My elder sister (30) has a personality disorder, mental depression since 8 years, she is on medicine since 2 years, but not enough improvement noted. She don't want to talk to any family member, she has no desire to marry. She don't want to marry without any reason, she always feel depressed. We went to a psychiatrist and he prescribed antidepressants as fluvoxin, clonazepam, olanzapine etc and is being given since 2 yrs, but not enough cure noted. She lives like saint, she has no interest in society, no sexual need, no care of family, major depressed. Sir/Mam pls do suggest what to do? We are in much problem, is the medications are wrong? Pls Reply.

Dr. Sushil Kumar S VPsychiatrist13yrs exp

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Hi there ~ I am glad that you asked this question. Although this is an open forum and there would be limits to confidentiality that would be breached if I would answer your question fully, I will give you some information regarding the depressive disorder. I am however unable to prescribe medications or give you specific advice regarding counseling or therapy in your situation as it would be considered confidential and private. In that case I recommend that you book an online appointment after you review my profile on this website. Sadness or downswings in mood are normal reactions to life?s struggles, setbacks, and disappointments. Many people use the word ?depression? to explain these kinds of feelings, but depression is much more than just sadness. Some people describe depression as ?living in a black hole? or having a feeling of impending doom. However, some depressed people don't feel sad at all?they may feel lifeless, empty, and apathetic, or men in particular may even feel angry, aggressive, and restless. Whatever the symptoms, depression is different from normal sadness in that it engulfs your day-to-day life, interfering with your ability to work, study, eat, sleep, and have fun. The feelings of helplessness, hopelessness, and worthlessness are intense and unrelenting, with little, if any, relief. Are you depressed? If you identify with several of the following signs and symptoms?especially the first two?and they just won?t go away, you may be suffering from depression. You feel hopeless and helpless You?ve lost interest in friends, activities, and things you used to enjoy You feel tired all the time Your sleep and appetite has changed You can?t concentrate or find that previously easy tasks are now difficult You can?t control your negative thoughts, no matter how much you try You are much more irritable, short-tempered, or aggressive than usual You?re consuming more alcohol than normal or engaging in other reckless behavior What are the signs and symptoms of depression? Depression varies from person to person, but there are some common signs and symptoms. It?s important to remember that these symptoms can be part of life?s normal lows. But the more symptoms you have, the stronger they are, and the longer they?ve lasted?the more likely it is that you?re dealing with depression. When these symptoms are overwhelming and disabling, that's when it's time to seek help. Signs and symptoms of depression include: Feelings of helplessness and hopelessness. A bleak outlook?nothing will ever get better and there?s nothing you can do to improve your situation. Loss of interest in daily activities. No interest in former hobbies, pastimes, social activities, or sex. You?ve lost your ability to feel joy and pleasure. Appetite or weight changes. Significant weight loss or weight gain?a change of more than 5% of body weight in a month. Sleep changes. Either insomnia, especially waking in the early hours of the morning, or oversleeping (also known as hypersomnia). Anger or irritability. Feeling agitated, restless, or even violent. Your tolerance level is low, your temper short, and everything and everyone gets on your nerves. Loss of energy. Feeling fatigued, sluggish, and physically drained. Your whole body may feel heavy, and even small tasks are exhausting or take longer to complete. Self-loathing. Strong feelings of worthlessness or guilt. You harshly criticize yourself for perceived faults and mistakes. Reckless behavior. You engage in escapist behavior such as substance abuse, compulsive gambling, reckless driving, or dangerous sports. Concentration problems. Trouble focusing, making decisions, or remembering things. Unexplained aches and pains. An increase in physical complaints such as headaches, back pain, aching muscles, and stomach pain. I hope this helps. Take care and have a lovely day! ?depression 

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