Dr. Mehmet Akif Camkurt
Psychiatry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I feel low all the time. I do not like to do any work, neither do I feel like eating. I feel like something inside me is being broken or cramped. I feel like crying out loud. While listening to songs, my eyes get filled with tears, and I start crying. I feel suffocated. Long back, when I felt the same way, I did an online depression test. It showed severe depression, but I did not take any medicines. I just motivated myself and slowly started feeling better. Please help me.
Hello,
Welcome to icliniq.com.
The symptoms that you are describing are consistent with depression and anxiety. As you stated this is the second episode, it alerts us that you have recurrent depressive episodes which are a predictor for further ones. Depression usually lasts about three to six months. But, recurrent episodes could be longer and more severe. I suggest you try taking Mirtazapine. Consult your specialist doctor, discuss with him or her and start the medicine after their consent. Thank you.
Patient's Query
Hi doctor,
Thank you for the reply. I have a constant fear of dying. I feel cold and tremble, and sometimes I have heartburn and pain in my chest. I feel suffocated. I feel a sudden pain, and I start crying. It is getting hard to hold on to my tears. I have mood swings. Sometimes I feel like I am the happiest person alive, and sometimes I feel so depressed and feel as if there is no reason for me to be happy. Everything that I enjoyed doing before is getting irritating, and I have become lazy. I feel fatigue and do not feel like eating or working or doing anything. Emptiness is haunting me every time. I am getting frustrated because of all these things.
Hi,
Welcome back to icliniq.com.
I understand your situation. However before continuing your evaluation, could you please provide me the following information? Did you ever see a psychiatrist? Are you taking any medication? In the past, did you take any medications? If yes, then what kind of medications did you take? Are your symptoms episodic? If so, could you inform me about the current and previous episodes?
Patient's Query
Hi doctor,
I have never been to a psychiatrist, and have never taken any medications. I can feel the episodes myself. I know when I am normal like others, and feel different when my mood changes.
Hello,
Welcome back to icliniq.com.
By episodes, I mean, do you feel like this all the time or it is temporary? If you experience these symptoms intermittently, how long do these episodes last? If you always feel like this, how long it has been? Did you ever feel like you are too happy? Did you ever experience any hallucinations? How is your sleep? Do you think of suicide? Are you married? Who else lives with you in your house? Please answer the above questions, so that I can diagnose and treat you better. Thank you.
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