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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Poor Concentration And Stress

Age 27 years

Height; 5'9 inches

Weight 65 kgs

Course business studies

Mild asthma

I came to Germany three months ago and have had a number of bad experiences with racism, people undermining one in class and this is affecting my ability to concentrate and study for the pro gramme.

I have a bachelor's degree and did this simultaneously together with accounting exams under pressure and I managed pretty successfully. I have fatigue and it takes me hours to read a chapter, i'm very worried as exams are coming up and my mind feels burdened, I eat pasta, vegetables, rice and at times daily

I'm trying to harden up and not take personal attacks seriously, but these thoughts keep coming back, my self esteem has drastically reduced and my heart alos feels quite heavy when I go to sleep.



Please help
Wed, 30 Jul 2014
Report Abuse
Psychiatrist 's  Response
Hello,

All symptoms are stress related and the cause is already known to you. Don't worry this is manageable.

If possible, you can go for counselling sessions with some councillor in university itself and discuss these issues.
OR you may seek help from a psychiatrist and enter into therapy sessions.

If both of these are not possible, please do relaxation exercises- pranayama or other breathing exercises regularly three times a day, for 10-15 mintutes...this will not only relax you but also help in focussing your mind to the task at hand.

Try to avoid junk food altogether, also stop taking alcohol even if you take it just once a week.

Still, if there is enough problems and there is difficulty in proceeding with counselling/therapy due to any reason, you can start escitalopram 5-10mg , along with something for sleeping at night,like zolpidem 5mg. After a week or 10 days- zolpidem can be stopped but continue with escitalopram. This will help you a lot in getting better and response will come in few days...

So, please don't waste your precious study time in taking stress or suffering, meet a psychiatrist and start meds.You will definitely get better and come out with flying colors. Moreover, once your course will finish, I hope the stress will lessen and you may not need to continue the meds for long time.

Wish you good luck!
Dr. Manisha Gopal
MD neuropsychiatry
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Suggest Treatment For Poor Concentration And Stress

Hello, All symptoms are stress related and the cause is already known to you. Don t worry this is manageable. If possible, you can go for counselling sessions with some councillor in university itself and discuss these issues. OR you may seek help from a psychiatrist and enter into therapy sessions. If both of these are not possible, please do relaxation exercises- pranayama or other breathing exercises regularly three times a day, for 10-15 mintutes...this will not only relax you but also help in focussing your mind to the task at hand. Try to avoid junk food altogether, also stop taking alcohol even if you take it just once a week. Still, if there is enough problems and there is difficulty in proceeding with counselling/therapy due to any reason, you can start escitalopram 5-10mg , along with something for sleeping at night,like zolpidem 5mg. After a week or 10 days- zolpidem can be stopped but continue with escitalopram. This will help you a lot in getting better and response will come in few days... So, please don t waste your precious study time in taking stress or suffering, meet a psychiatrist and start meds.You will definitely get better and come out with flying colors. Moreover, once your course will finish, I hope the stress will lessen and you may not need to continue the meds for long time. Wish you good luck! Dr. Manisha Gopal MD neuropsychiatry