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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Depression And Negative Thoughts About The Future Be Treated?

Hi Dr. Im Mark 31 depress about job, i want to quit my job but i cannot afford to do it until the recent damage cause by flood is not yet finished the issue.i am depress if they gonna deduct to me the damage even it cannot controlled by human...sorry for my english my negative thingking for the future outcomes make me sick.
Thu, 4 Oct 2018
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Psychiatrist 's  Response
hi and thanks for questions.
Treatment of depression will depend upon on severity of depression like in mild and moderate depression,we will go for counselling for treatment, but t if u have severe depression in which suicidal thoughts and death wishes occurred than better to start medicine. in counselling we start psychotherapy like CBTand others, in medicine we start desvenlafaxine or escitalopram drug as per job schedule and second thing if u have sleep disturbance than we start benzodizepines.u take all 15 days and than consult psychiatrist.
thanks
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How Can Severe Depression And Negative Thoughts About The Future Be Treated?

hi and thanks for questions. Treatment of depression will depend upon on severity of depression like in mild and moderate depression,we will go for counselling for treatment, but t if u have severe depression in which suicidal thoughts and death wishes occurred than better to start medicine. in counselling we start psychotherapy like CBTand others, in medicine we start desvenlafaxine or escitalopram drug as per job schedule and second thing if u have sleep disturbance than we start benzodizepines.u take all 15 days and than consult psychiatrist. thanks