My father is 64 years old. He has been suffering from depression for 4 years. Doctor has prescribed him olanzapine 2.5 mg, clonazepam 0.5 mg, censpram 10 mg and zyren 100 mg. But he is not taking censpram and zyren as he says censpram increase his heartbeat. He also hide from doctor that he not takes them. He lies on bed from 9 pm to next day 2 pm and then he reads god's book till night. He only leave bed for eating food. When we ask him to do other activities, he starts saying negative things. He only washes utensils in the whole day and watch tv for very less time. The main problem is that he only get very less sleep at night say good sleep for 2 hours and light sleep for some hours. He urinate in every few minutes in day time and urinate for 8 to 10 times at night that is why he not sleep well. Urologist said he has no problem. The problem is linked to mind. He drinks excess water in day time whenever he feel anxious. Doctor please suggest some tips for his problem. Can he take alternative for censpram.

Mrs. Meghna SinghPsychologist2yrs exp

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Sir, kindly consult with his doctor for medication changes, but I will try to take a different view of his condition. If he is 64 now and his problem started 4 years ago of depression it's close to his retirement age. It is advisable that we assess exactly the situation, conditions and environment at that time when this got triggered. Was he happy to retire? What were his interest areas? Has his condition deteriorated with time? If possible have good conversations with him on his topic of interests could. Be religious books. It is very important to understand that he is into long term sadness for some reason and now this is his comfort zone to sleep eat and read. Nothing else. It could. Be he is agitated, gets angry quickly and responds negatively most of the time. Kindly see a psychologist/counsellor who can home visit and talk with him. You can even arrange online counselling for him here at Lybrate, a place where he can vent out without the fear of being judged. In the mean time kindly try keep trying the following: 1. Bring very small changes to his routine like engage him in some conversations discussion so that his sleep time is reduced. 2. Counter his thoughts with logic that since he sleeps during the day hence he is unable to sleep in the night 3. Encourage him to go out, maybe ask his friends to visit him 4. Make him. Believe he is required by you all he is important, ask his advice, suggestions, it is very important for his self-esteem and confidence and enthusiasm towards life. 5. Don't leave him alone. Spend time with him even if he doesn't like. Make all these changes gradually. Wish you all the best.  

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