Depression is a mental illness which results in feeling sad, loss of interest in daily activities, irritability, mood swings, and sleepiness. It is a state of mind which develops over a period of time due to various reasons. A depressed person might have difficulty sleeping, loss of appetite, weight loss, fatigue, and might get suicidal thoughts.

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I have been taking tablet Paxil for some time, but it makes me feel tired. Is there any other alternative for this?

Query: Hello doctor,I just started taking tablet Paxil, and thinking if I should consider tablet Wellbutrin as Paxil makes me tired, which is the opposite of what I want. Kindly help.  Read Full »

Dr. Ramchandra Lamba

Answer: Hi, Welcome to I understand your concern. Tablet Paroxetine may cause sedation and tiredness during the early part of the treatment. If you cannot tolerate it, try another drug from the SSRIs (selective serotonin reuptake inhibitors), such as Fluoxetine. You can try the tablet Wellbu...  Read Full »

I suffer from depression and I feel like I have lost connection with myself. Is it due to a brain disease?

Query: Hello doctor, I suffer from depression and I feel like I have lost connection with myself, my memories, and my past. I feel very numb. Am I having some brain disease?  Read Full »

Dr. Ramchandra Lamba

Answer: Hello, Welcome to The symptoms described by you can occur in many conditions such as anxiety disorder, depression, or even with brain disease. So you need to be evaluated by your doctor to find the exact cause of your symptoms. Other than this what else symptoms do you have, like...  Read Full »

My friend has some issues with her classmates, due to which her grades have dropped, and she constantly cries. How can I help her?

Query: Hi doctor,My friend had some issues with the other student in the class, and she kept everything within her and cried every day. Her grades dropped, and she started behaving dumbly. Most of her classmates do not speak to her. She has changed a lot. Her parents keep pushing her in academics. They yel...  Read Full »

Dr. Ramchandra Lamba

Answer: Hello, Welcome to I understand your concern. It may be because she might be suffering from adjustment disorder or stress-related disorder, or depression or even it may be secondary to medical conditions such as Thyroid dysfunction, endocrine disorders, etc. She needs to take help from...  Read Full »

I have loss of sexual energy and stamina. Do I need medications?

Query: Hello doctor, I am currently facing the problem of total loss in sexual energy and stamina. The body feels very tired and energy-less. Do I have to take some medicine for it? I have been watching lots of porn for years now but have stopped it. There is no stamina left. Is this something serious or I...  Read Full »

Dr. Ramchandra Lamba

Answer: Hello, Welcome to Yes, you need treatment for this but before that, you need to be evaluated by a doctor to find the cause of it. As medical conditions such as diabetes, hypertension, thyroid dysfunction and psychological conditions such as depression and anxiety can cause such sympt...  Read Full »

I am taking medications for depression, but I am having night terrors and sweats. Why?

Query: Hi doctor, I have a history of antidepressant-induced psychosis once, and LSD-induced psychosis. And depression on and off for a long time. I have been on Effexor XR 225 mg for six to eight weeks, slowly increasing over six weeks. Lithium 250 mg, I have added Olanzapine 2.5 mg now 5 mg at night and ...  Read Full »

Dr. Ramchandra Lamba

Answer: Hi, Welcome to Sometimes, an increased dose of tablet Olanzapine (an antipsychotic medication) can cause you these side effects. You need to reduce the medicine dose back to 2.5 mg. Also, keep a watch on your weight and blood sugar, as this can also be increased. I would suggest you t...  Read Full »

Can you kindly help as I have lost my will and energy and cannot concentrate on anything?

Query: Hello doctor, I am 17 years old. I was quite a good-scoring child in high school, but now I cannot focus on anything. I thought to have a very positive approach, but now I lost my willingness and energy. I have also suffered from depression for over three years and am suffering from it presently. I ...  Read Full »

Dr. Ramchandra Lamba

Answer: Hello, Welcome to It seems that you are again going through depression. So consult a psychiatrist in person for evaluation and management. Besides Medicines, you need to do the below-mentioned things, Go for a regular brisk walk. Take healthy food. Do exercise. Spend time...  Read Full »

I have had a history of severe recurrent depression, which was under control by medications, but I have again developed depressive symptoms. Kindly help.

Query: Hello doctor, I am a female and I have been suffering from severe recurrent depression for over three years with feelings of hopelessness and worthlessness, suicidal and self-harm behaviors, anti-social behaviors and social withdrawal, low mood and self-esteem, and increased appetite and sleeping. I...  Read Full »

Dr. Ramchandra Lamba

Answer: Hello, Welcome to Thank you for your query. Mirtazapine and Bupropion combination is a good option for you except that Bupropion can increase anxiety symptoms. Similarly, Venlafaxine can be added but there is a risk of serotonin syndrome and it can also change into bipolar affective ...  Read Full »

I have extreme and unstable emotions. What is wrong with me?

Query: Hello doctor, I am a 23 year old female, 5 feet and 8 inches, 285 lbs; currently taking Seroquel 100 mg at night and Adderall 30 mg on days I have to work. I have a history of depression, anxiety, self-harm, drug abuse, obsessive thoughts, and chronic fatigue. I have gained 40 lb weight in the past ...  Read Full »

Dr. Ramchandra Lamba

Answer: Hello, Welcome to I have gone through your problem and understand your concern. I understand you were diagnosed as suffering from borderline personality disorder (BPD) and responded poorly to treatment despite multiple medications. In BPD, usually, you do not respond to medicines. Y...  Read Full »

I feel depressed and irritated these days. Why so?

Query: Hello doctor, I am feeling empty and irritated these days. I do not want to interact with any of my friends and family. I feel depressed and cry without any reason. I want to stay isolated. Please help me. Thanks and regards.  Read Full »

Dr. Ramchandra Lamba

Answer: Hello, Welcome to I went through your query and understood your concern. I think you are probably suffering from depression, a disorder characterized by low mood, irritable mood, sleep disturbance, feeling of guilt, hopelessness, helplessness, loss of interest in a pleasurable activi...  Read Full »

I have lost all the zeal, nothing makes me happy. Please help.

Query: Hello doctor, I have lost all the zeal, nothing makes me happy. I am always in a mood to cry and being around friends does not make me feel better anymore. I have started eating less, sleeping more, and though I try to concentrate on my studies, it is of no use. I cry whenever I am alone. I have bec...  Read Full »

Dr. Ramchandra Lamba

Answer: Hello, Welcome to These symptoms point towards depression. So, get an appointment with a psychiatrist and get yourself evaluated for the same. Get thyroid function test, routine blood investigation, and blood sugar done. Also, do maintain sleep hygiene. Thanks and regards.   Read Full »

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