I've depression particularly at nights. Within a gap of 15 days, I start getting unknown anxiety fears/attacks for no reason which start suddenly and depress me a lot. I'm struggling with this since >5 years. I've tried Homeopathy a year back" but it didn't help me much. I've now moved to allopathy since 6 months. I'm now taking Nexito 5 mg which my doctor prescribed. I was on Feliz S plus for 1 month and stopped which worked great. But, I'm still facing night fear episodes once in 15 days even after taking Nexito. I want this to be stopped as I'm unable to move out at nights as I'm worried about this panic attacks. Can anyone kindly help me about what to be done. I'm seriously suffering since many years. Please help.

Dr. Saul PereiraPsychologist47yrs exp

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Five years ago you were into your late teens and it is the final stage for you to resolve childhood issues and my suspicion is that you did not do that. Anyway it is still not too late. I think you are right about the possible depression, which is sadness based. The anxiety at night in particular is fear based and may cause you undue distress. The fear at night is expected because it is the time to retire and it can feel very lonely too. These emotions must be expressed, and ideally with a counselor. You may need to learn much about emotions too, and the counselor will meet that need too. First, visit the counselor and discuss your problem at length. If necessary take your parents and your entire developmental history from prenatal days till today. Also it would help if you took your family history from your grandparents onwards. The counselor will help identify the origins and give you a series of things to do. Once you work in tandem with the medication better outcomes are assured. Now cooperate with both of the therapies for the best results, for a substantially long time. Do not discontinue the counseling, if you are on medication. You must be active and work towards your reformation. Many lifestyle changes need to be made to progress away for the condition. When you are depressed, you will feel lazy though I would like to call it lethargy. There is an inertia and lack of energy to even think, let alone act. You are required to literally do the opposite of what you feel like doing. Depression makes you want to withdraw, lie down, sleep, become lethargic, slow down, make you too lazy to even think etc. So when I suggested doing the opposite, you will need to fight this disease. You 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, eat more of proteins and vegetables, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. 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 yourself to some sunlight every day, at least 30 minutes but not in the scotching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three things, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings too. Don?t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. You are young and you can do it with some commitment. 

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