Hi, The best way ahead would be a detailed clinical interview to understand the symptoms and your comprehensive history.  For a personalized plan, find me by searching "Dr Abhinav Tewari Neuropsychiatrist Lucknow" on Google Maps — my details are listed there.  ẄĤÃŤŠÅPP available on nine four one five three nine four three seven nine Kind Regards, Dr Abhinav Tewari Consultant Neuro-Psychiatrist MBBS (A.I.I.M.S., New Delhi) MD (Psychiatry) (A.I.I.M.S., New Delhi) DNB (NBEMS)

"Hi there, I understand that seeking help can feel overwhelming, but you’ve already taken the first brave step. I can guide you with a clear treatment plan tailored just for you, so you can feel better and regain control over your life. You can reach me directly on WhatsApp for quick support on seven zero eight two zero two two zero six two."

We can understand your distress related to these biological phenomenon Do not worry, in mood disorders such as depression, anxiety or disturbed sleep, there is no such permanent damage to brain tissue, their etiology is different For example, In most of the mood disorders or Psychiatric illness, there is imbalance of neurotransmitter as serotonin, dopamine, cortisol etc, this variation does not damage neurons , these neurotransmitters work at respective receptors Medications for these mood disorders work at receptor level by normalisation of these neurotransmitters that are called chemicals in general term In dementia , there is damage to neurons, or other brain organic conditions such as tumour, epilepsy etc,there is damage to neurons

Hi kill neurons or cause permanent brain damage, rather they affect how brain circuits function. Excess cortisol can temporarily weaken hippocampus and prefrontal cortex connections leading to poor memory, focus, and sleep, but these changes are reversible through neuroplasticity. Neurotransmitter imbalance does not destroy neurons, it only reduces efficiency of signaling, and inflammatory cytokines may influence mood but typically do not cause permanent neuronal loss in common psychological stress. With therapy, lifestyle changes, and treatment if needed, the brain can recover and restore its functions. Take therapy. You can connect with me on nine two six six seven two six zero six five.

No permanent massive neuron death occurs in routine depression or anxiety. Cortisol excess can shrink hippocampus temporarily, but it is reversible. Neurotransmitter imbalance = signaling problem, not neuron killing. Cognitive issues in depression are reversible once mood is stabilized. Treatment, therapy, exercise, meditation, good sleep, and social support promote brain healing and neurogenesis.

Hi.. yes prolonged untreated depression and anxiety can alter neuronal plasticity. Consult online for treatment

Are you facing all these issues? If yes, please consult a psychiatrist soon. Regarding your queries, there are ample amount of research dimensions which are changing regularly. Several findings are there, you may take a look through journals like Nature, Lancet etc.