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What Causes Persistent Symptoms Of Depression Despite Taking Medication?

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Posted on Tue, 4 Apr 2017
Question: My wife and i have had very serious problems regarding trust.i have questioned her a few times when she has not been at any fault,she is generaly very outgoing thats all.but i feel she has taken it to heart.she then became depressed and was taking amilin plus for 3-4 months this was about 7-8 months back,after demonetisation she again has had similar problems,like sleep and feeling of low moods when she doesnt wish to speak to anyone,she at times also gets confused and behaves very voilent wher she wants to be left alone and feels that she doesnt wish to do anything as per someone else command!she has once also felt so helpless that she wanted to do harm to herself!she is currently on amplin forte(amitriptyline 25 mg)please suggest
1.a solution and how i should help her?
2also how i can handle such episodes?
3.what this problem is?
4.a very good doctor in XXXXXXX for such problem.
5.hope she would be fine?
If you need to ask me anything please let me know.
doctor
Answered by Dr. Seikhoo Bishnoi (24 minutes later)
Brief Answer:
Bipolar depression could be a possibility

Detailed Answer:
Hello thanks for asking from HCM

I can understand your concern. You have mentioned that she is very outgoing and is not at fault. A lot of couples suffer such issues but in most cases no significant problems occur. In you case she developed depressive symptoms and the improvement will take time.

First of all try to sort out any unresolved issues. Talk to her and if she has anything to say then listen to her side. Reassure her that you have no trust issues now. Avoid any confrontations, some times males in anger say things which result in significant impact on mind of females. During violent episodes which are probably reactive mood symptoms of depression avoid any thing that result in significant confrontation. Don't say no to her during the episodes. With time she will become calm.

Most probably she is having Depressive disorder with atypical features. Other possible diagnosis is Bipolar depression but for diagnosis evaluation is needed.

You can find a lot of doctors from our site in doctors section in XXXXXXX

Yes she will become fine, no need to worry.

Does she has any symptoms like over spending, hitting others, talking big, talk claims etc during episodes?

Thanks and Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Seikhoo Bishnoi (23 hours later)
She doesnt have any such habbits of over spending,hitting other or etc,but the only issue is that she gets angry or doesnt find anyone good or real,she feels everyone around is fake.she after she gets easy feels guilty and helpless,how and what should i tell her about what she feels and what should my role be when she is going through this,also please suggest what shud i tell her to do when she is expereincing such a mood?hope amitriptyline 25mg is ok !
doctor
Answered by Dr. Seikhoo Bishnoi (36 minutes later)
Brief Answer:
She is having depression and not bipolar

Detailed Answer:
Hello again

Just don't react when ever she is in mood swings. If she needs any help at that time then you can help her but avoid doing anything actively during her spells. When she is relatively normal then you can talk with her, find out the things that are resulting in anger. With time things will definitely improve.

Yes Amitriptyline 25 is ok and If needed doses can be increased to 50 mg. This will help in improving her mood.

She has no symptoms of bipolar so no need to worry. Her depression will improve with time.

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

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5192 Questions

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What Causes Persistent Symptoms Of Depression Despite Taking Medication?

Brief Answer: Bipolar depression could be a possibility Detailed Answer: Hello thanks for asking from HCM I can understand your concern. You have mentioned that she is very outgoing and is not at fault. A lot of couples suffer such issues but in most cases no significant problems occur. In you case she developed depressive symptoms and the improvement will take time. First of all try to sort out any unresolved issues. Talk to her and if she has anything to say then listen to her side. Reassure her that you have no trust issues now. Avoid any confrontations, some times males in anger say things which result in significant impact on mind of females. During violent episodes which are probably reactive mood symptoms of depression avoid any thing that result in significant confrontation. Don't say no to her during the episodes. With time she will become calm. Most probably she is having Depressive disorder with atypical features. Other possible diagnosis is Bipolar depression but for diagnosis evaluation is needed. You can find a lot of doctors from our site in doctors section in XXXXXXX Yes she will become fine, no need to worry. Does she has any symptoms like over spending, hitting others, talking big, talk claims etc during episodes? Thanks and Take care.