Recently I feel my self drifting from everything like office, friends, good cloths, I have lots of financial burden, unable to cope with my salary, Husband is not earning, grownup daughters, No bank deposit, have to maintain high lifestyle being related to highclass. Now a days very nervous and kids started complaining that I am changed and My behavior is irritating. Kindly advise.

Dr. Sathya PrakashPsychiatrist13yrs exp

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This, at the face of it, seems like depression. A detailed evaluation will be needed to evaluate the exact diagnosis. But it appears that this should respond well to treatment. In order to help you better, we will need certain more details like: similar episodes in the past, any other psychological problems in the past, any other medical illnesses and medicines that you may be on. Please get a complete hemogram, TSH and vitamin B12 levels done. Medicines such as fluoxetine or venlafaxine could work very well for you. Besides these, you must start exercising 30 minutes per day even though you may not be feeling like doing so. Go out and meet friends and well wishers even if you dont feel like doing so. Sleep no more than 8 hours a day and no less than 6 hours. Do not lie down on the bed during day. Do not ignore food even though appetite may not be great. These measures will help you. Take care! 

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