How can depression be managed in a 19-year-old?

Question

Hello doctor,

I need help for my younger brother. He is 19 years old, and he is not the same anymore. He used to be so active and social, but now he barely talks, stays in his room all day, and skips college classes. He says he is fine, but I can tell he is not. He has also lost weight, and I caught him looking up stuff about depression online. I do not know how to help him or if he even needs treatment. How do we know if this is serious? Should we take him to a psychiatrist, or is this just a phase?

Please suggest.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

It sounds like your brother is struggling, and your concern is completely justified. His withdrawal from social life, skipping classes, weight loss, and searching for information about depression suggest he might be going through something serious.

He will need a complete psychological evaluation if he shows:

1. Persistent sadness or hopelessness (more than two weeks).

2. Loss of interest in things he used to enjoy.

3. Insomnia or sleeping too much.

4. Loss of appetite and weight loss.

5. Fatigue and lack of motivation.

6. Irritability or mood swings.

7. Thoughts of self-harm or suicide.

Talk to him in a non-judgmental way. Instead of asking- What is wrong with you? Try:

1. I have noticed you have been different lately, and I am worried about you.

2. You do not have to go through this alone. I am here for you.

Do not let him know that you saw him searching for depression online. He might feel you are invading his personal space. Gently encourage him to see a professional. If he is hesitant, suggest:

Just one visit to see if talking helps. No pressure. Or we can go together, and you do not have to decide anything now.

Do not rush into things. If he tells you about his feelings, just listen, do not interrupt, do not ask questions, or do not give advice; just listen and only give advice if he asks for it.

Amitriptyline, Duloxetine, or Fluoxetine helps with depression. But at first, he needs a complete psychological evaluation. Take him to a psychiatrist or psychologist. If he is uncomfortable, do an online consultation where he can remain anonymous. For further evaluation and treatment, he needs to talk about his feelings and symptoms.

I hope this helps.

Thank you and take care.