Hi one of my female friend age 29 weight 35 kg reduced 10 kg in two year suffering from anxiety, depression problem we have consulted many psychiatrists but antidepressants does not suit her serta 25 mg cause jaw lock. Mirtaz 7.5 mg working for good sleep but restlessness after taking it. Nexito 10 mg cause urine blockage and constipation. Etilaam 0.5 causes constipation she is taking only clonazepam 0.5 mg which helps to sleep her but above antidepressants are not working for her .what can we do now. symptoms:anger, suicidal thoughts, irritation, loss of interest: reason for her mental health: sudden death of her mother in covid after that break up and separation from her own family.
Ask Free Question
Follow these herbal combination for complete cure brahmi vati 1 tablet twice a day smriti sagar avleh 10 gms twice a day.
Ask Free Question
Dear lybrate-user, your friend needs therapy - may be trauma focussed therapy. Clonazepam has to be withdrawn after few months of therapy. If she is planning suicide, please either admit her or the psychiatrist may advise ect (electro convulsive therapy). Ect acts faster and with no tolerability issues. One needs to investigate for causes and complications of loss of weight.
Ask Free Question
It needs to be ascertained if the weight loss is due to depression or some underlying medical condition. Since she cannot tolerate antidepressants in out- patient psychiatric treatment, it would be wise for her to get admitted in a tertiary care hospital which includes psychiatric services apart from medical specialities. A detailed lab, imaging, clinical evaluation of the concerned physicians would throw more light and help focus on further mode of approach, like if she will be needing ect for her depression. Good luck.
Ask Free Question
It seems more of depression but needs more assessment for proper diagnosis. Precipitating factor is death of mother but needs personality assessment. May need to change mediation and counselling session.
Ask Free Question
Ask your friend to visit a psychiatrist and discuss the possibility of ketamine infusion or electroconvulsive therapy. Individuals who do not respond on medications after giving a adequate trial of it can be considered for the above mentioned treatment.
Ask Free Question
You should take an opinion of gastroenterologist as losing 10 kg in 2 years when the weight is just 35 kg is very unusual. Simultaneously, in her case a short admission can be considered for detailed evaluation and to see what medication suits her well as she is having very low weight and suicidal thoughts. She needs a multidisciplinary treatment.
Take help from the best doctors
Ask a free question
Get FREE multiple opinions from Doctors
