Have Mental Health Questions? Ask a Psychiatrist Online
hi are you online?
Hi,It must be difficult for you
Yes, it is
it is not easy to deal with issues like this,especially when come together
Can i ask you few question?
do you feel low in mood (more than what you have felt when you were upset), have low energy levels,easily getting tired
above all i feel like i have no any hope to overcome this situation
i should go living somewhere else, get a job, but you know ... i'm 60!
ok. what about wanting to spend time alone,occasional spontaneous crying spells,feeling worthless and hopeless
it's not about to spend time alone, but about competely changing my life. now i live in italy and i cannot stend to live here anymore; besides i have a small business that doesn't work and i cannot see solutions
ok.where are you from originally?
it's everything about age and (lack of) money
yeah.sometimes it looks like that way
I'm originally from italy, but i used to live in ny for 10 years and 5 years ago i came back here (my grown up children werw and are here) and this has been the beginning of the end ...
from the symptoms you have describes, you have symptoms suggestive of possible depressive illness . The causes for depression are multifactorial The age and financial might be big issues and they are contributing to how you feel.But we look at the depression by three factors
ok, but what i have to do?
ok.if you really didn't like that place, do you have so much ties,that make sit impossible to move?
my husband doesn't want cause he is afraid
also, what we do know is when a person is depressed, they do maximise the negative side of them and minims ethe positive and optimistic side int hem.It is a known thing
i know, but ...?
did you thought about seeking some professional help?
we know that Psychological therapies like cognitive behaviour therapy,medication or combination are try helpful for Depression.I believe if you Address your low mood and depression you would start seeing the life positively syou would start feeling better
The medication that are used are SSRI medications like fluoxetine,citalopram or sertraline. But, first you need to see a doctor for the diagnosis to be confirmed and draft management plan.
but unfortunately these are real problems, not abstract problems in my mind
Sure, I am not suggesting for a minute.Thes problems are real, but sometime they do appear even bigger when a person is having depressed mood
The CBT, is helpful to find the link between feeling,thoughts and actions.CBT would be help to change some of these thoughts and actions in a positive way
this could be
and i guess i cannot do anything by email, right?
If you have any constraints in the form of time or resourcesfor psychological therapy,may be the pragmatic approach and starting point can be to look in to self-help books
Yes,you could get some help online.will tell you in a minute
one of the helpful books is
Paul Gilbert (Author)
ok, i'll try to find it
Now coming to online resources, The websites like moodGym are very helpful.I believe it is free as well (you need to google MoodGym)
please do not hesitate to ask me for more information if required at this stage.
ok, i thank you very much!
I wish you all the best. I really hope you would seek some help and feel better.
If you find the answer helpful,please provide expositive feedback.Thank you