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What Causes Fast Speech, Slow Learning And Depression?

Posted on Mon, 30 May 2016

Question: Dad was treated with alcoholism and depression.
He looks okay in both the things but he has few problems
1.he always feels some unknown urgency . in his words - I have no task to do but feels some urgency. The urgency we have when we have something to complete.
2. Things doesn't go out of his mind.
3. Slow learner.feels difficult to use an android phone.
4.I have seen him checking things again and again.like I have seen him checking lock of door 5-6 times.
I was too treated with ocd.

What is the issue and what would you prescribe for these issues specially anxiety.

Answered by Dr. Shubham Mehta (46 minutes later)

Brief Answer:
SSRI drugs.

Detailed Answer:
Hello
Welcome to HCM.
I can understand your concerns for your father.

The urgency in his words can be due to anxiety.
Things doesn't go out of his mind. This kind of thought ruminations are seen in depression commonly.
Slow learning could be due to depression as well as affect of alcohol on his cognition.
Repeated checking can be due to anxiety or OC feature.

Keeping all these symptoms in mind, I think SSRI drugs like sertraline or fluoxetine (prescription drug) would be a good choice for his symptoms. This drug will cover all of his symptoms. Consult your psychiatrists for prescriptions.

Hope this helps.
Feel free to ask further.
Thanks.

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Shubham Mehta (48 minutes later)

Thanks for your valuable advice.
What should be the doses for fluoxetine?

Answered by Dr. Shubham Mehta (3 minutes later)

Brief Answer:
Started at the dose of 20mg.

Detailed Answer:
You are most welcome.
It is usually started at the dose of 20mg in morning after breakfast. The dose is gradually increased depending on the response.
Kindly discuss this with your doctor.

Please close the query if you have no more doubts and give your valuable feedback.

Thanks.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Shubham Mehta (27 minutes later)

One behaviour I forgot to mention.
He gets hyper or irritated on small things.
At those times, he speaks loudly and seems irriatted.

What about this behaviour?

Answered by Dr. Shubham Mehta (2 hours later)

Brief Answer:
Could be a part of depression.

Detailed Answer:
This irritated behavior can be a part of depression. It should also resolve with fluoxetine.

Regards.

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

Above answer was peer-reviewed by : Dr. Deepak