Mental Health

If a patient comes to you with a complains of having long term persistent depression along with episodes of MDD (without a history of brain injury,past trauma/abuse or recent grief situation). Would you prescribe regular blood work to rule out for example deficiency of a vitamin? Would you also prescribe for brain imaging,CT scan,MRI of the brain? Will u try to find out if or not the depression is a symptom of a disease?(for ex.neurological illness or hormone/ gland disorder) What physical lab tests will you recommend in such a case?

10 days before i started Dezula 20(duloxetine) with my regular psychiatrist medicine (prescription attached) ...dezula 20 was prescribed to me online for feeling hot in brain.. After 6-7 days my stomach started swelling , my whole abdomen area was feeling like it is displaced from its position to outward, and something was going in my abdomen which was troubling me...I have to take lemon water for some relief.... (Already i was suffering from bloating from 2 years)... Now on 9th day of dezula 20, ......In morning for 30 second i felt i will die , everything looked like illusion , i was too scared.. and after 30 sec , i went back where i used to be more ill... So i stopped taking dezula 20... And i m feeling better after 2 days... But now i am feeling burning sensation in my body, it was first started in stomach..now all body is facing from burning sensation...it is not that high sensation but body is hot from inside.. What should i do??...any medicine or home remedy please??...

I read online for the symptoms of depression. I think I have all those symptoms. How can I overcome this depression?

My sister is IT proffesional. She used very active and go office regulalrly. Since lock down she is doing some work from home. Since two days she is behaving like she is lost and her thoughts are becoming blank. Responding for two three calls and keeps on imaging somthing and starring. While doing physical activity also she loosing her thoughts and starring. If i say somthing she is repeating.

A small swelling is back of neck from last 5 months which is painless, soft, mobile . Had taken antibiotics for 14 days. No symtoms of fever, weight loss . Usg done now doctor asked to do USG guided FANAC for next treatment . But I have been totally depressed about it & even not getting mental strength to attend FANAC . I know there is no alternative solution but my fear is the result of FANAC. As a doctor Please suggest what  could be the possible result of FANAC & how can get the positive mental response to attend the FANAC . Attached recent picture of affected area &USG report.

I have a serious relationship problem with my spouse. we can't adjust ourselves.we got married in march,2017 & We have a girl child around 2 yrs old. I want a peaceful life. Our relationship is getting worse day by day. I dont know what to do. Getting depressed.

I am classified as narcissist by my friend. I am a very insecure person when it comes to relationship/friendship. I demand a lot of attention when I am with other person and get angry when the other person doesn't have sole attention on me. I am afraid of losing other person due to my nature- attention-seeking, anger issues, jealousy etc. I want the other person to grow with me. I try to motivate but it doesn't happen. I end up hurting others. I am also a violent/abusive person when angry. When i am in normal mood, i try to make it up for all the things but getting angry always messes up everything. I also get annoyed at trivial things- like when someone is singing near me, when someone interferes in my work or tries to tell me some other way of doing my work, when i am free and the other person is just using social media    (I don't interfere in other's job etc) Would love to work on my issues because i feel guilty of doing all those things but seems like beyond my control.

Hi sir I have the problem of anxiety like rapid heart beat while knowing normal state also rapid heart beat continues,excessive sweating, always low BP, low mood disorder always like not interested to do anything work, anger, voice tone rases to high, nagging, always in confused state please help me in it thank you

My mother facing a psychology problem.The main problem of her is dat tablets never suits her body even a slow dosage too 😔 she is having diabetic bp too but when ever she is facing anxiety disorder she is mentally disturbed n from few months no proper sleep for her.. She is fearing alot to have a tablets if she have a tablet she facing problem likes chest congestion no strength in legs n hands while having any food she felt Der is some shocks in stomachs. While sleeping suddenly wake up by shouting etc etc. Please help me out doctor 🙏

Hi, I am a 32 years old married woman and I keep getting into situations that cause me extreme stress. I end up spitting foams, experience terrible palpitations, locked jaws and it stays like that for a couple of days! I am a working woman and it gets difficult for me to handle this much stress frequently. Kindly suggest me some OTC nerve relaxants or any anti anxiety pills that can help me cope up with such situations. It gets very difficult for me to deal with these issues.. Specially these abnormal heart beats. My medical history - I am an acute migraine patient. Thank you for your help!