How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Doctor Kevin Your Own Question

Doctor Kevin
Doctor Kevin, Ph.D.
Category: Mental Health
Satisfied Customers: 1482
Experience:  25 years in private practice
16903060
Type Your Mental Health Question Here...
Doctor Kevin is online now
A new question is answered every 9 seconds

At 50, Being quite aware of what depression is -, but only

Resolved Question:

At 50, Being quite aware of what depression is -, but only lately realising that anxiety has been tripping me up all my life
What is the most important thing to focus on, do you think?
thank you
Submitted: 2 years ago.
Category: Mental Health
Expert:  Doctor Kevin replied 2 years ago.

Dr.Kappler :

Thank you for choosing this website with your question concerning depression and anxiety.

Dr.Kappler :

I realize that 50 you have begun to understand the full affect of depression on a person. You also realize that you've been very anxious and that has been affecting you all your life

Dr.Kappler :

Yyour question is what is the most important thing to focus on

Dr.Kappler :

While depression normally includes a lack of energy and lethargy, agitated depression (also known as "mixed mania") causes a person to feel restless and irritable. Agitated depression is a relatively common type of depression, and frequently accompanies bipolar disorder. Major depression is characterized by a feeling of sadness that lasts for at least two weeks. The depression aspect of agitated depression is often accompanied by crying, suicidal thoughts, and a feeling of hopelessness. The agitation component of agitated depression is usually displayed in a general restless attitude of the person affected. Restlessness causes pacing, handwringing, and unconscious movement. Mental distress is displayed by the affected person complaining, yelling, or having fits and outbursts. Someone suffering from agitated depression will usually complain of an inability to concentrate and may describe feelings of agitation and racing thoughts. Talkativeness is closely related to the mental distress component of agitated depression. When the affected person experiences racing thoughts and mental distress, she often verbalizes her irritable and uncomfortable feelings. Some talk quickly, seeming to lose track of what they have said and may repeat themselves several times. Restlessness and agitation may cause the person to try to keep their hands busy to use up their excess energy.

Dr.Kappler :

Since you've already been in therapy, have tried antidepressants and have attempted such alternatives as meditation I will assume that none of these have helped you resolve your agitated depression. Studies have shown that a combination of exercise, healthy living, psychotherapy and brief interventions with antidepressants have been the most effective means of reducing one's depression and resolving anxiety to normal levels.

Dr.Kappler :

Dr. Beck wrote an excellent book called "Up From Depression" in which he describes the depressive cycle. He says that depressive thoughts lead to inactivity which further reinforces depressive thoughts. His book suggests a very thorough and clear plan to break that cycle. As a psychologist I have firmly believed that a combination of the treatment that I had suggested above is the most effective way of coming to terms with her depression and resolving much for your anxiety. I see that your currently off-line and I would be very interested in your response to my answer. If you have any further questions I would be glad to go into detail about each of these aspects of treatment. I will be available online almost every day.

Customer:
Doctor Kevin, Ph.D.
Category: Mental Health
Satisfied Customers: 1482
Experience: 25 years in private practice
Doctor Kevin and 3 other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 
Chat Now With A Mental Health Professional
Doctor Kevin
Doctor Kevin
903 Satisfied Customers
25 years in private practice