Anxity/depression

2017-01-18 04:57:10
She is suffering from severe Rheumatoid Arthritis (RA). The conventional drugs are not giving much relief. Her Rheumatologist suggested biologics for her but asked to get her counselling as she is very depressed due to her physical condition. Also has anxiety problem. Apart from RA she is having high blood pressure. She is a Malayalam (from Kerala state) speaking person and I feel a Psychiatrist who speaks Malayalam could counsel her properly even though she understands English. She doesn't talk much in English. We are residing at Thane, near to Mulund West. She is having much trouble to travel otherwise I would have taken her to Kerala for counselling.
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I can completely understand how it feels to not being independent, and specially in old age when through out we have been self sufficient. As a family member I feel you need to understand this too, please be a support to her and getting her confidence back. You can involve her daily activities, she should feel valuable. This stress and anxiety is because of her inability to do things on her own. Spend time with her as a family, take her out for evening stroll, she can be seated in a wheel chair if can't walk much. She can be asked to spend some time on her, things which she likes, initially you will have to  engage her in them, she should not have time to think about her illness.
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Consult for counselor who can come home n spend time by understanding her.

Answered2017-01-18 13:49:38

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RA causes depression and her depression and anxiety also need to be addressed because that will lower her pain tolerance. she will need a lot of family support in addition to counseling.

Answered2017-01-19 06:09:33

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Depression is very common with rheumatoid arthritis, if you treat her depression with agents like duloxetine her pain will also reduce and she will be much better , consult a psychiatrist

Answered2017-01-19 04:03:42

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