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Suggest Treatment For Body Pain, Tiredness And Depression

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Posted on Sat, 9 May 2015
Question: This is about my sister XXXXXXX
In last few years, she has been gone through multiple issues like she blindly trusted relatives and they cheated her.
She fall ill when her first engagement broken because of her only. she was forced to marry at that time.
She had multiple diseases like T.B , throat infections etc.
She got depression attack multiple times.
all the time she just think about negative for all life related matters.
Now as she is 28 year old, she can not sleep sometimes in night.
she feels alone all the time and she cries every day .
she does not want to get married because she think she can not do even a single household work because of body does not work, tiredness, laziness, body pain if she does work.
she feels headache multiple times.
she lives in dual mentality, most of the times she want to die and sometimes she feels about to get married but again she think she is not able to work then she stops thinking about marriage.

my parents wants her to get married and settled but she does not.

We want your help. please help her.
doctor
Answered by Dr. Ashish Mittal (21 hours later)
Brief Answer:
She has severe depression and need immediate treatment.

Detailed Answer:
Hello,

Thanks for your query,

From your given history, it appear that she is having recurrent depressive disorder (RDD). In this condition patient used to recurrent attacks of depression in their life. Because of the illness depression can occur with or without any stress in life.

Such cases need long term treatment. In her >4 years long illness she had received treatment only twice and for few months only. Considering severity of her illness and self harm ideas, she need immediate treatment from nearby psychiatrist. She need combined treatment in form of prescription medicines (Like SSRI) and counseling (CBT).

Usually improvement comes after few weeks of starting treatment. If patient do not improve with initial treatment then medication doses need to increase or changed. Till she is not meeting psychiatrist, she need to supervised 24 hrs by family members to prevent any possible self harm.

Take care
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ashish Mittal

Psychiatrist

Practicing since :2004

Answered : 1859 Questions

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Suggest Treatment For Body Pain, Tiredness And Depression

Brief Answer: She has severe depression and need immediate treatment. Detailed Answer: Hello, Thanks for your query, From your given history, it appear that she is having recurrent depressive disorder (RDD). In this condition patient used to recurrent attacks of depression in their life. Because of the illness depression can occur with or without any stress in life. Such cases need long term treatment. In her >4 years long illness she had received treatment only twice and for few months only. Considering severity of her illness and self harm ideas, she need immediate treatment from nearby psychiatrist. She need combined treatment in form of prescription medicines (Like SSRI) and counseling (CBT). Usually improvement comes after few weeks of starting treatment. If patient do not improve with initial treatment then medication doses need to increase or changed. Till she is not meeting psychiatrist, she need to supervised 24 hrs by family members to prevent any possible self harm. Take care