Suffering from recurrent depression for last 8-9 years and have been on medication. The dosage is like - duzela 20 & Milnace 25 in the morning and Duzela 20, Milnace 50 & petril 0.25 mg. Is this too high a dosage for my age and what can be done to overcome this. Physical exercise am already doing. But the medicines have only increased over a period of time. What else can be done so that medicines do not increase further.

Ms. Sukanya BiswasPsychologist5yrs exp

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Being depressed can make you feel helpless. You're not. Along with therapy and sometimes medication, there's a lot you can do on your own to fight back. Changing your behavior -- your physical activity, lifestyle, and even your way of thinking -- are all natural depression treatments. These tips can help you feel better -- starting right now. 1. Get in a routine. If you?re depressed, you need a routine, as Depression can strip away the structure from your life. One day melts into the next. Setting a gentle daily schedule can help you get back on track. 2.Set goals. When you're depressed, you may feel like you can't accomplish anything. That makes you feel worse about yourself. To push back, set daily goals for yourself. "Start very small, "Make your goal something that you can succeed at, like doing the dishes every other day. As you start to feel better, you can add more challenging daily goals. 3. Exercise. It temporarily boosts feel-good chemicals called endorphins. It may also have long-term benefits for people with depression. Regular exercise seems to encourage the brain to rewire itself in positive ways, Just walking a few times a week can help. 4. Eat healthy. It's a good idea to watch what you eat. If depression tends to make you overeat, getting in control of your eating will help you feel better. Although nothing is definitive, there's evidence that foods with omega-3 fatty acids (such as salmon and tuna) and folic acid (such as spinach and avocado) could help ease depression. 5. Get enough sleep. Depression can make it hard to get enough shut-eye, and too little sleep can make depression worse. Start by making some changes to your lifestyle. Go to bed and get up at the same time every day. Try not to nap. Take all the distractions out of your bedroom -- no computer and no TV. In time, you may find your sleep improves. 6. Take on responsibilities. When you?re depressed, you may want to pull back from life and give up your responsibilities at home and at work. Don't. Staying involved and having daily responsibilities can help you maintain a lifestyle that can help counter depression. They ground you and give you a sense of accomplishment. If you're not up to full-time school or work, that?s fine. Think about part-time. If that seems like too much, consider volunteer work. 7. Challenge negative thoughts. In your fight against depression, a lot of the work is mental -- changing how you think. When you're depressed, you leap to the worst possible conclusions. The next time you're feeling terrible about yourself, use logic as a natural depression treatment. You might feel like no one likes you, but is there real evidence for that? You might feel like the most worthless person on the planet, but is that really likely? It takes practice, but in time you can beat back those negative thoughts before they get out of control. 8. Do something new. When you?re depressed, you?re in a rut. Push yourself to do something different. Go to a museum. Pick up a used book and read it on a park bench. Take a language class. When we challenge ourselves to do something different, there are chemical changes in the brain. Trying something new alters the levels of [the brain chemical] dopamine, which is associated with pleasure, enjoyment, and learning. 9. Try to have fun. If you?re depressed, make time for things you enjoy. What if nothing seems fun anymore? That's just a symptom of depression. You have to keep trying anyway. As strange as it might sound, you have to work at having fun. Plan things you used to enjoy, even if they feel like a chore. Keep going to the movies. Keep going out with friends for dinner. When you're depressed, you can lose the knack for enjoying life. You have to relearn how to do it. In time, fun things really will feel fun again. I have answered your query. If you need any further help please contact us. Warm Regards,  

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