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I'm really confused, need guidance
I feel really fed up with how difficult it is to make yourself do anything. Doing anything is a struggle. Now that it is time to make a career I'm finding it really difficult to be able to actually accomplish anything just by studying last minute because no matter how hard I try I cant seem to make myself do important things, this has been the same all my life but now I can't afford it. Since a few months, I have also started to feel really numb, I manage day to day activities just fine even though if it a struggle. But I feel like I have stopped feeling? I don't feel excited for anything nor do I feel connection with anyone new, it all just feels like passing. I dont know what to do. I am being honest, I understand the need for counselling but I feel like i need help of medication now, a few years back I was prescribed medication for RDD, i regret not taking it. However, I'm still very anxious about taking medication, what of it makes matters worse. Please help me understand what I ca
📍 My Opinion
Thank you for sharing this so openly. What you’re describing — persistent low motivation, emotional numbness, difficulty in functioning, and disconnection — is strongly suggestive of a depressive episode, possibly Recurrent Depressive Disorder (RDD) or dysthymia with burnout features. These symptoms are not a character flaw, but a signal from your brain that it’s not functioning at its optimal chemical and emotional balance.
Medication can be helpful — not to change who you are, but to restore your ability to feel, focus, and function. Your fear of medication is understandable, but when prescribed and monitored properly, modern antidepressants are safe, effective, and can be life-changing.
Next Steps
➡️ Next Step (What should the patient do next?)
Please consult a psychiatrist for a comprehensive evaluation — including mood, anxiety, cognitive functioning, and any underlying medical causes (like thyroid or B12 issues). You may benefit from starting a low-dose antidepressant and combining it with psychotherapy, especially CBT or ACT-based counselling.
If your fear of starting medication is strong, your psychiatrist can start with gradual doses and closely monitor for any side effects. It’s not all-or-nothing — many medications are highly customizable.
Health Tips
⚠️ Helpful Tips / Word of Caution
Avoid self-blame or waiting for “motivation” to strike. Depression often blocks it.
Don’t delay care anymore — the earlier you treat it, the better the outcomes.
Medication doesn’t dull you — it restores you.
You can stop medication in the future once stability is achieved — under medical guidance.
Continue exploring therapy even if you start meds — it enhances recovery and prevents relapse.
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🌱 You don’t have to live in this fog. Help is available — and recovery is very much possible.
📍 Dr Shivam Bhandari Jain — Consultant Psychiatrist
🏥 Health 4 U Clinic, 249 Gufa Mandir Road, Near First Step School, Jain Nagar, Nayapura, Lalghati, Bhopal
🕕 Clinic Timings: Monday to Saturday, 6 PM – 8 PM
📲 Instagram: @mentalhealth.4you
⭐ Google us: Search Dr Shivam Bhandari Jain for directions & patient reviews
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