Hello doc, I am 26 years old, from last two months I am suffering from a very strange disease. I don't like to talk people, every time I want to sleep and want to live separately. I feel cold and I have consulted to a neurosurgeon & they have suggested to perform some test. I have performed ct scan, eeg and outcome is normal. Please suggest me a better treatment because everyone in my family is in tension because of this.

Dr. Sajeev KumarGeneral Physician34yrs exp

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You may be suffering from endogenous depression and can have liver diseases 5 ways to fight depression if you feel depressed, it's best to do something about it ? depression doesn't just go away on its own. In addition to getting help from a doctor or therapist, here are 5 things you can do to feel better. And if these are not useful you need antidepressants 1.Exercise. Take a 15- to 30-minute brisk walk every day ? or dance, jog, or bike if you prefer. People who are depressed may not feel much like being active. In addition to getting aerobic exercise, some yoga poses can help relieve feelings of depression. Two other aspects of yoga ? breathing exercises and meditation ? can also help people with depression feel better. 2.Nurture yourself with good nutrition. Depression can affect appetite. One person may not feel like eating at all, but another might overeat. Proper nutrition can influence a person's mood and energy. So eat plenty of fruits and vegetables and get regular meals (even if you don't feel hungry, try to eat something light, like a piece of fruit, to keep you going). 3.Identify troubles, but don't dwell on them. Try to identify any situations that have contributed to your depression. When you know what's got you feeling blue and why, talk about it with a caring friend. Talking is a way to release the feelings and to receive some understanding. 4. Express yourself. With depression, a person's creativity and sense of fun may seem blocked. Exercise your imagination (painting, drawing, doodling, sewing, writing, dancing, composing music, etc.) and you not only get those creative juices flowing, you also loosen up some positive emotions. Take time to play with a friend or a pet, or do something fun for yourself. Find something to laugh about ? a funny movie, perhaps. Laughter helps lighten your mood. 5. Try to notice good things. Depression affects a person's thoughts, making everything seem dismal, negative, and hopeless. If depression has you noticing only the negative, make an effort to notice the good things in life. Try to notice one thing, then try to think of one more. Consider your strengths, gifts, or blessings. Most of all, don't forget to be patient with yourself. Depression takes time to heal. It's not easy to say exactly what causes depression and anxiety ? it's different for everyone. Sometimes a difficult time in you or your mates' life can set off depression or anxiety, sometimes it's caused by a combination of things that has built up over time and sometimes, there's just no obvious cause at all. If you are happy with these answers please click on "useful? link so that I can know my efforts are not wasted. If you want more clarifications or prescription for medicines consult me on this site to ask me directly and not in open questions session some risk factors for men developing depression or anxiety include: ?physical health problems ?relationship problems ?employment problems ?social isolation ?significant change in living arrangements (e.g. Separation or divorce) ?pregnancy and birth of a baby ?drug and alcohol use. Symptoms of depression in women include: ?persistent sad, anxious, or "empty" mood. ?loss of interest or pleasure in activities, including sex. ?restlessness, irritability, or excessive crying. ?feelings of guilt, worthlessness, helplessness, hopelessness, pessimism. ?sleeping too much or too little, early-morning awakening. Depression in women differs from depression in men in several ways: ?depression in women may occur earlier, last longer, be more likely to reoccur, be more likely to be associated with stressful life events, and be more sensitive to seasonal changes ?women are more likely to experience guilty feelings and attempt suicide, although they actually commit suicide less often than men ?depression in women is more likely to be associated with anxiety disorders, especially panic and phobic symptoms, and eating disorders ?depressed women are less likely to abuse alcohol and other drugs symptoms of depression include: ?persistent sad, anxious, or "empty" mood ?feelings of hopelessness, pessimism ?feelings of guilt, worthlessness, helplessness ?loss of interest or pleasure in hobbies and activities that were once enjoyed, including sex ?decreased energy, fatigue, being "slowed down" ?difficulty concentrating, remembering, making decisions ?trouble sleeping, early-morning awakening, or oversleeping ?appetite and/or weight change ?thoughts of death or suicide, or suicide attempts ?restlessness, irritability ?persistent physical symptoms, such as headaches, digestive disorders, and chronic pain, which do not respond to routine treatment depression facts ?a depressive disorder is a mood disorder that is characterized by a sad, blue mood that goes above and beyond normal sadness or grief. ?a depressive disorder is a syndrome, meaning a group of symptoms. ?depressive disorders are feature not only negative thoughts, moods, and behaviors but also specific changes in bodily functions (like, eating, sleeping, energy and sexual activity). ?one in 10 people will have a depression in their lifetime. ?because depression can lead to self-harm including suicide, it is important to note that one of every 25 suicide attempts results in death. ?some types of depression, especially bipolar depression, run in families. ?while there are many social, psychological, and environmental risk factors for developing depression, some are particularly prevalent in one gender or the other, or in particular age or ethnic groups. ?there can be some differences in symptoms of depression depending on age, gender, and ethnicity. ?depression is only diagnosed clinically in that there is no laboratory test or x-ray for depression. It is therefore crucial to see a health professional as soon as you notice symptoms of depression in yourself, your friends, or family. ?the first step in getting appropriate treatment is a complete physical and psychological evaluation to determine whether the person, in fact, has a depressive disorder. ?depression is not a weakness but a serious illness with biological, psychological, and social aspects to its cause, symptoms, and treatment. A person cannot will it away. Untreated or undertreated, it can worsen or return. ?there are many safe and effective medications, particularly the ssris, that can be of great help in the treatment of depression. Treatment- a variety of treatments, including medications and short-term psychotherapies (i.e. "talking" therapies), have proven effective for depressive disorders: more than 80 percent of people with a depressive illness improve with appropriate treatment. Not only can treatment lessen the severity of depression, but it may also reduce the duration of the episode and may help prevent additional bouts of depression. If you are happy with these answers please click on "useful? link so that I can know my efforts are not wasted. If you want more clarifications please ask me directly and not in open questions session.  

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