Anxiety and Depression Questions

Dear Sunil,
Such comparative studies will come out in future. At present, rtms will take time and many sessions to show response whereas iv ketamine will show immediate response to severe depression with suicidal risk.

Ketamine is an option for treatment resistant depression but it needs a special setting. And there are other options too. Ketamine therapy has short lasting effect in depression so try for other modalities. You can consult me or any psychiatrist.

Firstly learn that depression is normal. Anyone can have that.
If your depression is of high level, try to visit a psycologist. Yes I have done that too, but just for few months, as I figured out her fees was 500 bucks everytime I visited her. But ignore the fees, as it might be helpful to you.
Try to find a hobby. Yes, it helps. It can be anything- music, art,quora, etc. I started photography and started from very basic things. Met a lot of people with same interest and learned from the...more

You will need to take therapy from a psychologist while you’re taking medicines. That would help your symptoms and later when you feel better you can even taper down your medicines. But you’ll need to be consistent in your treatment. Thank you.

taking medicines for every small bit is not correct,please try to make lifestyle changes along with your doctors advice.Dont know if your doctor has suggested you to meet a counselor to get useto of your self in best possible way with suitable modifications for coping with your adjustment disorder.
Do not stop or change your medicines without your doctor's consent but
please consult a psychological counselor for long lasting effect.

Meditation - meditation practices self-awareness which allows you to disrupt anxiety based thinking.
Meditate 5–30 minutes a day for 1–3 weeks before you add the points below. Headspace (no paid promotion) is a great start for getting into meditations.
Writing down your thoughts - in addition to meditation try to write down your thoughts multiple times a day. It is likely that your anxiety comes from the narrative you have with yourself throughout the day.
Keep a thought-journal and ...more

Dear Lybrate user,
it must be hard going through anxiety, depression and insomnia. With regard to medication, it's best to consult with a psychiatrist. But i'll also suggest that you go for psychological counseling/therapy. A combination of medication and therapy will work best. Therapy will help you manage your anxiety, depression and insomnia with certain strategies, skills and techniques. Especially cognitive behaviour therapy is proven and widely used to treat anxiety and depression. The...more

Hello Librate user
Anxiety has a underline cause which needs to be dealt.This can be done through counselling.Within few session of counselling you will see results
You may consult me online

Hello and welcome to Lybrate. I have reviewed your query and here is my advice. I suggest telephonic counseling and online psychotherapy for you.
You can contact me for further advice and treatment options. Let me know if I can assist you further. Take care.

Dear lybrate-user,
both nexito and cipralex are escitalopram from different phamacautical companies. Some combination of antidepressants like fluoxetine, mirtazapine and amitriptyline may work for you. At times depression gets treated fast, especially when you are younger and you started the tablet late when the depression is about go away by itself. Since you are getting recurrent episodes of depression, your diagnosis may be changed to bipolar depression and a mood stabiliser may be added ...more