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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Depression

Hi Dr Rynne, Ny name is Tina. I am experiencing severe depression. Im not at the point of collapse yet, however I m close. Ive been there before so I know. I m barely hanging on and I don t know what to do. I have no insurance, I just quit my job. What do I do? YYYY@YYYY
Wed, 4 Dec 2019
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General Surgeon 's  Response
Hi,

First and foremost is to start a good antidepressant. This breaks the existing inertia which has established in body and mind. This will help you break free of the viscuous circle of sadness and inactivity. There are many good molecules present which can be taken safely- escitalopram or sertraline or desvenalafaxine. You should take either of them. None of them gives sedation, so can be taken in the morning after breakfast.

Apart from meds, it is essential that you too make some effort to come out of depressive state by trying the following measures:-
1. Avoid being alone: keeping good company helps our thoughts to be away from bad and sorrowful ones.
2. Get up in morning by 6a.m: go for a jog or brisk walk after having some milk/fruit or something which you can take (avoid running empty staomach)
3. Take more of salads and green veggies- they produce calmness
4. Talk about your problem/issues with a well wisher or to whom you are close. It is always useful to share ---the healing speed up!
5. Sprouts have natural substances which produces calmness in mind
6. Avoid tea/ coffee and any other substance of abuse- they increase the problem in such conditions Please get up and collect your courage. Cry if you feel like- this also helps in feeling better many times but you have to beat depression.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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Suggest Treatment For Severe Depression

Hi, First and foremost is to start a good antidepressant. This breaks the existing inertia which has established in body and mind. This will help you break free of the viscuous circle of sadness and inactivity. There are many good molecules present which can be taken safely- escitalopram or sertraline or desvenalafaxine. You should take either of them. None of them gives sedation, so can be taken in the morning after breakfast. Apart from meds, it is essential that you too make some effort to come out of depressive state by trying the following measures:- 1. Avoid being alone: keeping good company helps our thoughts to be away from bad and sorrowful ones. 2. Get up in morning by 6a.m: go for a jog or brisk walk after having some milk/fruit or something which you can take (avoid running empty staomach) 3. Take more of salads and green veggies- they produce calmness 4. Talk about your problem/issues with a well wisher or to whom you are close. It is always useful to share ---the healing speed up! 5. Sprouts have natural substances which produces calmness in mind 6. Avoid tea/ coffee and any other substance of abuse- they increase the problem in such conditions Please get up and collect your courage. Cry if you feel like- this also helps in feeling better many times but you have to beat depression. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Iven Romic Rommstein, General Surgeon