answered by Dr. Chintan Solanki (9 hours later)
Brief Answer:
needs treatment, time and stress management

Detailed Answer:
Hi,

Thanks for information and sorry for delayed response.

You are likely suffering from depression. It happens with many of young individuals like you.

You need treatment of depression with time and stress management techniques.

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 CBT time and stress management can be learnt.


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.

Consulting a psychiatrist personally will surely help you to live better life.

I recommend not leaving job for a while. You may improve with treatment and can work with happiness. If it is not feasible considering all aspects, you can leave the job later on.

For a while follow healthy lifestyle. This includes regular daily exercise (walking or running), hygienic food habits (no junk food, no fatty food, preferably only home-made food with law salt and fat with more fruits and vegetables) and timely scheduled sleep. Yoga- meditation can also help.

I also request again not to go for any death wishes. you are young man and still long way to go.

Feel free to discuss further.

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest Treatment For Lack Of Motivation And Enthusiasm At Workplace With Suicidal Thoughts

Brief Answer: possibility of depression and it can be treated, please avoid any self harm Detailed Answer: Hello Mr. XXXXXXX Thanks for writing to us. I can understand your concern. You are suffering from job related stress. Thoughts about dying suggest that you may have depression. Dear young man, please do not take any step which can harm you or affect your life seriously. Any stress can be treated. At least you can quit the job if you cannot adjust there. - Please narrate me briefly about your personal details and job stress. - 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 : among these symptoms which are there in your case and since when? I will be happy to help further after your response. Regards, Dr.Chintan Solanki.