Major Depression. Came back again)

A detailed clinical assessment is advised to understand the issue. For a personalised treatment plan, DM on insta: dr.abhinavtewari Dr. Abhinav Tewari MBBS(AIIMS, New Delhi), MD (AIIMS, New Delhi), DNB Ex-KGMU Lucknow Formerly at NHS England Ex-Faculty RMLIMS, Lko, and KSSSCI Whatsapp on Nine Four One Five Three Nine Four Three Seven Nine insta: dr.abhinavtewari

Meditation. I meditate almost every day. It’s just good to decompress. It’s good to sit and think every once and a while because eventually, you run out of things to think about. When you do that, you actually start meditating. 10–30 minutes per day, every day possible. Start cutting out people that suck. I’ve alienated so many people in the past year. So many people. My inner circle is smaller, but also it’s stronger than it’s ever been. I have people in my life who actually look out for me. I have friends that love me. These people have helped me realize that I should never settle for less. Intense physical exercise. “Being active” is great for my physical health, but it doesn't actually make my anxiety go away. However, going to the gym and pushing myself as hard as I can (while not breaking my body) makes me completely free from anxiety—at least for a while. Reading. None of these “remedies” are secrets. There are no secrets here. If there was a magical remedy that got rid of anxiety and had no negative consequences, everyone would do it. Reading made me realize that I’m not alone in having anxiety. Studying other people’s thoughts makes me realize that my thoughts are not as weird as I thought. Doing scary shit. I’m not saying that you should start jumping out of airplanes, but seriously, stop holding back in your life because you have anxiety. Anxiety compounds over time. The longer you think about stuff, the scarier it gets. Sometimes, you just have to jump off the deep and end and see if you can swim. Talking to your friends. People have “friends”, but most of their friends don’t really know them. One of my friends and I sit in the sauna 3 days a week after Jiu-Jitsu training and talk about life. We’ve shared some pretty personal stuff during those talks. Frequent, unfiltered conversations will change your life. Writing. The main reason that I write so damn much is that writing makes my brain feel physically lighter. The act of putting my words onto a page helps me stop having to think so much. I publish them because sometimes they help people. However, private journaling can have the same mental benefits for people struggling with depression/anxiety. Eating healthier. When you eat like shit, you feel like shit. When you eat better, you feel better. While there is certainly more to taking care of your mental health than eating vegetables, eating better does help. I only drink alcohol a couple of times per year and I try to limit caffeine intake after my morning cup of coffee. I don’t smoke or do drugs. If you read my answer on derealization, you know why. Sleeping enough. Most people do not sleep enough. I don’t understand it. When I sleep less than 7 hours per night for more than a few days, I feel like I’m on a slippery slope to burnout, depression, anxiety, and losing my bloody mind. All these other remedies are great, but if you don’t sleep, you’re fighting a losing battle. Giving my all in everything I do. This seems like a cop-out, but how many people do you know who actually give their all? Putting everything I have into everything I deem worthy of my effort makes me feel like I have fewer regrets. It also makes me less anxious about outcomes, because I know I have done everything I can to influence said outcomes.

Consult Psychologist /Psychiatrist

do yoga, go for a walk ,meditation,

Yes, maintenance ECT can be considered for people who have responded very well to ECT, particularly when depression is severe or treatment-resistant. However, ECT alone without any other relapse-prevention treatment is not automatically the best option for everyone.

Given your strong response to ECT and relapse after stopping it, your psychiatrist can review whether continuation/maintenance ECT, medication, or a combination would be most appropriate in your case.

Please don’t restart, stop or change antidepressants or ECT on your own. The previous ECT records and your treatment history are important when planning the next step.

You can request your Psychiatrist for maintenance ect .

Hi , in some cases maintenance ECT can be considered, especially when someone has had a very strong response to ECT but has not benefited significantly from several antidepressants. In your case, the fact that your depression almost completely went away after 6–7 ECT sessions is important information. It would be reasonable to discuss with your psychiatrist whether continuation/maintenance ECT could be appropriate for you, rather than assuming that antidepressants are the only option. At the same time, maintenance ECT without medication is a very individual decision and needs to be planned carefully by your treating psychiatrist. Please don’t stop your current medication or restart ECT on your own. My advice would be to take your previous treatment history and your excellent response to ECT to a psychiatrist experienced in maintenance ECT and discuss a long-term relapse-prevention plan. Therapy can also help you identify early signs of relapse and strengthen your recovery. For counselling/therapy guidance, you can contact me at nine two six six seven two six zero six five.

It may occur if the depression is of the resistant category. ECT alone does not necessarily provide long-term protection against relapse. After successful acute ECT, continuation treatment usually medication is generally considered. However continuation ECT in selected patients may be considered depending on risk is to the reward ratio.

Consult a psychiatrist

Hi

psychotherapy session

hi

Kindly contact and consult. Take care until then

Hi, if u improved with ect, u can have maintenance treatment with the same