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How To Deal With Feeling Low, Negativity And Indecisiveness?
Posted on
Sun, 23 Aug 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 23 Aug 2015
Answered on
Mon, 14 Sep 2015
Last reviewed on
Question : I am feeling low and unable to cope up with my negatively. Always thoughts of fear , indecision ,give up comes in my mind. Please help
Brief Answer:
probability of depression is there you can be treated
Detailed Answer:
Hello,
Thanks for writing to us.
Feeling low, negativity, indecisiveness are symptoms suggestive of depression.
For confirmation of diagnosis detail history and mental status examination are needed. That is done by psychiatrist in routine.
Specific treatment of depression includes both medicines and cognitive behavior therapy(CBT).
In mild cases only CBT is sufficient. In moderate to severe cases initially medicines and then CBT is added. And later on medicines stopped gradually.
If medicines alone are used chances of relapse are more after stopping the medicines.
In medicines SSRI group of drugs(fluoxetine,paroxetine,sertraline, escitalopram) are main stay of the treatment. I prefer paroxetine. Benzodiazepines group of drugs(clonazeapm, lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.
Please provide more information:
- Since when do you have such problems?How did this start?
- Is there any stress (Social,economical, relationship, occupational) in your life? If yes, provide details.
- Is there any disturbance in sleep or appetite?
- Do you feeling lethargic or fatigue?
- Do People around you observe that you are feeling low?
- What type of negative thoughts and fear are there?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
probability of depression is there you can be treated
Detailed Answer:
Hello,
Thanks for writing to us.
Feeling low, negativity, indecisiveness are symptoms suggestive of depression.
For confirmation of diagnosis detail history and mental status examination are needed. That is done by psychiatrist in routine.
Specific treatment of depression includes both medicines and cognitive behavior therapy(CBT).
In mild cases only CBT is sufficient. In moderate to severe cases initially medicines and then CBT is added. And later on medicines stopped gradually.
If medicines alone are used chances of relapse are more after stopping the medicines.
In medicines SSRI group of drugs(fluoxetine,paroxetine,sertraline, escitalopram) are main stay of the treatment. I prefer paroxetine. Benzodiazepines group of drugs(clonazeapm, lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.
Please provide more information:
- Since when do you have such problems?How did this start?
- Is there any stress (Social,economical, relationship, occupational) in your life? If yes, provide details.
- Is there any disturbance in sleep or appetite?
- Do you feeling lethargic or fatigue?
- Do People around you observe that you are feeling low?
- What type of negative thoughts and fear are there?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
- Since when do you have such problems?How did this start?
I am working in a private organization with almost 15 years of experience in Sales and Marketing. While in my first Job in pharma in 2002, such problems occurred and at one point of time i decided to quit my job though i was doing fairly well. Thoughts like nothing is moving, unknown fear, fear of losing my job, anxiety, blaming my self etc use to come in my mind. I started taking drinks and medicines also. I developed the attitude of giving up. In my current organization also I am working for last four years and recently I have been shifted to XXXXXXX and I am getting the same feeling of anxiety , insecurity, fear of losing job, negativity, loosing interest etc
- Is there any stress (Social,economical, relationship, occupational) in your life? If yes, provide details.
Social Stress- At times find my self uncomfortable in gelling with the people.I want to socialize but something stops me and i start blaming & cursing my self for it.
Economical & Relationship are fine
- Is there any disturbance in sleep or appetite?
No
- Do you feeling lethargic or fatigue?
Yes. reflected on my face
- Do People around you observe that you are feeling low?
No ,but people around me talks about my tiredness etc like i am looking tired etc
- What type of negative thoughts and fear are there?
- I am lacking confidence
-I will not be able to do the work
- I am not fit for work
- I will lose my job
- I will be exposed
- Lose interest in doing things
- Don't pay attention towards my Kids
- Lying down on bed idle doing nothing
- Unable to control or balance my self.
- At times thoughts comes for harming my self
I am working in a private organization with almost 15 years of experience in Sales and Marketing. While in my first Job in pharma in 2002, such problems occurred and at one point of time i decided to quit my job though i was doing fairly well. Thoughts like nothing is moving, unknown fear, fear of losing my job, anxiety, blaming my self etc use to come in my mind. I started taking drinks and medicines also. I developed the attitude of giving up. In my current organization also I am working for last four years and recently I have been shifted to XXXXXXX and I am getting the same feeling of anxiety , insecurity, fear of losing job, negativity, loosing interest etc
- Is there any stress (Social,economical, relationship, occupational) in your life? If yes, provide details.
Social Stress- At times find my self uncomfortable in gelling with the people.I want to socialize but something stops me and i start blaming & cursing my self for it.
Economical & Relationship are fine
- Is there any disturbance in sleep or appetite?
No
- Do you feeling lethargic or fatigue?
Yes. reflected on my face
- Do People around you observe that you are feeling low?
No ,but people around me talks about my tiredness etc like i am looking tired etc
- What type of negative thoughts and fear are there?
- I am lacking confidence
-I will not be able to do the work
- I am not fit for work
- I will lose my job
- I will be exposed
- Lose interest in doing things
- Don't pay attention towards my Kids
- Lying down on bed idle doing nothing
- Unable to control or balance my self.
- At times thoughts comes for harming my self
Brief Answer:
you need to be treated by psychiatrist as soon as possible
Detailed Answer:
Hi,
Thanks for excellent and clear cut details about your problems.
From this history I can say you are in depression and you need to be treated by professional. There is also anxiety problem which may be social anxiety disorder or generalized anxiety disorder.
You will be benefited with medicines and psychotherapy.
The way you are aware about your problems and your education qualification suggest that psychotherapy and counseling will provide good help.
You can be treated and get back normal that is sure.
Please without hesitation consult psychiatrist as soon as possible.
Feel free to discuss further.
you need to be treated by psychiatrist as soon as possible
Detailed Answer:
Hi,
Thanks for excellent and clear cut details about your problems.
From this history I can say you are in depression and you need to be treated by professional. There is also anxiety problem which may be social anxiety disorder or generalized anxiety disorder.
You will be benefited with medicines and psychotherapy.
The way you are aware about your problems and your education qualification suggest that psychotherapy and counseling will provide good help.
You can be treated and get back normal that is sure.
Please without hesitation consult psychiatrist as soon as possible.
Feel free to discuss further.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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