My daughter is 17 year. She is having a extreme anger, anxious. She beaten her mother too. Not at all friendly. She do not understand whatever advice we ot doctor give & not following. Her behaviour is rood. She doesn't like whatever we try to give as per her wish. She wants to do nothing but dreams are big. She wants love all the time. Currently doctor prescribed her a sertraline 50 mg. But now medicine also not working.

Dr. Saranya DevanathanPsychiatrist52yrs exp

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Dear Pranav, Since how long you are giving her Sertraline? Please follow up with the doctor so that the dose is adjusted. Sertraline starts action after 2-3 weeks. It works in certain dose only. 50 mg is just the starting dose. Sertraline needs to be supplemented with family therapy and other behavioral modification techniques. 

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Mr. Saul PereiraPsychologist52yrs exp

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Your daughter is in her late adolescence and these developments are indeed significant. This is the last time that any unresolved childhood issues will come up seeking a resolution. She must be taken for counseling along with the medication for best results. Even then her cooperation is very desirable for recovery. If she does not deal with her anger tantrums, she is likely to carry a permanent negative issue into adulthood. She certainly needs help: but it is in the combination of medicine and therapy. You, as parents need to accompany her to the therapist to share any happenings from childhood that may be relevant: even as far back as prenatal life. She may not be able to explain why she has this much anger with anxiety if the feelings are deep-rooted. Please meet with a counselor and let her work on her emotions, particularly anger and fear. Exercise is very important but she has to build on it developmentally. She must become active; stay upright during the 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 herself up. She should go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose herself 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 she did these three, lots of things will go well in life. Please pray and have faith in god to alleviate her suffering. Above all to be really happy, she needs to live in love and for love: no doubt she is asking for the same. Learn all about emotions and how to handle them and that will get her out of the state she is in rather easily and quickly. A counselor is there only to facilitate her, all the hard work must come from her, and your cooperation with that person is very critical for her success. She should be positive every day and learn to be content with what she has.  

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Ms. Rachna MishraPsychologist11yrs exp

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Practice relaxation techniques: deep breathing, progressive muscle relaxation, meditation, and mindfulness can help you calm your mind and reduce anxiety. Physical activity: regular exercise has been shown to improve mood and reduce anxiety. Engage in activities you enjoy, such as walking, jogging, yoga, or dancing. Healthy lifestyle: prioritize a balanced diet, adequate sleep, and avoiding excessive caffeine and alcohol. These factors can impact your overall mental well-being. Challenge negative thoughts: pay attention to negative thought patterns and try to reframe them in a more positive and realistic light. Cognitive-behavioral therapy (cbt) techniques can be helpful for this. Set realistic goals: break tasks into smaller, manageable steps. Setting achievable goals can reduce feelings of overwhelm and anxiety. Time management: organize your time and tasks to reduce stress and create a sense of control over your schedule. Social support: spend time with friends and loved ones who provide positive support. Sharing your feelings can help alleviate anxiety. Limit media consumption: reduce exposure to distressing news or social media that might trigger anxiety. Professional help: consider seeking therapy or counseling from a trained mental health professional. Different therapeutic approaches, such as cognitive-behavioral therapy (cbt), dialectical behavior therapy (dbt), or mindfulness-based therapy, can be effective. Medication: consult a psychiatrist to discuss the potential benefits of medication. Medication can be useful in managing anxiety, but it's important to have a professional guide this process. Self-care: engage in activities that bring you joy and relaxation, such as reading, hobbies, or spending time in nature. Journaling: writing down your thoughts and feelings can help you process and manage them. Breathing exercises: practice deep breathing exercises to help you stay calm during moments of anxiety. Seek professional help: if your anxiety is severe and interfering with your daily life, consider reaching out to a mental health professional for guidance and treatment options.  

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