How to treat severe depression?
Patient: Well I wanted to know if I had insomnia. I have a really hard time sleeping at night, even if I know that I have to wake up early the next morning. On weekends I can sleep for 12 hours or more. On school days i go to sleep and 3 am and wake up at 6 am. I sleep in school and crash when I go home, I'm not usually irritable but I get that way sometimes. I'm really scared for my health to be honest. I'm 16 years old. I believe I've suffer from severe depression. I am very stressed and weirdly scared of the dark lol (I'm too old for that) but I sleep with the light off sometimes, but I am a little paranoid with it. I see weird things sometimes in the dark. Tell me if this is normal or should I talk to a doctor or therapy. Doctor: HiI understand your cocern.Severe depression can be treated with antidepressant and psychotherapy.ECT means electro convulsive therapy is the choice in severe depression with suicidal thought.Antidepressant like SSRI is useful. SSRI mild dose of escitalopram and paroxetine like drug is very usefulBut before taking this medicines you have to consult psychiatrist and evaluate your self.Insomnia can be treated with zolpidam 10 mg or bnzodiazapin like clonazepam or diazepam.But do take advise.Thank you.Get well soon.Both ECT and antidepressant will helpful to recover from depression.Choice of drug can depend upon symptoms and severity.