Suggest treatment for depression and to increase concentration
Patient: Dear Sir, i'm feeling tired all the time, i'm feeling depressed, i can't concentrate i got married two and a half years ago. after marriage i gained 6 kg and when i got pregnant i gained 24 kg. my girl now is one year old.  my Weight movement:  i lost 16 kg using protein diet in 10 weeks  - i lost 4 kg by a nutritionist diet and having sports 3 times aweek - i still have 4 kg but i can't control my food anymore, i don't have energy to do sports.  my life: -i was working and my income was more than great but my parents needed most of my salary, after getting married i stopped working full time job i'm working partial time job and i get payed once a year and give all the sum to my parents since my husband isn't rich but have his medium society and has a gooood income - i'm not happy in marriage because i feel that i need to beg love from him and remind him that i exist. he works from 8 till 8 either when he comes back he sleeps or go to play card with his friends, all we talk about is asking me to prepare him sometimes dinner, he is kind but we rarely talk - there is 12 years between me and my husband i'm 26 he is 38 when i knew him he was alot younger in shape and spirit, now i'm feeling the difference and he is feeling that he is getting close to 40 without saying it i know what he is thinking about, we go out once a month with his friends (i'm not enjoying being with his friends anymore they are all arround his age, and make me feel old though they are very kind and when we go we go for dinning and dancing but i need this crazy feeling of being young) - sex is the worst thing in my life, as i mentioned i feel i'm begging for some tender kiss or hug, most of time he is tired or he feels that he ate too much, when i get sad he calls me for sleeping next to him and hugging me, when he is at home he sleeps in front of TV, and when i ask him to sleep in bed next to me most of the time he shouts, and still i insist to call him, because i need this hug before sleeping. - when having sex i get satisfied but like a robot i have to receive and can't give, i other words i'm not allowed to touch him or suck his penny, or kiss any part oh his body unless a frensh kiss and touch his "boobs" to help him getting his back... - he doesn't care if i was waring sexy or not he finds me beautifull when in a party every body complemets me, and when i pass infront of someone he can't takeof his eyes on me, it starts to give me a good feeling when a whole table looks at me when i pass (i know i'm beatifull and he married me because of being it + later on he found that i'm clever and well educated and i have the character of the girl he wishes to live with) - even when i prepare food, many ask me the recipe then he tells me that my food is good, if we were alone either he says it is regular or he says it is simple to cook and what i did is almost nothing. and since i'm always on diet i can't try what i do! - to forget and not over-think i thought to continue studying, when i achieve this year, next year i'll start preparing for the PHd, (in computer engineering) i will be havin in 10 days to deliver a 30 pages report + some tasks in a common project + 2 exams, there is still alot to do in the report, i'm having some problems with the team in the project tasks, i can't study for exams unless at night when my daughter sleeps because she's full of energy.  - i don't sleep well, i send my girl to my mother in low the morning either to study or to go to my work, and i get her around 14:00 to go to my mother i have my lunch at my mother's place she is so demanding, i hate going to her because she makes me feel tentionned, since if anyone arround the world do anything with their husbands she wants me to apply it with my husband. and usually i don't accept any interference in my personal life so we end by a small fight and i'm always wrong, and if i don't go to her she gets sad and i don't like to make her sad. (knowing that i always had problems with her but it ends up with satisfiying her) and i can't even tell her that i'm having an unhappy life because they were against my marriage because my husband and i, we are from two different religions. besides she feels lower than my husband, and she thinks that he is arrogant, when the problem is that he has communication problem, and he is not that much richer than she is but se under estimates her sitution. a new complaint to make pressure on me - i'm neglecting my house, i can't kleen it the way i want - i forgot how the shopping in life is  - i feel that i'm not giving enough care to my girl - i can't concentrate or study anymore - i feel exhausted  - i need help  pleaaaaaaaaaaaase help Doctor: Hi, thanks for the query;you indeed have a long list of problems & seems like not only you but also your husband is also suffering from depression or some form of stress related psychiatric disorder. First & foremost you 2 need to get together & consult your GP/Psychiatrist about these problems so that he/she can refer you to a Psychologist/counselor for systematic discussion & solution finding for these problems. This type of counselling is popularly known as family therapy or marital therapy. In addition you two also need medications to help improve your mood, your tiredness, sleeping difficulties & to boost your sexual life. Many antidepressants like bupropion, agomelatine, SSRI drugs (depending on your clinical profile) can help  you with these. Hence Consult your Psychiatrist ASAP or get back to me for further assistance Hope this helps; good luck