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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Depression, Feelings Of Worthlessness And Overwhelming Stress Be Treated?

Hi, I don t know if this is where I m supposed to go. I don t know what to honestly do right now. I just need to talk to someone and nobody is around me right now. My family is tens of hours away and I don t have close friends by my side. Plus, I have a feeling nobody will believe me what I feel and just belittle whatever I tell them since I m considered to be tough. There is a lot of things happening around me and not just today, but I think I hit the lowest point. For two past years I ve suffered from depression states(?) something like that - my psychologist said so but she was the type of person to pick up calls while I was opening to her about what I feel. That s why I m looking for help whenever, I know I need help to cope with everything. I don t know what is happening to me. I ve been overwhelmed by stress from school/university, my grandma s serious health issues, my health issues and other factors. There is no emotion in me for months, I laugh of course, I tend to smile but it s nothing that I feel inside. It s like a thing that has to happen, I don t know how to explain it. It s just so empty. Few things happened today that pushed me into thought I never knew I would have and I ended up sobbing for hours now. I had this before, when I was still at school I would explode in crying. Feeling little, unimportant, forgotten, not worth anything. It has been so long and I m just tired of everything. Seems I could sleep for hours during the day because I m free off everything, but I m awake at night and that s when the guilt I m wasting my life, destroying myself. I don t know what to do. I don t even know if this is the right place to go, I ve been searching online for hours. I don t want to feel all this today, I want this to be over as fast as it can be. How do I get out of this? Where should I go? All of what is happening to me goes on on inside, but I have a feeling it s seriously starting to affect me on the outside to, but I don t have the strength to talk to anybody about this that s why I m writing. What should I do? I m sorry my English may not be the best but I m not native. I just need a hint. Anything please, I m desperate.
Thu, 4 Oct 2018
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Psychiatrist,  's  Response
hi sir,
i could understand your present situation. presently your suffering from moderate to severe depressive episode which needs to be treated immediately. the features you mentioned like feeling sad with crying spells, loss of interest in daily chores,sleep issues, guilt and hopeless ideas are all due to depression only. Don't worry. you ought to get treated with a psychiatrist. treatment options will be antidepressant most probably SSRIs. along with it, counseling with cognitive behavioral therapy too helpful. but, unlike other psychiatric disorders which continue treatment for prolonged duration of time, your depressive episode treatment last only for 6-8 months.
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How Can Severe Depression, Feelings Of Worthlessness And Overwhelming Stress Be Treated?

hi sir, i could understand your present situation. presently your suffering from moderate to severe depressive episode which needs to be treated immediately. the features you mentioned like feeling sad with crying spells, loss of interest in daily chores,sleep issues, guilt and hopeless ideas are all due to depression only. Don t worry. you ought to get treated with a psychiatrist. treatment options will be antidepressant most probably SSRIs. along with it, counseling with cognitive behavioral therapy too helpful. but, unlike other psychiatric disorders which continue treatment for prolonged duration of time, your depressive episode treatment last only for 6-8 months.