Ask a Psychiatrist and Get Answers to Mental Health Questions ASAP
Welcome to Just answer !
Well, in order to know exactly what you are suffering from , kindly try to answer my queries .
1) You have mentioned that you have been depressed since childhood , so should i believe that your depression has lasted more than 2 years ?
2) Has there ever been a time in the past two years when you have not felt depressed at all , i mean to say , totally relieved of your depressive symptoms ?
3) Since you mention that your depression is kind of a cycle in which there are episodes when your depressive symptoms become aggressive and overwhelm you , effecting your professional and social life , so should i believe such episodes have been occurring in the past 2 years regularly ?
4) Do you have such symptoms -- low mood , inability to feel pleasure in previously pleasurable activities , lack interest in day to day activities, low self esteem, negative thoughts , self criticism, poor sleep and appetite ?
5) Do you react to good news positively , and become happy or does a good news have no change in your already depressed mood?
Kindly answer the above mentioned questions against their numbers and i shall get back to you with an appropriate response.
Yes all symptoms for more than 2 years. There are sometimes (usually only for a day or a couple of hours where Im perfectly 100% fine). Good news or plans usually makes me sad at first I never want to go or get stressed it wont go well. to #4 yes to all. I dropped all my friends because of this.
Thanks for the reply !
Well, from the above mentioned symptoms it seems that you are suffering from Dysthymia , which is defined as chronic depression lasting more than 2 years , with intermittent exacerbation ( increase in severity of symptoms ) seen .
Dysthymia does have a withdrawing effect on person's life, making him / her resentful to any kind of social interaction with family and friends and even miss important life events .
So, i suggest you consult a psychiatrist and discuss the below mentioned treatment with him.
1) 1 Anti depressant drug such as Effexor XR (venlafaxine extended release ) capsule or Paxil ( paroxetine ) , Zoloft ( sertraline ) , or Milnacipran , or Cymbalta . You may ask your doctor to choose any one of these drugs and get you started on it . Also discuss the dose and time of intake of the drug chosen. All these drugs are potent and effective in dysthymia , with less side effects , but let your doctor first evaluate you and accordingly choose the drug for you.
2) 1 Anti anxiety drug needs to be added to the anti depressnt, as to assist it . Some good examples of anti anxiety drugs are -- Klonopin (clonazepam ) ,or Buspar (buspirone ), or Etizolam or Alprazolam . Only one out of these needs to be added and again the dose and time of intake is to be decided by your doctor.
3) Psychotherapy -- counseling in lay terms is as effectve a treatment as drug therapy , and when added to drug therapy it will give out the best results for your condition.The best psychotherapy for Dysthymia is Cognitive behavioural therapy ( CBT) , WHICH IS A short duration therapy , provided by Clinical psychologist or psychiatrist.
So, i suggest you consult a Psychiatrist and get the above mentioned regime discussed and start on the best possible regime .
I know , it has been really hard for you to endure these depressive symptoms for so long a duration , but now , i believe it is high time for you to get over with it once for and all.
I am mentioning below a few links about dysthymia , which will throw more light on it.
I wish you rapid recovery to the best of health.
I hope my answer serves your query according to your satisfaction.
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