My self surendranath aged 49. I am in treatment for depression earlier in 2018. The medicine used is prothiaden, flunil and last used is venla xr 37.5+ mirtazapine. Sir I find it difficult to do my daily needs like bating, no interest in food, loss of interest in all things, like to sleep more, feel worthless in life also like suicide. I have no interest in work. At present I have huge amount of debts and more tensed how to pay off. Please advice is this a major depression and if so can I get treatment in alappuzha district.

Mrs. Aaradhana ReddyPsychologist4yrs exp

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Dear Lybrate user, it must be hard going through depression. If you are having frequent suicidal thoughts, please consult a psychologist immediately. I would suggest that along with medications, consult a psychologist as well. A combination of medication and psychological counseling/therapy works best. Although medications give you relief to an extent, therapy can help you manage your concerns with certain strategies and techniques. Especially cognitive behaviour therapy is proven and widely used to treat depression. Therapy will also help you in the long term. And once you have learned to manage depression, you can also reduce your dependence on medications. Also, I want you to hold on to hope, you can definitely cope with all this and be productive at work and get back on track with the right help. There are people to support and help you. Please consult a psychologist. This too will pass. Please try to do somethings that you really love, eat a balanced diet, exercise. Find social support among family and friends, go for therapy. All of these will help you along with medications. All the best! if you need help you can contact me as well. Regards, aaradhana reddy counselling psychologist.  

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Dr. Saranya DevanathanPsychiatrist50yrs exp

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Dear surendra, your condition may be major depressive disorder. You may have other issues like debts or medical disorders or smoking or drinking, etc. But they are not the only cause of depression. All major depressive disorders can be treated fully with proper dose of antidepressants like, prothiaden, flunil, venla or mirtazapine. The dose needs to adjusted to control your symptoms. It needs to be taken for many months. All the other precipitating factors need to solved by therapy. You can find a psychiatrist in your district headquarters. All district hospitals in india have a psychiatrist who will treat you free of charge. Be regular on treatment. Long standing issues need time to improve.  

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Dr. Keerthy RejiPsychiatrist8yrs exp

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The symptoms you have mentioned are of major depressive disorder. You can go to vandanam medical college, alappey for treatmemt.  

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