Sudden silence, stumbling for words, confusion, blank mind. Have taken many medicines. No relief. MRI, xray normal. Suggestions?
Patient: happy gud noon doctor.....i am Shivani..age 24...i have some mental problem...now i am consulting government mental hospital doctors..i m a middle class ..single..Now i am taking Fluoxetine Capsules. i itself avoided sleeping tab . i will sleep normally but not a gud sleep.i searched in net this tab would be taken in condition as major depression my problem's are 1. most of the time's in silent.2. cant able to speak normally. (i know 1ly tamil lagu but it itself i have more difficult to put words in correct situations). blank mind. while speaking in between times will be silent in myself and thinking what i am saying or telling to opposite person. i itself ask them ' what i am speaking or telling now"..?  3. unknowingly sudden tear's came.4. Unknown Fear5. chest pain6. Headachemy family friend said please go to consult Dr. rangarajan Psychiatrist in chennai. i dnt have a money to spent. i dnt want to take medicine's too. i took more medicine's with in 3years..they took mri eeg ecg xray everything will be normal.. now i m doing yoga too... but they itself told please go to doctor.above conditions are there in 2010 onwards... i went psychiatrist and neurologist Dr. Sekar in chennai he 1ly said took mri (headache) den he gave me more medicines that time i dnt now to ask for what i will take this and that?...he just told me ''u must take these medicines otherwise u will be more trouble in future(operation)".s my headache will be gone...other neurologist government doctor said 'u no need to take this medicines at this age' each day 10 to 15 tabs...i spent more money to him also...why they are like this????????? am i a rat???? or what???? now i have 1ly little problem (rarely silent in myself, block in my chest, unbelievable dreams (so that in my wokeup time i will be more tired)...i am confused a lot....Please give me a correct solution for my problem.....!!!!(without medicine)i think can i do my yoga practices it itself OK or not? Doctor: Hi,Thanks for using healthcare magic.I have gone through your available history.You are having major depressive disorder. Physical causes like thyroid dysfunction, vitamin B 12 deficiency or anemia should also be rule out.You may get benefit from medications as well as as counselling.Fluoxetine is very good, potent antidepressant drug. Usual dose of it is 20-80 mg per day. If taken under proper supervision, it should not harm you in future or you may not get addicted to it also.You should also continue to do yoga, stress management and relaxation therapy like breathing exercise.I hope It will help you.Thanks.