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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High BP, Diabetes, Have Negative Thoughts, Disinterested In Work, Like To Be Aloof, No Improvement With Treatment. Treatment Advise?

one year ago my dream was to admit my son in an iit college but he could nt complete in iit jee xam and as a result he was to be admitted in private engineering college with large donation and from may 2011 my behavior started changing, i stoped watching t.v news, no intrest in vising relatives, morning walks,etc. every time i felt nervous in all situation and i started hating travelling and journey. i went to doctor k.k singh patna for treatment but still 1 year passed bt nt feeling much comfort, i m always feeling sleepy maybe due to his medicines, my thoughts have become negative and always confused and i am loosing intrest in my bussiness which is on the verge of collapsing, do help me as soon as possible, someone told me that u are a gud psychiatrist so consulted u, please note that i m a patient of diabetese and bloood pressure also and diabetese is 233 mg/ml
Wed, 8 Aug 2012
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Psychiatrist,  's  Response
Hello. Your loss of interest and other symptoms makes the diagnosis of depression very clear. Also the medical disorders you have mentioned makes one prone to it as well as a stressor like this in your age group. I m sure you have been treated for depression by your doctor but you are not getting benefitted . There can be many reasons for it.
Firstly as you have mention your blood sugar is still raised , it means your diabetes is not in control and despite treatment you are not able to get full benefit of it.
Secondly your son despite being in a college may not be performing as per your expectations and you are in a persistent stressor and thus not getting benefitted
Thirdly your medication need a change as they are not helping you as you want
Fourthly you may be in need of psychotherapy along with medication to make you learn to cope with these stressors and which help you to come out of it.
According to me you need to evaluate which problem is most likely and get a intervention done according to it.
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High BP, Diabetes, Have Negative Thoughts, Disinterested In Work, Like To Be Aloof, No Improvement With Treatment. Treatment Advise?

Hello. Your loss of interest and other symptoms makes the diagnosis of depression very clear. Also the medical disorders you have mentioned makes one prone to it as well as a stressor like this in your age group. I m sure you have been treated for depression by your doctor but you are not getting benefitted . There can be many reasons for it. Firstly as you have mention your blood sugar is still raised , it means your diabetes is not in control and despite treatment you are not able to get full benefit of it. Secondly your son despite being in a college may not be performing as per your expectations and you are in a persistent stressor and thus not getting benefitted Thirdly your medication need a change as they are not helping you as you want Fourthly you may be in need of psychotherapy along with medication to make you learn to cope with these stressors and which help you to come out of it. According to me you need to evaluate which problem is most likely and get a intervention done according to it.