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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Management For Depression

sir i am a young male of age 22. sir one day i made a mistake which turned my life upside down.my story-" one day i was alone at home, i was having the laptop of my uncle with myself at that day.so i thought to watch a porn movie on it. after that i bought a cd of porn movie from market and watched but,i was in constant fear of getting caught by my uncle. sir after that day i started living in fear of getting caught anyhow by my uncle or by my parents. out of immense fear i confessed the matter to my uncle,and family by myself. sir,now after confession the has been like hell to me. though nobody said anything to me,but i am not able to live my live happily. several times i also planned to suicide out of embarrassment. sir it has been 4 yrs since i am suffering through. i also taken help of several psychiatrist and psychologist,but nothing proved beneficial for me. right now i met a psychiatrist ,and he prescribed some medicines to me after which i am feeling a little relaxed. but i am not able to get myself back in full phase. sir I AM NOT ABLE TO FEEL SEXUAL EXCITEMENT LIKE SEVERAL OTHER YOUNG GUYS OF MY AGE. I AM COMPLETELY FEELING VERY LOW MOOD. ALSO I AM NOT ABLE TO FANTASIZE,SO I FEEL LESS POWERFUL AND LOW IN ENERGY THAN OTHERS. SIR I AM VERY MUCH SCARED OF MY SEXUAL LIFE,WHICH ALSO CONTROLS SEVERAL ASPECTS OF LIVE.SO I AM PERFORMING LESS THAN I SHOULD. SIR ESPECIALLY FOR MY SEXUAL CONCERN WOULD U LIKE TO SUGGEST SOME REMEDY OR TREATMENT POSSIBLE,SO THAT I COULD WORK WITH SAME ZEAL. IS THERE ANY POSSIBLE TREATMENT TO THIS SPECIFIC SYMPTOM OF MY DEPRESSION????SIR PLEASE ANY TREATMENT,I AM READY EVEN FOR ANY TYPE OF SURGICAL PROCEDURE OF ANY PORTION OF BRAIN, IF THAT CAN DO IT. I JUST WANT MY SEXUAL LIFE BACK, BECAUSE THAT WAS THE ONLY THING WITH WHICH I WAS ABLE TO FEEL WELL,POWERFUL, AND DO MY STUDIES. SIR PLEASE SUGGEST ME ANT REMEDY,BECAUSE I HAVE TRIED SEVERAL PSYCHIATRIC MEDICINES,WHICH HAVE NOT BEEN ABLE TO DO THAT. PLEASE SUGGEST ME ANT SURGICAL PROCEDURE OF BRAIN WHICH CAN BOOST MY SEXUAL LIFE.
Fri, 12 Dec 2014
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Psychiatrist,  's  Response
Hello thanks for asking from HCM

It is common in adolescent age to watch adult movies and though this is not right but it can be considered as a normal behaviour. You have developed a guilt feeling after watching adult movies and later the guilt caused development of distress and other depressive symptoms. Even after confessing to them you have made negative views about yourself. Now since last 4 years your functioning has deteriorates and you have poor sexual functions. You have lost confidence and there is no zeal left. You have persistent sadness and also have suicidal ideas. These all are symptoms of moderate to severe depression.

As per my opinion there is no need for any surgical procedure, but your sexual complaints will improve with improvement of depression. Medicines of SSRI group are commonly used in depression. Fluoxetine, Paroxetine, Sertraline etc have excellent results. Some anti-depressants like Mirtazapine, Bupropion have good action and no sexual side effects.

Your problems of sexual dysfunction will improve with improvement of depressive symptoms. Consult a psychiatrist for proper treatment and evaluation.

Thanks, hope this helps you.
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Suggest Management For Depression

Hello thanks for asking from HCM It is common in adolescent age to watch adult movies and though this is not right but it can be considered as a normal behaviour. You have developed a guilt feeling after watching adult movies and later the guilt caused development of distress and other depressive symptoms. Even after confessing to them you have made negative views about yourself. Now since last 4 years your functioning has deteriorates and you have poor sexual functions. You have lost confidence and there is no zeal left. You have persistent sadness and also have suicidal ideas. These all are symptoms of moderate to severe depression. As per my opinion there is no need for any surgical procedure, but your sexual complaints will improve with improvement of depression. Medicines of SSRI group are commonly used in depression. Fluoxetine, Paroxetine, Sertraline etc have excellent results. Some anti-depressants like Mirtazapine, Bupropion have good action and no sexual side effects. Your problems of sexual dysfunction will improve with improvement of depressive symptoms. Consult a psychiatrist for proper treatment and evaluation. Thanks, hope this helps you.