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Suggest Treatment For Depression
I m Daija and I was seeking some guidance my boyfriend is battling depression and he looks to me for answers that i cant give him and I wnt to help but i just dont know what to say sometimes. He has sickle cell and back in 2012 he had a sickle cell crisis with a near death experience and that whole summer he was in an hospital bed. So few months later he started to get pain in his hips and ever since then he s in and out of the er every other day or week because he has really bad pain his hip muscles are very tight so he cant walk sit lay down stand or even spread his legs without pain he cant get comfortable the doctors give him all types of pills but they dont help him at all and its really making him depressed because he s in pain 24/7 and he cant take it anymore. His attitude is changing he s always angry he gets into arguments a lot with me his dad his brother his friends and talks about dying and how if something were to happen he wouldnt care and he even tried self harm before like the pain from his hips plus having sickle cell is really affecting his mind and he called me lastnighy crying because he doesnt know what to do or be happy anymore and I want to help but idk how.He s really becoming more angry and evil and starting to hurt the people he loves and tries to push us away I know he doesnt do it on purpose but its very hard to deal with.He s really becoming more angry and evil and starting to hurt the people he loves and tries to push us away I know he doesnt do it on purpose but its very hard to deal with he hurt his older brothers feelings lastnight and he said he saw him crying this morning and he asked me to help him get better but what do I do?he has a case worker already he was at childrens hospital but now that he s 21 he s in the middle of being transferred to an adult hospital. they don t have is medical summary yet and he hasn t met his doctor yet we tried therapy already he wants hip surgery like now but he cant get right now because he hasnt met his new doctor yet so he s still using the meds he has its just scary because its like he feels like he s on a time limit like if he doesnt get the surgery now somethign bad will happen he always say it feels like he s dying and i just dont want to wake up one morning and he s not here anymore.
Tue, 8 Dec 2020
Hi,
Mental illness can be a terrible burden to have. It is nice to see that you still want to help him despite all the difficulties. It does sound like he may have a mood disorder (depression and anxiety perhaps). Medications are safe and effective. The first-line treatment for severe depression in young adults would be fluoxetine (Prozac) and psychotherapy.
They can be done together and work well if used at the same time. There are many telemedicine websites that can help him if he cannot see a psychiatrist. If he is a danger to himself or a danger to others, you would need to call 911 and have him taken to the ER. If he is a serious danger, he could be evaluated by a psychiatrist at the earliest.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Timothy Wong, General & Family Physician
Mental illness can be a terrible burden to have. It is nice to see that you still want to help him despite all the difficulties. It does sound like he may have a mood disorder (depression and anxiety perhaps). Medications are safe and effective. The first-line treatment for severe depression in young adults would be fluoxetine (Prozac) and psychotherapy.
They can be done together and work well if used at the same time. There are many telemedicine websites that can help him if he cannot see a psychiatrist. If he is a danger to himself or a danger to others, you would need to call 911 and have him taken to the ER. If he is a serious danger, he could be evaluated by a psychiatrist at the earliest.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Timothy Wong, General & Family Physician
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