I am known case of dysthymia, now 40 years up to age of 38: years I practiced yoga, meditation, breathing exercises, but my quality of life was poor, then consulted psychiatrist he prescribed me escitalopram 10 mg, but it caused erectile dysfunction, then he put me mirtazapine 15 mg ,at that time my stress not fully gone also developed weight gain and my sgpt level become high and diagnosed fatty liver grade 2 again I consulted psychiatrist he prescribed me vortioxetine 10 and mirtaz dose reduced 7.5, and told to continue mirtaz at this dose since I am having sleep problems, also consulted gastro neurologist he prescribed me evion 400 and advised for weight loss by dietary modification and exercise, after 3 months my fatty liver cured and sgpt normal still on vortioxetine 10 and mirtaz 7.5 and I am very much okay, but now vortioxetine 10 is not available any where in kerala, or any online med app. Like 1 mg ,need andso on. And my psychiatrist gone aboard also, pls give advice.

Ms. Rachna MishraPsychologist9yrs exp

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Here are some ways you can overcome depression and anxiety: cry: some researchers say that crying helps to communicate pain to others. It is found that crying removes toxins from the body. But do not cry if you don?t feel like it. Exercise: it is found that exercise releases endorphins and other chemicals that eventually helps to fight sadness. Moreover it helps you develop energetic and positive personality. Smile: even though you are feeling down, smiling have the strongest positive effect on your mood. Listen to music: if you listen music to reminisce the sad situations you had, this deteriorates you. So I recommend you to listen instrumental and the numbers that you prefer. Keep yourself busy: the more you have leisure time, the more chance of getting back and regretting oneself. So it would be best to spend your time on creative stuffs and involvement on the social clubs that makes you involving. Meditation: the best way to get rid of depression is meditation. It helps you control your own brain and soul. It is said that meditation cures almost all the diseases except aids, cancer of third stage and last stage of tv. I seriously recommend you for meditation. Be in touch with family and friends: sharing the feeling of sadness with others makes them feel less intense. Talk to your doctor: some of the depression symptoms severely affect your daily life. I recommend you to visit physician. They may prescribe you antidepressant medications that help you regulate the hormones in your brain. Never ever switch or stop taking antidepressant medications without consulting physician. This could result serious health and mood issues. Get sunlight: do not keep yourself in a dark room. Exposure to the sunlight helps you elevate your mood. Stop the negative self talk: it is found that depressed people tend to see the world in a negative way. When things go wrong they blame themselves and when they go right, they put it down to luck. Monitor your inner negative talk and never take your thoughts seriously when you are feeling low.  

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