Sir 4 years ago I feel very tension, and then I have gastritis, and then I have pain in brain, my brain do not work, very weak my brain, I feel sleepy Ness all the time I have 0 energy, I feel very weak, I have no energy, I feel mentally and physically very weak, since 4 years, please give me advice sir, I have no money to visit a good doctor, so please help me, my age is 28, I live in Durgapur West Bengal.

Dr. Roshan JainPsychiatrist22yrs exp

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It seems like you are experiencing Depression secondary to some stress. Stress and psychological problems presents with a range of physical or bodily feature (also known as psychosomatic symptoms). Herein, individuals will typically have gastric problems, body aches and pain, sleep disturbances, lethargy, tiredness and recurring minor ailments like infection, sinusitis. Not all depression require medication or counselling, but talking to a professional can help you understand underlying problems and stressors. Without addressing the root of the problems, it will recur after resolution. In the mean time, I think you should take up some form of exercise or fitness program at local gym or yoga centre. Exercise is known to be very efffective in improving wellbeing, motivation, enthusiasm and energy levels. It is proven to be effective in mild to moderate depression and anxiety state. Yoga and meditation is well established in bringing harmony to mind and body, thereby improving resilience and threshold for ailment and stress. Other tips inclused- healthy diet, have a structured routine on day to day basis, 7-8 hours of sleep, sociallise, travel, read and spend quality time with family and close friends. People with strong network of freinds tend to be healthier. Besides, reduce work hours and work related commute. If you drink alcohol then cut it down to once a week and consume small amount. A disciplined life is a healthier and happier life. Wish you all the very best for a fresh start.  

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