Suggest Treatment For Severe Anxiety And Depression

Posted on Wed, 1 Mar 2017

Question: My father is a Alcholic who had stopped drinking for 15 years. His way of stopping himself was to find new ways such as; eating chocolates, drinking Redbull and watching a excessive amount of movies online. He is very depressed and has no ambitions to work nor the ability, due to age. What should I do?

Answered by Dr. Dr. Ashok Kumar Choudhary (54 minutes later)

Brief Answer:
Please provide more details

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

First of all I like to assure you that depression is treatable condition and there is possibility of complete recovery in many individuals.

Having said this I need to few more details regarding his condition
1. How long he has depression?
2. How the problem started ? Whether it was all of sudden or build up gradually?
3. How long he abused alcohol?
4. What amount of alcohol he used to take every day?
5. His last alcohol intake?
6. Whether he took any treatment while stopping alcohol? If yes details please
7. What symptoms he developed while stopping alcohol?
8. Any other substance history?
9. History of any other medical illness? Details if percent
10. Details of any psychiatric illness?
11. What are the symptoms of depression as per you and other family members?
12. What are the symptoms of depression as per your father ?

I look forward to get detailed reply to assist you further.
Thanks again.

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

Follow up: Dr. Dr. Ashok Kumar Choudhary (10 hours later)

Dear Dr. XXXXXXX

I am XXXXXXX Margrave- Aramis' father.

I hope it's ok if i write.

Here are some answers to the questions you asked.

1. I have had depression on and off for 20 years.
2. It has been a gradual build up. Started heavily drinking around 20.
3. Started drinking at 15. Reached a peak at 25. Stopped at 27 after a spell in a clinic.
4. 9 per cent alcohol beer. 10-15 cans.
5. Stopped since 27. Never relapsed.
6. First took depression pills to try to stop but then got addicted to the pills. Stopped all medicines after 27.
7. After stopping alcohol- couldn't stop drinking coke, eating chocolate all the time. Binge eating sweets, cakes etc. drinking large quantities of Red Bull etc. Taking vitamin tablets in huge quantities such as Maca, Zinc etc.
8.No other substance history. No smoking or drugs.
9.No other medical illnesses.
10. No other psychiatric illness.
11. Main symptoms are not wanting work. Feeling sleepy lazy, etc. Not interested in anything. Do anything to avoid working. Watching internet TV etc. Doing large amounts of exercise, shopping etc. to avoid working. Also telling non stop lies to my parent to get money from them to pay for my lifestyle so I don't have to work.
12. Other symptoms- I get angry with the kids easily. Often have fights with my wife. Any generally do this as well to avoid working, since the arguing takes up so much time.

Answered by Dr. Dr. Ashok Kumar Choudhary (3 hours later)

Brief Answer:
Follow up

Detailed Answer:
Dear Margrave,
Thanks for reverting back to me.

I am glad to note that you decided to respond and have a great will power to do which is intended. The two instances which is know to me is never to relapse and never to work.

Fortunately the former was positive behaviour but the latter is considered negative behaviour and it seems that you developed a sense of personality which thinks that I can not work.

I feel that whatever you state, it will not be wrong to say that you have immense capacity to carry out activities despite the presence of depression (large amount of exercise, shopping).

Being a psychiatrist I feel there is something which is preventing you from carrying out desired work which is not mentioned anywhere in your post. This could be childhood experiences, past bad experiences while working, homesickness, fear of losing family and many others.

I am of the opinion that rather than searching medications which can help you, it will be more appropriate to go for psychotherapy. Considering available information I feel cognitive behaviour therapy will be the best option followed by psychodynamic psychotherapy.

I hope this assists you.
If you have more questions I will be glad to assist you further.
If you do not have more questions, please close the discussion and if possible rate the answer for my future patients.

In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.

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

Follow up: Dr. Dr. Ashok Kumar Choudhary (1 hour later)

Doctor XXXXXXX

Thanks for your mail.

I understand what you are saying. You mentioned going down a route of pyschotherapy. How would I go about doing that?

Thanks,
XXXXXXX Margrave

Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)

Brief Answer:
Need to search in locality

Detailed Answer:
Dear Margrave,
Thanks for reverting back to me.

I am glad to know that message was clear.

To execute we need to search a psychologist who offers CBT and need to start when he/she gives appointment.

I hope this clarifies.
Thanks again.

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

Follow up: Dr. Dr. Ashok Kumar Choudhary (56 minutes later)

Dear Dr. XXXXXXX

Thanks.

I understand about what you are saying locally.

My situation is a little unusual. I am British but I have been living in Japan for 20 years. When I went to a clinic some 15 years ago I went back to the U.K. Unfortunately I can't go back to the UK. anymore.

I do speak Japanese but I would prefer to get some kind of therapy in English. Is there anyone you know in XXXXXXX who is really good, who I get therapy with online or by Skype or some other way?

Thanks
XXXXXXX

Answered by Dr. Dr. Ashok Kumar Choudhary (7 minutes later)

Brief Answer:
Follow up

Detailed Answer:
Dear XXXXXXX
Thanks for follow up.

I do not know anybody from XXXXXXX who's is good but I do offer CBT online albeit on different platform.

If you think that a person from different cultural background will be able to help you, you may contact me at icliniq.com/ashok
This is important because without mutual faith no psychotherapy works in proper manner.

Thanks again.

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

Follow up: Dr. Dr. Ashok Kumar Choudhary (3 hours later)

Dear Dr. XXXXXXX

Thanks for you kind XXXXXXX

I will contact you through icliniq. If it's ok with you it would be nice to talk with you.

Thanks so much,
XXXXXXX

Answered by Dr. Dr. Ashok Kumar Choudhary (12 minutes later)

Brief Answer:
You are always welcome

Detailed Answer:
Dear XXXXXXX
Thanks for informing.

You are always welcome with any sort of assistance at icliniq.com or healthcaremagic (http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386).

Use the provided url whenever you need to contact me.

Wish you great health.
Thanks again

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

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