Sir this is for husband. He is aged 50 and a diabetic patient. Also undergoing treatment for depression for a long time. Medicines taken prothiaden, flunil, venla xr 37.5 now he has no interest in food, sleeping is not satisfactory. Major issue is he has no self confidence and not willing to go for work, blaming solar system or god. Also talking to suicide frequently. He has a huge bank debt also. I also wish to know that whether his present condition demands a hospitalization? He never takes medicines for long time. Please advice me.

Hello, yes admission is necessary in this case as he ia actively suicidal. He should be started on tab lithium which will treat his current depressive episode, suicidal ideations and also prevent reoccurrence of depressive symptoms in future. Right now, keep all medicines away from reach of your husband. Do not leave him alone.  

0 person found this helpful

Mrs. Aaradhana ReddyPsychologist5yrs exp

91% (97 ratings)

Ask Free Question

Dear Lybrate user, it must be hard watching your husband go through depression and for your husband going through depression, debt etc. I'll suggest that you go for a combination of medication and psychological counseling/therapy, immediately. With regard to medication, please consult a psychiatrist. With regard to therapy please consult a psychologist. Therapy can help in going to the root of the concern, deal with thoughts behind depression; which will help in managing depression. Especially cognitive behaviour therapy is proven and widely used to treat depression. Therapy will also help in the long term. Once your husband has learnt to manage depression, you can reduce your dependence on medications as well. Please be there and support him, which is essential at this time. For behavioral activion, you can accompany him in activities that he really enjoys, taking evening walks etc for physical activity. Social support is important, and reassurance that you are all there for him, which could help in giving him hope. Reassure him that things will become better as well. Please consult these two professionals as soon as possible. If you need help you can contact me as well. Regards, aaradhana reddy counselling psychologist.  

0 person found this helpful

Dr. Saranya DevanathanPsychiatrist51yrs exp

93% (3406 ratings)

Ask Free Question

Dear Surendranath, It looks that his depression is not treated fully. The tablets that he has taken, may not have been of sufficient dose or not taken for sufficient time. In diabetics, depression is common. Both needs to be treated. Unless he is planning suicide or not eating food at all, depression can be treated as outpatient. Admission will cost more - adds to his burden. 

0 person found this helpful

Dr. Smriti WaliaPsychologist17yrs exp

90% (41 ratings)

Ask Free Question

Plz consult doctor to check wether hospitalization or not. Suicide talking required immediate intervention.  

0 person found this helpful

Mr. Saul PereiraPsychologist51yrs exp

94% (49593 ratings)

Ask Free Question

If he is not cooperative with taking medication, is dysfunctional, and has suicidal ideation, he must go to the hospital. You can't take a risk and react after the event. He seems to have a lot of disturbing conditions simultaneously and that can make it difficult for him personally. He needs some intervention. I think that he has anger-related depression and that is why the suicidal ideation is troubling him. Life is too precious and he must make every attempt to preserve it, look after it and nurture it to good health. Anyway, life is full of problems as a norm. Any attempts to escape will never help: he must learn to face these problems every day with good success. The counselor will help him in this regard. I also strongly believe that every crisis offers an opportunity for change if he seeks it and grabs the opportunity. Please meet with a counselor and let him work on his emotions, particularly anger and fear. Exercise is very important but he has to build on it developmentally. I suggest does the opposite of what this depression makes him feel like doing (actually, not doing): he will need to fight this condition. He must become active; stay upright during daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend yoga classes etc. Watch sitcoms on tv or comedies and cheer himself up. Let him go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and let him spend time training it, exercising it and relating to it. Expose himself to some sunlight every day, at least 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in life: always be responsible, be respectful, and be functional. If he did these three, lots of things will go well in life. Don?t wait for others to help. Use his own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, he needs to live in love and for love. Learn all about emotions and how to handle them and that will get him out of the depression rather easily and quickly. A counselor is there only to facilitate him, all the hard work must come from him with your support, and his cooperation with that person is very critical for his success. Be positive every day and learn to be content with what he has. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and medication and do not discontinue until the condition is completely resolved.  

0 person found this helpful