Co morbidity control and also behaviour issue psychiatry medicine should be first started, he needs a psychiatrist assessment, consult online/offline

Hello Sir First of all at this age, not all antidepressants are good, we have to be very selective with it. These symptoms can also be related to age associated mood symptoms which can be occurred due to multiple reasons ( commonly noticed now a days).

Hi.. usually any sudden onset of psychiatry symptoms in elderly points towards organicity. Will need further history regarding the same to advise appropriately. Consult online for further evaluation and management

Since CT brain and NCV are normal, this is unlikely to be stroke or nerve damage. Symptoms like head heaviness, fear, discomfort while eating strongly suggest anxiety/panic episodes, often worsened by uncontrolled BP (160/90), diabetes, and thyroid imbalance. What to do: • Strict control of BP, sugar, and thyroid • Continue psychiatric evaluation (antidepressant/anti-anxiety medicines are appropriate if chosen carefully at this age) • Rule out panic disorder, somatic anxiety, or tension-type headache • Red flags needing urgent review: weakness, speech issues, vision loss, seizures Overall, this looks functional/anxiety-related, not structural brain disease.