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Suggest Treatment For Severe Depression

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Posted on Tue, 23 Jun 2015
Question: I am in need of of a sick note as I have severe depression and have not slept in three days
Can't wait 24 hours
doctor
Answered by Dr. Dr. Chintan Solanki (1 hour later)
Brief Answer:
you need to consult doctor personally for the same

Detailed Answer:
Hello,

Thanks for writing to us.

Online prescription or online sick note is not valid according to laws.For that physical examination is to be done by doctor.

For diagnosis of depression detail history and mental status examination are required by a psychiatrist.Sleep disturbance is also one of the symptoms of depression.

I request you to go to doctor soon. Your GP may prescribe you some immediate help and can write sick note. And later on you can consult psychiatrist.

Let me tell you that depression in current medicine practice is treatable condition as lots of medicines and other options are available.

Medicine from SSRI group(Fluoxetine, sertraline, escitalopram, paroxetine), SNRI group( Desvenlafaxine, Mirtazapine, Duloxetine) , NRI (Bupropion)and TCA(Imipramine) are antidepressant medicines. In general anyone SSRI is first line drug to start with.


Psychotherapy - Cognitive behavior therapy should also be applied simultaneously.It will help to remove automatic negative thoughts and convert your behavior towards more positive aspect life.

I am sorry for limitation from our side.

Regards,
Dr.Chintan Solanki.




Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2407 Questions

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Suggest Treatment For Severe Depression

Brief Answer: you need to consult doctor personally for the same Detailed Answer: Hello, Thanks for writing to us. Online prescription or online sick note is not valid according to laws.For that physical examination is to be done by doctor. For diagnosis of depression detail history and mental status examination are required by a psychiatrist.Sleep disturbance is also one of the symptoms of depression. I request you to go to doctor soon. Your GP may prescribe you some immediate help and can write sick note. And later on you can consult psychiatrist. Let me tell you that depression in current medicine practice is treatable condition as lots of medicines and other options are available. Medicine from SSRI group(Fluoxetine, sertraline, escitalopram, paroxetine), SNRI group( Desvenlafaxine, Mirtazapine, Duloxetine) , NRI (Bupropion)and TCA(Imipramine) are antidepressant medicines. In general anyone SSRI is first line drug to start with. Psychotherapy - Cognitive behavior therapy should also be applied simultaneously.It will help to remove automatic negative thoughts and convert your behavior towards more positive aspect life. I am sorry for limitation from our side. Regards, Dr.Chintan Solanki.