My bro is suffer from depression he is 25 years old and he imagine so much which is not possible like he wants to earn money and in cr. And if we are not supporting him he blackmail us that he commit suicide or all this type of things which is not natural and he don't know that he is suffering from depression approx from 5 years my dad gives med for depression he only consult the doc is there really a treatment for rid of this.

Dr. Saul PereiraPsychologist46yrs exp

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Yes, there is treatment and since he is young the prognosis is good. However, I am concerned that he may not have a depression only and could have a bipolar disorder. In which case the medical treatment has to be geared for that disorder. He will also need to go for regular counseling along with the medication. He should also check blood lithium levels and take these results to a psychiatrist. You must make sure that the person cooperates because many times they do not believe that there is something wrong and would love to quit the medication. Complying with all the medical prescriptions and working in tandem with a counselor for a long time and learning coping skills and techniques to handle the daily challenges the person will face is very important. There are certain adaptations that will suit him during the elation phase and there are certain behaviors that are required during the depressed phases. In the meantime he can do certain things that will give him benefits anyway. Emotional therapy will alleviate a lot of the problems faced in this condition because it is a mood disorder. He needs to particularly look at his levels of anger both for its reasonableness and to express it in appropriate manner. I suspect that much of this anger may have origins in early childhood that he may never be aware of it now. Let him talk to your parents and explore that angle. This information will help the counselor too. Also he will need to check whether there is any genetic factor involved. He must exercise regularly, eat healthily and sleep normally too. If his motivation and cooperation is good much can be achieved. He must have a time-structured schedule filled with interesting and reasonable activities and it must be monitored for compliance and delivery. The reason I say this is that many times he will be inclined to have grandiose notions and confidently believe that he can do without the medication. This will set him back many months in the treatment and delay and sabotage the recovery: forewarned he is forearmed. If this combination of medication with therapy is maintained for at least three years without any episodes or breakdowns, it is possible to taper the medication in consonance with the doctor. Bipolar is characterized by two extreme poles i.e. Feeling very high (mania) and suddenly feeling very low (depression). You can ask the doctor for the symptoms he noticed in him for a personal understanding. His suicide threats must not be ignored and some day he could act out of an impulse. Inform the doctor about this too.  

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