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I suffer from depression and difficulty thinking and understanding. Please help.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am going through a lot of mental health problems. My symptoms are depression, slow thinking, processing speed, hopelessness, avoiding people, dullness, problems coping with new situations, loss of spontaneity, fear of new things and marriage, difficulty thinking and understanding, mental decline, difficulty with self-care, and lack of restraint. Which specialist do I need to refer?

Thank you.

Answered by Dr. Muhammad Zubayer Alam

Education:

MBBS

Professional Bio:

Dr. Muhammad Zubayer Alam is a General Practitioner and Family Physician with broad clinical experience. He specializes in Pulmonology and Internal Medicine, delivering expert care for respiratory and internal conditions. With a patient-centered approach, he emphasizes accurate diagnosis, effective treatment, and prevention, providing comprehensive, personalized care to improve health outcomes and quality of life for patients across all ages.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

According to your statement, you have been suffering from psychological problems like depression, slow thinking, avoiding people, dullness, difficulty in self-care, lack of restraint, etc.

According to your description, you may suffer from anxiety disorders or depression. So you need some medications with psychotherapy. You can consult with a professional psychiatrist for further assessment and psychotherapy.

Thank you.

Patient's Query

Thank you doctor,

What medications do I need to get better?

Answered by Dr. Muhammad Zubayer Alam

Education:

MBBS

Professional Bio:

Dr. Muhammad Zubayer Alam is a General Practitioner and Family Physician with broad clinical experience. He specializes in Pulmonology and Internal Medicine, delivering expert care for respiratory and internal conditions. With a patient-centered approach, he emphasizes accurate diagnosis, effective treatment, and prevention, providing comprehensive, personalized care to improve health outcomes and quality of life for patients across all ages.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

Most probably, you have been suffering from depression, which is a mood disorder. There are several types of depression. When you visit a professional psychiatrist, he will ask you some questions to assess your present mental status, the kind of depression you have been suffering, and a treatment plan according to your depression status. So it is very important to find out the exact causes of your depression.

Depression may result from some psychological disorders, chronic diseases like arthritis, asthma, cardiac diseases, diabetes, carcinoma, obesity, thyroid disorders, etc. So some investigations may be needed to exclude the causes.

You may take antidepressants, antipsychotics, or antianxiety medications, psychotherapy by a psychiatrist, daily exercising for at least 30 minutes to release endorphins, avoid all types of illicit drugs, alcohol, or smoking, a daily balanced diet, proper sleeping, try to interact with people, keep yourself busy with constructive, challenging jobs, etc.

Antidepressants like Citalopram, Escitalopram, Fluoxetine, or Paroxetine can be taken according to your psychiatrist's advice, along with psychotherapy and lifestyle modifications, etc.

Consult with a professional psychiatrist to choose the best medicine for your present depression. One or two medications, along with following the above-mentioned measures, will help you to combat depression.

I hope this helps.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At February 4, 2021
Reviewed At January 30, 2026

Education:

MBBS

Professional Bio:

Dr. Muhammad Zubayer Alam is a General Practitioner and Family Physician with broad clinical experience. He specializes in Pulmonology and Internal Medicine, delivering expert care for respiratory and internal conditions. With a patient-centered approach, he emphasizes accurate diagnosis, effective treatment, and prevention, providing comprehensive, personalized care to improve health outcomes and quality of life for patients across all ages.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Muhammad Zubayer Alam is a General Practitioner and Family Physician with broad clinical experience. He specializes in Pulmonology and Internal Medicine, delivering expert care for respiratory and internal conditions. With a patient-centered approach, he emphasizes accurate diagnosis, effective treatment, and prevention, providing comprehensive, personalized care to improve health outcomes and quality of life for patients across all ages.

This doctor is not available for online consultations on the platform anymore.

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