Suggest remedy for confused mind, mood swings and irritable behaviour
Patient: hi doctor, i am srividhyafrom 4 to 5 months i am not abel to take any correct decision.frequently my thoughts are changing and suddenly i get angry for silly reasons.i have a elder sister she was in us, and my younger sister also trying to go there from past 4yr i have no plannens to go. but suddenly i am getting jealousy on my sisters.i dont why.i am in relationship he is a gud guy but compare to my family status his family is poor and he spends lots of money for unnecessarily.i wont like that. At present i want to break my relationship and some time i dont want to break, i dont what exactly i want to do.please help me out Doctor: Hello, looks like depression is creeping up. it is better that you start some antidepressant like : escitalopram or sertraline in low dose ( 5 mg for escitalopram and 25mg of sertraline), and see how you feel. The effect usually comes in  two to three weeks. You may need a higher dose once there is  improvement to get 100% response.  it is best to avoid making any major decision in lie ( fro relationship etc. ), till you become better  as the illness may make you take wrong statements and wrong actions for which you may regret later. Hope the reply is usefulDr. Manisha GopalMD Psychiatry