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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Fatigue And Lack Of Concentration

My head does not feel right. When I try to think or focus it actually feels like too much work. Very emotional at the slightest provocation. Feel foggy and slow. It's been about a month like this and seems to be getting worse. I'm tired and sore in my neck and sholders within two hours of getting out of bed. Writing this explanation right now is taking more energy than I have.

                                                                 
Tue, 30 Sep 2014
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Psychiatrist,  's  Response
Hi,

I went through your query and can understand what you must be going through. From what you have mentioned, it seems that you are manifesting symptoms suggestive of a depressive episode. Feeling tired, slow and emotional are all symptoms of depression.

You should consult a psychiatrist for undergoing complete evaluation of your symptoms and initiating treatment. Had I been your psychiatrist, I would have also advised some blood investigations like complete blood counts (to rule out anemia) and thyroid function tests (to rule out hypothyroidism). Both these conditions can lead to depression and lethargy.

Treatment with anti-depressant drugs like escitalopram or sertraline would be safe and effective. You have to remember that almost all anti-depressants are slow to act. So, you will have to be patient about the response which will need at least 2 weeks after starting the medications.

I do hope I was able to help with your query.

Best wishes.

Dr. Sunil Gupta
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Suggest Treatment For Chronic Fatigue And Lack Of Concentration

Hi, I went through your query and can understand what you must be going through. From what you have mentioned, it seems that you are manifesting symptoms suggestive of a depressive episode. Feeling tired, slow and emotional are all symptoms of depression. You should consult a psychiatrist for undergoing complete evaluation of your symptoms and initiating treatment. Had I been your psychiatrist, I would have also advised some blood investigations like complete blood counts (to rule out anemia) and thyroid function tests (to rule out hypothyroidism). Both these conditions can lead to depression and lethargy. Treatment with anti-depressant drugs like escitalopram or sertraline would be safe and effective. You have to remember that almost all anti-depressants are slow to act. So, you will have to be patient about the response which will need at least 2 weeks after starting the medications. I do hope I was able to help with your query. Best wishes. Dr. Sunil Gupta