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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Depression Problems

there is a patient who have gone under depression and angry behavior and she do not want even to talk to anyone or mix up with others due to masturbation and she is not able to carry on her studies even.she not able to concentrate on books .she thinks she is inferior to others so not able to mix up .please help her
Fri, 5 Dec 2014
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Psychiatrist,  's  Response
Dear User,
If I were to treat a patient with similar complaints, I would like to know some more details as follows:
1. Duration of symptoms
2. Previous history of similar symptoms of opposite symptoms like being over cheerful, overactive, increased confidence than normal, etc, so as to decide among the two diagnostic possibilities- Bipolar depression Vs Unipolar depression.
And going by you description about your patient first possibility would be a major depressive episode which in my clinic, I prefer to treat it with drugs like Tab. Escitalopram 10-20 mg/day. I call them after 3 weeks to see the effect of medication. You might take your friend to a psychiatrist and discuss about this.
Dr. Sudhir Mahajan
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Suggest Treatment For Depression Problems

Dear User, If I were to treat a patient with similar complaints, I would like to know some more details as follows: 1. Duration of symptoms 2. Previous history of similar symptoms of opposite symptoms like being over cheerful, overactive, increased confidence than normal, etc, so as to decide among the two diagnostic possibilities- Bipolar depression Vs Unipolar depression. And going by you description about your patient first possibility would be a major depressive episode which in my clinic, I prefer to treat it with drugs like Tab. Escitalopram 10-20 mg/day. I call them after 3 weeks to see the effect of medication. You might take your friend to a psychiatrist and discuss about this. Dr. Sudhir Mahajan