Suggest Treatment For Severe Depression, Nervous Breakdown And Mood Disorder
detailed and specific description of symptoms needed
Detailed Answer:
Welcome to HCM.
I can understand the mental distress you are going through at present.
From the description of above symptoms, i could understand that you have been suffering a mood disorder, and that your treating consultant is not available for consultation. However, in order to understand and gain a sufficient insight into your illness we need a more elaborative description of your complaints.
Therefore, i would request you to kindly provide a detailed information in terms of
Duration and onset of complaints, how it progressed, records and details of previous diagnosis made, if any prior medications tried, Investigations underwent,etc.
It will help us to have a better clinical picture of your illness.
Waiting for your reply.
Regards,
Dr Pankaj Borade
I did not know because my Seasonal Affective Disorder (SAD) memory loss that that was the only phone call allowed and I let mom make it. I really did not want the female therapist name that mom left the message about. I had been so depressed that I thought that I did not care that the therapist was a female. So I left 3 calls saying I was sorry to bother him and I wanted a male therapist.
He never called back. I was crushed. I was confused! So I was in the middle of a nervous break-down (depression and loss of mental understanding) and did not realize that it was Friday.
I parked in the parking lot to get away from arguing at home with my mother and read a book in my car for hours with my cell phone, waiting for him to call. He never did. I knew that he returns his calls at the end of a day.
It was about 7 PM so I tried to enter the building but I did not realize that it was considered "after hours." So I rang the bell and a female worker answered the door and said the my former male therapist was with clients. She went back to him to talk and said that he is not allowed after closure of my case, to see my face. She hands me an information release form but I could not hardly write or understand our conversation. At this point, I had become confused and all I wanted to know was how to have the hospital send records to the private practice. I was so confused! I was in the middle of a break-down of my logical thought processes. I was still functioning well enough to do basic things. My driving skills were fine but I felt mentally worn/ retarded.
What I am saying is that under such stress of ending a relationship, I became very confused and went from hypomanic at the last session to very mentally retarded and depressed. I feel that my memories of my beloved therapist will always be ruined and that I will never date and love a man all because the female worker at the door lied to me and told me my therapist would call me on a Saturday! Our last session means nothing since he only cared about me because he was being paid! Even when I was paying him it was all fake! He's gone forever and I feel betrayed and want to die!!
need to see other psychiatrist urgently
Detailed Answer:
thanks for the reply.
I could figure out that there is a very strong issues of transference feelings towards your consultant, that you bear for him.
Transference is an aspect of a patient doctor relationship in which the patient tends to get emotionally affected or involved with the treating consultant. It could ve I a form of love or hatered towards the doctor. In your case it is hatred. ideally this should not happen because our purpose of seeing a doctor is and only is to obtain a consulatation and treatment for the concerned problem.
If one doctor is not available due to what so ever cause( it is causes immense inconvenience and frustration), there is always an option for second consulation. It should be kept in mind that expertise the psychiatrist bears about the subject is more or less constant across all practitioners, and one should nt be hesitant to see a different psychiatrist if the need demands to.
In your case I can understand the immense inconvenience and frustration it created possibly because the "breakdown" episode and not able to see the doctor clashed together.
I could make out a presence of underlying mood disturbances, irritability, frustration, suicidal thoughts, etc that could be a part of mood disorder.
considering all this, my suggestion to you would be
1) Consult a local psychiatrist immediately, if you are not able to obtain appointment you can consider visiting a hospital as suicidal ideas is an emergency to attend.
2) There is certain condition of mood disorder. We need a detailed work up mental status examination which warrants a consulation to psychiatrist in personal.
depending on which medications can be prescribed.
3) lastly, I suggest you to give up thoughts on your previous treating doctor and consider this as a bad experience, You need to move on and seek other psychiatrist help.
you can continue to followup any query regarding problem any time in future.
Hope to have satisfied your concern.
Regards
Dr Pankaj B