How can severe stress and depression be treated?
Patient: I am on 20 mg of escitalopram. I have had an extremely stressful 2017 with many deaths in my family. My daughter is now engaged to an abusive, controlling, drug user and dealer and has our 6 year old son in this situation. We raised him for the first 6 years of his life and now that she feels she has a man to help her raise him, she has taken him and the fiancé refuses to let us see or talk with him. I am devastated an do not know how I can ever be happy again. I worry about him constantly, I cannot eat or sleep. My husband and I are both in counseling and I know from that, I have no control over the situation, but it does not make my emotions any easier. I try to not go in public, mainly because it is so hard for me to have people ask me about my Grandson. I go to my Doctor tomorrow and would like to be able to help with the decision on what to do with my medicine. Do you have any suggestions. Doctor: hi madampresently, your still in depression. your sleep disturbances, loss of appetite, feeling low, wanted to be alone all indicate that your still continuing in depression and your not responding to tab escitalopram even with 20mg. but, you didn't mention from how many days your using that.if your using above dose for a trial of three months, it indicates that the medicine is not working for you and should shift to another antidepressant class along with cognitive behavior therapy. I also recommend you to investigate for thyroid profile. Also advise you to go for regular physical exercise.