Suggest Treatment For Severe Depression

Posted on Mon, 7 Jul 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 7 Jul 2014 Answered on

Thu, 24 Jul 2014 Last reviewed on

Question : My brother is Computer engineer. He used to a good student and wants to be a software engineer in big MNC but after completing his BTech , unfortunately he was not able to get any job. He started feeling low in confidence.He stopped meeting with other people and used to feel low all the time. Parents took him to few docs and he was on medications for last few months. During this time he developed a strange issue. His eyeballs start moving left to right and he is not able to maintain an eye contact with anyone. Once eyes start moving he switches all the lights of house and out a cloth on his eyes and lays down on the bed.He starts having headache also during this time. He feels like his voice is echoing in mind and his legs are shivering.

This happens to him in every two three days. I think the heavy medicines are making his mind dead. But don't have dare to stop them. Doctors please help as I cant see my little brother loosing in front of my eyes.
I am attaching the reports and prescription of my brother. Please let me know if he is taking correct medicine,what is his illness, and most important how can I get him back as a normal person. Also let me know the best doctor in Delhi/NCR region whom I can consult in person if required.
Let me know the email id where can I send his reports and prescriptions.

Answered by Dr. Srikanth Reddy (5 hours later)

Brief Answer:
side effect of medications

Detailed Answer:
Hello,

Thanks for choosing health care magic for posting your query.

I have gone through your question in detail and I can understand what you are going through.

The symptoms that you have mentioned are suggestive of depression disorder with probably some psychotic features. The problem that you have staed is certanly due to the side effect of the medicines that the patient is on. These are called extrapyramidal side effect called dystonias. Now these are not very rare and luckily reversible. The best medicines combination that he needs to be is fluoxetine plus olanzapine which is the only fda aproved medical combination for psychotic depression. He certainly needs to the change the medications.
In NCR i would suggest you may meet a psychiatrist at lady harding medical colllege or ihbas where there are good academic oriented psychiatrist. Or else one of yout prescription was from XXXXXXX If so then younmay contact me as well in XXXXXXX so that we can discuss the issue in much detail.

Hope I am able to answer your concerns.

If you have any further query, I would be glad to help you.

If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.

In future if you wish to contact me directly, you can use the below mentioned link:

bit.ly/dr-srikanth-reddy

Wish you good health,

Kind regards

Dr. Srikanth Reddy M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Srikanth Reddy (53 minutes later)

Thanks Mr XXXXXXX for descriptive and timely reply. Yes my brother lives in XXXXXXX so it will be easier for him to meat you. Can you please answer my few doubts

1- What is the illness or this is a side effect of medicines and how serious it is?
2- I have attached all the reports and medicine he is on,as you said we need to change them should I ask him to stop taking them immediately?
3- How much more time it will take to make him normal and full of self-confidence.
3- How can he take your appointment. Is this possible to for him to take this on phone so that he can give the reference of this conversation we already have.Also, parents need to plan their travel accordingly.

Answered by Dr. Srikanth Reddy (2 hours later)

Brief Answer:
Answers as asked

Detailed Answer:
Hello
1. The movement of eyes with stiffining and tremors appears to be side-effect, but would require a detailed assessment. If it is EPS then it is not serious and should be reversible.
2. No please dont ask him to stop them. let him show it to me ones and then we can plan out.
3. Normally psychotic depression take 3-6 months for recovery, but varies from case to case.
4. He may visit me at Aurobindo Institute of Medical Sciences, XXXXXXX on tueday/thursday/saturday any time between 9:00 am to 3:00 pm. No appointment would be required. Just let him remind me about the health care magic consultation. Let him bring all the documents and if required we can even admit him for 7-10 days. The services would be totally free if he comes before 19th of this month!
Kind regards
Dr. Srikanth Reddy MD

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar