Q. I get intimidated by others, forget words, and start stammering. Why?
Hi doctor,
I am a 38-year-old male. I am married and I have a child. I have difficulty in sleeping at night. But I always feel sleepy. I forget things easily. I have low concentration and I am lethargic. I have confusion to take a decision. I have low self-esteem with low confidence. I feel like no one likes me. I am afraid to speak in front of others. I have shivering and sometimes stammering of words. I have sudden thoughts of death of myself and other family members. I suffer from PE. I am emotionally weak. I have tears from my eyes and I feel to have a cry after hearing anything emotional.
Hi,
Welcome to icliniq.com.
Your symptoms are typically seen in major depressive disorder. It is common to have it in 1 in 4 males and 1 in 8 females. It occurs due to reduced levels of certain neurotransmitters such as serotonin in the body. It reduces the stress-handling capacity of the brain. Medicines help in correcting this chemical imbalance. It can be taken for three or four months and then it can be stopped. It takes around a week to show its effects. Normally, SSRI (selective serotonin reuptake inhibitor) or TCA (tricyclic antidepressants) are given for your problem.
You can take either Escitalopram 10 mg once at night after food or Amitriptyline 50 mg once at night after food for resolving the issue. For sleeping, you can take Melatonin 5 or 10 mg at night. Try to follow sleep hygiene. Maintain a good temperature in your room. Do not use a laptop or watching television or phone one hour before going to bed.
Avoid caffeine, alcohol, or tobacco two hours before sleeping, and avoid doing exercise three hours before sleeping. Take warm milk at bedtime. Go to bed when you feel sleepy and avoid doing other activities. Use your bed only for sleeping or sex. If you do not get sleep, do not toss and turn. Get up and go to another room. Have a walk for ten to fifteen minutes. Then come and lie down back. Try to do deep breathing exercises and progressive muscle relaxation techniques such as yoga or meditation. It helps a lot.
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Thank you doctor,
Why do I feel low in front of others? I become nervous in front of others. I forget words and I start stammering. I feel unwanted. When I hear any emotional news, I feel to have a cry or my eyes starts to have tears. Do medications hamper my driving? Will it become habitual?
Hi,
Welcome back to icliniq.com.
Your symptoms are seen in depression. It causes low confidence. You also have social anxiety. In depression, there is an inability to process emotions properly and so you have tears. Taking medications will not become an addiction. Once your chemical imbalance is corrected, these medicines can be tapered off and stopped. Medicines help to reduce your excessive thoughts and it helps to have natural sleep.
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