Due to betrayal, I am completely stressed out. Please help.

Question

Hello doctor,

I am a 42 year old female. I have a 12-year-old son. My husband is 44 years old and is a heart patient who has undergone a CABG 10 years back. My husband is such a nice support and love to me. My son is very smart and vibrant I try my best to be happy with them. But I fail desperately. My issue is I feel like crying very often. I feel being hated by my friends and acquaintances. I fell into a toxic relationship one and a half years back. He betrayed me but I cannot let him go as I am so addicted. And now I do not have any close acquaintances to turn up on. I was under psychiatric treatment for the past one year. I was put on Fluvoxin 100 and Dicorate which I stopped due to weight gain. Now I do not want to be under medication. Some therapies or strategies would be better for me it seems. Please help.

Answer 1

Hello,

Welcome to icliniq.com.

You have clear depressive symptoms. It happens due to reduced levels of certain neurotransmitters such as serotonin which reduce the stress handling capacity of the brain. Medicines help to replace chemical deficiency and correct the imbalance.

Counseling will on augment or add to the effectiveness of the medicines but it cannot replace it. I will give you one example. In fever, Crocin /Paracetamol helps is given. To this, you can add cold water sponging which helps, but you cannot replace Crocin with sponging. This is the exact same thing.

There are medicines which also help you not gain weight, or are weight neutral. You can ask your doctor for the same. One example of such a dose plan would be Fluoxetine 20 mg and Lithium 300 mg and Aripiprazole 2 mg.

You can consult a psychologist for some sessions of CBT (cognitive behavioral therapy) and undergo six to eight sessions online or locally.

Answer 2

Hello,

Welcome back to icliniq.com.

You can either look for a clinical psychologist online on icliniq. They have psychologists who can help you with this. Also, depending on which city you are in, you can ask a local psychologist if he/she is will to do telephonic CBT sessions with you.

Normally, each session lasts for 30 minutes or so. Like these two sessions a week are done until a total for six to ten sessions are completed.

In terms of efficacy, physical consultation > telephonic audio consult> chat consultation is the order. So I would suggest that if possible, visit a local psychologist in your city. Since it is allowed to be open, you should not have a problem with the lockdown restrictions.