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Overview

Depression And Anxiety: Treatment, Procedure, Cost and Side Effects

What is the treatment?

There are multiple reasons which lead to a person being utterly depressed and facing social anxiety. These factors include loss of a loved one, getting fired from workplace, difficult situations like going through a divorce or even a separation, and many more. These conditions leave a person mentally and emotionally exhausted and miserable. These feelings are usually very normal reactions to the stressful life conditions. However, there are certain patients who are diagnosed with depression as a psychiatric disorder. These individuals as compared to other patients are more prone to mood swings and the conditions become more severe and persistent in their case. Women undergo depression more as compared to men. Anxiety disorder on the other hand is somewhat different than depression. It involves irritability, nervousness, concentration problems and upheavals in sleeping.

There are several drugs available for the treatment of depression and anxiety disorder. It includes SSRIs (selective serotonin reuptake inhibitors), such as citalopram (Celexa), escitalopram oxalate (Lexapro), luvoxamine (Luvox), setraline (Zoloft), fluoxetine (Prozac), and paroxetine HRI (Paxil). There are newer medicines too which act as serotonin receptors. Bupropion (Wellbutrin) is a drug which has unique mechanisms. A health care provider will determine which drug is best for the patient. There are certain cases in which a combination of drugs is required. Sometimes the combination of one antidepressant with another antidepressant of some other class can boost the effect of a single drug working alone. An example of this is a mood stabilizer like lithium. Anxiety disorder treatment drugs are lorazepan (Ativan), alprazolam (Xanax) and many more. ECT or Electroconvulsive therapy is also a treatment option in severe cases.

How is the treatment done?

The treatment starts by seeing a specialist, physician or a doctor of mental health. They will ask you about your mental health or how he is feeling. They will figure out the cause of depression or anxiety and will come to a conclusion whether the problem is caused by a physical condition or is related to mental health. The doctors will then recommend you antidepressants that will help relieve the indications of depression by the adjustment of certain chemicals in your brain which directly affects the circuits that control mood swings. Antidepressants increase serotonin levels in the brain and start showing noticeable effects after 2 to 3 weeks.

In case of severe depression, there may be a recommendation of an electroconvulsive therapy or ECT. This therapy is associated with a small and painless electric current passing through your brain while you’re under general anesthesia. This leads to a brief seizure which relieves the indications of depression. ECT is also called electroshock therapy. It was earlier a controversial therapy but is now considered quite effective as a treatment method for depression. Its performance is based on a series of sessions of either inpatient or outpatient for up to 4 weeks. You’ll be made asleep through general anesthesia so that you don’t feel the seizure or the current.

Who is eligible for the treatment? (When is the treatment done?)

Patients undergoing depression and anxiety are eligible for the drug treatment. Every patient who is going through severe depression which is uncontrollable and has made the person suicidal is eligible for the electroconvulsive therapy or ECT.

Who is not eligible for the treatment?

A pregnant woman and children need to consult their health care provider before the usage of antidepressants so that they may be able to make a detailed and informed decision regarding their condition.

Are there any side effects?

The side effects of the treatment include slight hesitancy in urination, dry mouth, nausea, diarrhea, constipation, blurred vision, drowsiness due to a sedating effect, and sweating.

What are the post-treatment guidelines?

In case the symptoms of your depression start returning, consult or share your problems with a medical professional, a therapist, or someone close to you and try to work things out for your betterment. Joining a support or a mental health group will combat depression and help you to a great deal. Make as many lifestyle changes as possible in order to maintain your mental health. These changes may include your workplace or even your relationships which are making you unstable in life. Avoid the consumption of too much alcohol and stop smoking. Eating a balanced diet induced with fruits and green leafy vegetables is a significant part of a healthy lifestyle.

How long does it take to recover?

If a patient is finding the treatment helpful after 3-4 weeks, he/she may continue the treatment for 6 months after all the indications have been erased. In case the medications are stopped too soon, the indications may develop again. Patients with recurrent depression are advised to have the treatment for a longer period.

What is the price of the treatment in India?

The price of the treatment ranges from Rs. 100 to Rs. 2,000.

Are the results of the treatment permanent?

The results of the treatment are not permanent as depression is known to be recurrent and may develop again if there are no lifestyle changes made or if the medications are discontinued before the completion period.

What are the alternatives to the treatment?

The alternative treatment methods available for depression and anxiety disorder include vagal nerve stimulation (VNS), deep brain stimulation (DBS) and repetitive transcranial magnetic stimulation (RTMS).

Safety: Medium Effectiveness: Medium Timeliness: High Relative Risk: High Side Effects: High Time For Recovery: Very High Price Range:

Rs. 100 - Rs. 2,000

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Physical Health & Mental Health - Understanding The Connection!

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Physical Health & Mental Health - Understanding The Connection!
You probably have heard of the saying A healthy mind comes from a healthy body . Most often in our daily busy schedule we overlook our eating habits, and physical activity. Are they linked with each other? The answer is YES! There are multiple associations between mental health and chronic physical conditions that significantly impact people s quality of life. there is no health without mental health. The associations between mental and physical health are: Poor mental health is a risk factor for chronic physical conditions. People with serious mental health conditions are at high risk of experiencing chronic physical conditions. People with chronic physical conditions are at risk of developing poor mental health. Mental health plays a major role in your ability to maintain good physical health. Mental illnesses, such as depression and anxiety, affect your ability to participate in healthy behaviors. This can result in problems with physical health, such as chronic diseases, and can decrease a person s ability to participate in treatment and recovery. Unfortunately, most people don t go to a mental health professional for a mental health exam. In many cases, people only seek out a mental health professional after a crisis has occurred. There are different ways to balance your mental and Physical health both: One of the most impactful way is :Mindfulness What exactly is mindfulness, and how can it improve psychological well-being? "Mindfulness is about being fully aware in the present moment,". "It's about bringing our attention back to the present moment and not getting carried away by our thoughts."Mindfulness helps to train individuals in bringing back the attention time and time again when it has wandered. And it is precisely through helping individuals to not get carried away by their thoughts that mindfulness has been shown to be so effective for conditions like anxiety and depression. It's not about getting good at meditation, it's about getting good at life. And how its helps deepens our connections with others and with the world around us. Some simple steps to reduce risk of physical illness: Eat a well-balanced diet, get plenty of rest, get routine check-ups and tests, incorporate regular exercise into your schedule. Some of the other ways to keep you mentally healthy are: Value yourself: Treat yourself with kindness and respect, and avoid self-criticism. Make time for your hobbies and favorite projects, or broaden your horizons Take care of your body: Taking care of yourself physically can improve your mental health, therefore, you must ensure Eat nutritious meals Avoid cigarettes Drink plenty of water Exercise, which helps decrease depression and anxiety and improve moods Get enough sleep as researchers believe that lack of sleep contributes to a high rate of depression in college students Surround yourself with good people: People with strong family or social connections are generally healthier than those who lack a support network. Make plans with supportive family members and friends, or seek out activities where you can meet new people, such as a club, class or support group. Learn how to deal with stress: Like it or not, stress is a part of life. Practice good coping skills: Try One-Minute Stress Strategies, do Tai Chi, exercise, take a nature walk, play with your pet or try journal writing as a stress reducer. Also, remember to smile and see the humor in life. Research shows that laughter can boost your immune system, ease pain, relax your body and reduce stress. Quiet your mind: Try meditating, Mindfulness. Relaxation exercises can improve your state of mind and outlook on life. In fact, research shows that meditation may help you feel calm and enhance the effects of therapy. Get help when you need it: Seeking help is a sign of strength not a weakness. And it is important to remember that treatment is effective. People who get appropriate care can recover from mental illness and addiction and lead full, rewarding lives. Hear your inner voice and accept that you need help. Just like how we most the people go to the doctor and get a check-up. They have their blood pressure, temperature and weight measured. They have blood drawn to check for issues with cholesterol, blood sugars, thyroid, iron levels, and other measures for their physical health check up. Like wise it s equally important to take care of your mental health.
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Depersonalization Disorder - Ways It Can Be Treated!

Dr. Raghuveer Raju Boosa 85% (10 ratings)
MBBS, MD - Psychiatry
Psychiatrist, Hyderabad
Depersonalization Disorder - Ways It Can Be Treated!
Person suffering from depersonalization disorder often feels detached from their thoughts and also have a strange feeling that you are being separated from your emotions and your body. Feeling disconnected from his or her surrounding environment is one of the main symptoms of depersonalization disorder. An affected person might feel like an alien, live in a world of fantasy and fear of getting crazy or depressed, anxious and panicky. A patient with depersonalization disorder does not lose his contact with reality and realizes that his perceptions are unreal. This health condition is a form of dissociative disorder, where the brain gets affected. Treatment People seeking treatment for depersonalization disorder are primarily concerned with the associated symptoms such as anxiety and disorder. Treatment is required when the disorder is recurring or long lasting, and when the symptoms cause severe distress. The aim of the treatment is to eliminate all causes of stress when the symptoms show up. The method of treatment depends on the nature of the triggers and on the severity of the symptoms. Here is a list of the most effective treatment methods: 1. Psychotherapy Psychotherapy is an effective treatment procedure for depersonalization disorder. Psychological techniques are used to help an affected person recognize his feelings and for communicating his thoughts to a therapist. Thoughts which may lead to depersonalization experience are expressed by a person in this process. Cognitive therapy is utilized for changing dysfunction thought patterns in an affected person. 2. Medication There are no medicines for the general treatment of depersonalization disorder. Several medicines are used to treat the symptoms. In patients who experience depression and severe anxiety, antidepressant and antianxiety medicines may be prescribed. Antipsychotic medicines are also used to cure disordered thinking and improper perception of reality. 3. Family therapy Family therapy educates the affected person's family about the disorder, its causes and the family members learn how to recognize the symptoms. 4. Creative therapy Creative therapies, such as art therapy or music therapy, enable a patient to recognize and express his feelings better in a creative and safe way. 5. Clinical hypnosis This process involves intense relaxation, concentration and focus of attention in order to achieve an altered state of consciousness. This makes a patient more aware, and he can explore his thoughts and feelings, which have been absent from his conscious mind. Complete recovery from depersonalization disorder is possible for most of the patients. The symptoms go away by themselves after treatment. Treatment makes a person more effective in dealing with stress or trauma, which might act as triggers for further recurrence of this disorder. Treatment is necessary and avoiding treatment might cause severe complications later. It is recommended to consult a doctor for the best treatment measures.
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How To Handle Depression In Children & Young Adults?

Mrs. Rachna Mimani 94% (26 ratings)
M.A. Clinical Psychology, Diploma In Counselling, Diploma In Mental Illness
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How To Handle Depression In Children & Young Adults?
Depression in children and young people affect people from ages 5 to 18. About one in four children in India suffer from childhood depression. Boys and girls up to the age of 10 and 16 respectively, are more prone to depression. As per the report released by WHO, among 10 South-East Asian countries, India has the highest suicide rate. An estimated rate of suicide per 1 lakh population of the age group of 15-29 is 35.5 percent. Definition and Signs According to Thompson (1995), depression is an overall lowering of normal functions which is not specific to any one component of the mind. Clinically, the signs and symptoms of depression have the following components: Mood Changes: sadness, irritability, sense of loss of interest even in cherished activities Cognitive changes: inefficient thinking, poor self-esteem, a feeling of hopelessness, loss of concentration, poor attention span, indecisiveness. Rarely, suicidal tendencies, delusions, hallucinations. Physical changes: low energy, apathy, tiredness, increase or decrease in appetite, disturbed sleep, low emotional responsiveness. Children in primary school stage may report of headaches and stomach aches, limb pain. Impairment in personal and/or social functioning: Self-harm, deterioration in school work without any specific reason, sudden and persistent levels of aggression and irritability. Causes: Marital or family disharmony Divorce and separation Physical and sexual abuse Domestic violence Problems at school: bullying, social isolation, exam failure Severe personal assault Children with parents suffering from depression Diagnosis of Childhood Depression Any child suffering from symptoms of depression for at least 2 weeks, should be scheduled to visit his health care provider. Parents and guardians should eliminate any physical reasons for the symptoms before visiting a mental health professional. There are no specific medical or psychological tests that can clearly diagnose childhood depression. Following measures can help to make an accurate diagnosis: Questionnaires for both the child and parents. Interviews and study of the patient's history by a mental health professional. Information from friends, teachers, and classmates can be useful to detect early symptoms of childhood depression. Treatment To alleviate depressive disorder To reduce concurrent related conditions like ADHD (attention deficit hyperactive disorder) and learning disabilities To promote normal social and emotional development and school performance Relieve family distress To prevent or reduce the risk of relapse Psychological therapy is the first line of treatment and includes: Cognitive behavioural therapy in group and individual format Interpersonal psychotherapy focuses on interpersonal issues like interpersonal conflicts, grief and loss and its effect on current feelings and problems Psychodynamic child psychotherapy where children are given a way to express their issues through playing, drawing, talking Family therapy deals with solving family-related issues and management of crisis Art therapy is an approach to vent out your negative feelings using creative expression as an outlet. Guided self-help helps you in understanding the core of the problems and finding ways to manage the same with the help of a professional. Relaxation and self-modelling can go a long way in dealing with depression. Relaxation techniques like exercising, meditating and yoga help your mind soothe and reduce stress and anxiety which in turn elevates the mood and reduces depression. Counselling has help people overcome loneliness and discuss the things that make them feel low openly. This helps in seeking a solution for that particular cause.
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Homeopathic Treatment for Depression!

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P. G. Hom (London), Post Graduate Diploma in Counselling (PGDC, 1st class, CU), BHMS, Att. Cert. of ACH (London), Att. Cert. of B.A.M.I (Kolkata), C.S.D (Mumbai), D.N.H.E
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Homeopathic Treatment for Depression!
In the initial stages or in the milder structures or in individuals who don't know about the illness, depression can go unidentified till its suggestions turn out to be excessively self-evident. Individuals regularly neglect it as an unimportant low state of mind or some begin expecting it as a piece of their psychological makeup. Indeed, even families or life partner begin obliging as needs be, in this way making distinguishing proof of depression all the more troublesome. Homeopathic treatment for depression is awesome type of option medicine and regular therapy for depression. Points of interest of utilizing Homeopathy for Depression The best a portion of homeopathic treatment is that the homeopathic medicines are thoroughly symptom free and its long haul utilization prompts no harm to the body. Homeopathic medicines likewise don't bring on any sedation . What are the indications of depression? Taking after the manifestation of depression and if three to at least five of the accompanying indications, which persevere for over 2 weeks, there are chances that one may experience the ill effects of depression. Tenacious low or dismal mindset, loss of intrigue or joy in exercises including sex. Sentiments of blame, uselessness, defenselessness, sadness, negativity, sleeping in excess or too little, frequently feeling tired, etc. Self-destructive contemplations and endeavors, fretfulness, peevishness, outrage and inordinate sobbing all are indicators of depression. Can Homeopathy cure depression? The primary question that rings a bell is that can homeopathy cure depression? Clinical depression is especially treatable with natural homeopathic medicines. Early treatment is more compelling and keeps the probability of genuine repeats. It is exceptionally helpful in depression emerging after anguish and mental stuns. Aurum Metallicum is demonstrated in situations where self-destructive contemplations and inclination is available. Natrum Mur and Carcinocin are regularly utilized to treat perpetual and genuine types of anxiety. However, medical suggestion is strictly important in this matter and no medication should be taken without consulting your doctor. Homeopathy for Depression and Anxiety Homeopathic medicine Aconite is one of the main homeopathic medicine for treating intense tension issue. Sudden uneasiness requires the utilization of this medicine .The indications seem abrupt and may give the patient a sentiment of approaching fate. This is one of the best medicine for use in intense fits of anxiety.

Popular Questions & Answers

If I start placida plus for depression and anxiety How much time wait for result of treatment.

Dr. Sushil Kumar S V 94% (2010 ratings)
MBBS, MD - Psychiatry, MBA (Healthcare)
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It takes about 2-3 weeks for complete effect and you will start to feel fine once the problem starts to get better by itself, you need to remain on medications for many months according to the advice of your psychiatrist. I hope you continue to consult your psychiatrist who prescribed the medication and be patient and persistent​ with therapy. Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, audio or video appointment for a confidential and private consultation you may do so by contacting the help desk of Lybrate.
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I do not go alone out side from my house from last 2 year doctor says It is depression and anxiety start pari cr I am getting continuously but not good feeling and my digestive also effective what is proper treatment please guide me.

Dr. K V Anand 94% (21893 ratings)
BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. Thanks for the question. I can understand. You are suffering from SOCIAL ANXIETY DISORDER. Social anxiety disorder is a chronic mental health condition in which social interactions cause irrational anxiety. For people with social anxiety disorder, everyday social interactions cause irrational anxiety, fear, self-consciousness and embarrassment. Symptoms may include excessive fear of situations in which one may be judged, worry about embarrassment or humiliation or concern about offending someone. Talk therapy or psychotherapy and antidepressants can help increase confidence and improve ability to interact with others. I suggest online psychotherapy and counseling. Take care.
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I'm suffering from severe depression and anxiety issues. This is resulting in insomnia and other problems.

Dr. Saul Pereira 93% (40121 ratings)
Reparenting Technique, BA, BEd
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Sleep problems always follow depression faithfully: either you will tend to oversleep or undersleep. With the resolution of depression a lot of these difficulties will disappear. At your age this claim is serious. If you have depression then there are some major ramifications to take into account. I believe there may be some genetic predisposition or there has been some childhood issue, related to anger, that needs urgent attention. You must go and meet with a counselor immediately and if that person advises that you meet with a doctor you must do so and cooperate to your utmost. Please visit these professionals along with your parents. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. 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, 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 scorching 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, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do calisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.
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Hi suffering from depression and anxiety. Taking Bupron xl 300 mg waklert 150 mg my psychiatrist advised to take thyronorm what side effects are there. I am 35 male overweight diabetic and high bp but both normal. Please advise.

Dr. Saranya Devanathan 91% (1480 ratings)
MBBS, DPM
Psychiatrist, Bangalore
Dear lybrate-user, You seem to be having medical problems like obesity, diabetes and high bp. The psychiatrist has assessed both your medical and psychiatric disorder and advised the treatment. You need to follow her/his advice. Side effect has to be experienced by you and to be discussed with the psychiatrist so that she/he can adjust the dose. You may not experience any side effect at all. You need to wait for 2-3 weeks for these tablets to start giving you any benefit.

Pl good I get a list of food, I need to include in my diet to reduce anxiety n depression.

Dr. Sajeev Kumar 88% (23087 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Timing Foods To Eat Calories Early Morning Lukewarm Water with Lemon 1 glass 0 Tea without Sugar + 2 Biscuits 90 Breakfast 2 Rotis + 1/2 cup Paneer Curry 330 OR Brown Bread Upma 1 plate + Milk 1 cup 300 Mid-Morning 1 Banana/1/2 cup Melon/20 Grapes 50 Lunch Brown Rice 1 cup (195 gm) + Mixed Vegetables 1/2 cup + Salad 1 bowl + Raita 1 small bowl 345 Evening Butter Milk 1 cup 35 Dinner 2 Rotis + Vegetable Soup 1 bowl + Salad 1 bowl 370 Total 1220/1190 Cal
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