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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Depression

My wife patient of depression since 2003 at starting sleeping prob and she was liking to have the foods. Afterwards went to doctors psychairitist but problem remains same even medicines are so heavy doses that she usd to sleep for continuously 2 days.then I was afraid and stopped the medicines for side effects. She is having two cycles being observed. Now presently only sleeping problem is there and huge energy she have.when she goes to bed for sleep ,sleep is far far away and starts crying And after some time some sort of body irritation is there finally when she get down from bed she is fine.after havig meals or breakfast again she feels bad and can not have the meals but she is hungry and wanted to eat. Another cycle she does not wanted to down from the bed and continuously sleeping , energyless,doesnot want to talk and not etching t.v. Even she does not like to talk to anyone.went so many doctors Please help
Fri, 2 May 2014
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Psychiatrist,  's  Response
Hi,

I read your query and can understand your concern for your wife. Your wife seems to be suffering from depressive disorder like you have mentioned and she will need treatment with anti-depressants. It seems that she is currently not on any treatment. I do understand your concern regarding side effects but current generation of anti-depressants are generally very safe. She would have felt very sleepy initially because of high dose of sedatives. You can discuss this with your psychiatrist and care can be taken regarding if she needs a sedative or not.

You will have to remember that the anti-depressants are slow to act and you won't get instant results. You will have to wait days to weeks for desired effect. Also, it would be advisable to institute the therapy as early as possible as delayed treatment and longer duration of disease can only decrease chances of good results.

Your wife can also be started on some sort of psycho-therapeutic intervention like cognitive behavior therapy, if someone trained in it is available in your area.

Hope this information was helpful.

Best wishes.
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Suggest Treatment For Depression

Hi, I read your query and can understand your concern for your wife. Your wife seems to be suffering from depressive disorder like you have mentioned and she will need treatment with anti-depressants. It seems that she is currently not on any treatment. I do understand your concern regarding side effects but current generation of anti-depressants are generally very safe. She would have felt very sleepy initially because of high dose of sedatives. You can discuss this with your psychiatrist and care can be taken regarding if she needs a sedative or not. You will have to remember that the anti-depressants are slow to act and you won t get instant results. You will have to wait days to weeks for desired effect. Also, it would be advisable to institute the therapy as early as possible as delayed treatment and longer duration of disease can only decrease chances of good results. Your wife can also be started on some sort of psycho-therapeutic intervention like cognitive behavior therapy, if someone trained in it is available in your area. Hope this information was helpful. Best wishes.