Suggest Treatment For Depression

Question: Hi,
I am not able to concentrate at work. I feel very low during day time. I work in a very stressful environment always feel to take rest this is been happening to me from last 2 months, I suspect whether I am into depression.I am working as a manager in the IT domain, Can you suggest me some medication.

Please find my answer inline


Brief Answer:
Such symptoms can occur in mild to moderate depression.

Detailed Answer:
Hello Welcome to HCM

I can understand your concern. Due to working in stressful environment and work pressure a lot of individuals develop symptoms of easy fatiguability, tiredness etc symptoms. In most of individuals these symptoms hamper work efficiency and result in significant distress. Sometimes individuals develop poor concentration, low mood also like you are having. These symptoms can occur in depression but to make proper diagnosis of depression proper evaluation and more detailed history is needed.

I wanted to know if that poor concentration and low mood remain persistent in other domains of life also or they are limited at work only?
(Kannan) It is more focused during working time only

If you have loss of interest in day to routine? Any activity that gives you pleasure like talking to someone or watching TV or something like that?

(Kannan) I feel like to sleep all the day not interested in any activity.


Any bad thoughts or any ideas of hopelessness, helplessness or worthlessness?
(Kannan) fear of losing job haunts me

If you have any history of diabetes in family. Any history of Hypertension in family?
Kannan). Yes my mother is diabetic and my dad had hypertension.

Such symptoms of tiredness, poor concentration can also occur in a lot of nutritional deficiencies and we should rule out them before making diagnosis of depression. Low Vitamin B12 levels are one of common cause behind such symptoms. Low vitamin B12 results in symptoms of tiredness, low mood and sometimes this may cause depression also. Hypothyroidism is also one of cause for similar symptoms. Please get your B12 and thyroid levels checked to rule out these conditions.

(Kannan)2 months back I had done general checkup no signs of thyroid.

Such symptoms of mild to moderate depression respond well to antidepressants like SSRIs as Fluoxetine, Escitalopram or Sertraline etc. These medicines help to reduce the symptoms and result in improved functioning. Please visit a psychiatrist for evaluation and prescription.

(Kannan) can you please recommend the dosage intake.


Apart from this start taking supplements containing Omega-3-Fatty Acids. These supplements will help to improve your symptoms and you will feel better.
(Kannan) you mean flake seeds and code liver oil tablet.

Thanks, I hope this helps you. Please provide the details I have asked in follow up so that I can comment with more confidence.

Take care