PATIENT PROFILE
Age: 34
Gender: Male
Topic: Psychiatry
SubTopic: Anxiety
Chat Rating: star star star star star_half
Location: Bhopal

I am always stressed always having bad thoughts and struggling with unknown fears.I am thinking I am suffering from depression.

Dr.
Hello xxxx, Welcome to DocsApp! I am the doctor’s assistant. Before your consultation with the doctor starts, it is important that you answer the following questions.
Dr.
Do you have any of the following conditions?
Do you have any of the following conditions? None
Dr.
Which of the following is affected due to your condition?
Which of the following is affected due to your condition? Sleep
Dr.
Hi xxxx , Ms. xxxx will take up your case.
Dr.
Good Morning xxxx! I am here to help you, please tell me more about your problem.
I think I am suffering from depression.I have lost my self confidence
Dr.
Looks like you are going through a tough time..
yes
Dr.
Please take the depression test a available on the app
Dr.
And send me the results..
ok
Dr.
So we can discuss this
how to go through
Dr.
How to go through what?
depression test
Dr.
It's available on the home page
Dr.
Under self care
Dr.
Else if you contact customer support they will help you..
ok
Dr.
Shall we go ahead with our session?
yes madam
Dr.
Shall I call you? Or do you prefer chat?
Dr.
Call or text*
text
Dr.
Alright..
Dr.
You mentioned you are feeling stressed
Dr.
Could you tell me more about this
Dr.
Why you are stressed, since when.. what is causing it
I always having negative thoughts
fear of something will happens bad
Dr.
Okay, what type of negative thoughts
Dr.
Can you give me example of these thoughts
Dr.
Like anticipating something bad will happen? Like?
ok madam
Dr.
Alright would you like to continue in English then?
Dr.
Okay can you explain your negative thoughts?
Dr.
You are scared something bad might happen in the future?
I am always surrounded with fear in office for small mistake I fear of loosing jobs.for small issue I fear of loosing my family
Dr.
Okay.. that must be a lot of anxiety you are feeling
Dr.
These anxious thoughts are preventing you from sleeping?
Dr.
Does it stop you from doing your proper work in the office?
no
but I don't feel free
Dr.
Okay.. it's just a feeling of anxiety that you are not able to control..
Dr.
Alright..
it affects my work
Dr.
How does it affect work?
Dr.
In what way?
I think because of that I don't take right decision and it affects relation with colleagues
Dr.
Alright..
Dr.
Since when have you been feeling anxious?
Dr.
Since when have these thoughts been there?
it is years ago
Dr.
How many years?
Dr.
One year? Ten years? Since childhood?
I spent my 2 to 3 years with extreme torture at 1996 to 2000
Dr.
What happened during that time?
Dr.
This was school years?
I spent my these 3 year without my parents
yes madam it was school days
Dr.
Okay.. where were your parents?
I was separated due to some reasons
Dr.
Aly
my mother kept my self in their parents house
Dr.
Alright
Dr.
Okay . Must have been very difficult for you
Dr.
Alright so xxxx what you are telling me now is symptoms suggestive of generalized anxiety.
but their behavior took my self respect and confidence
Dr.
I can imagine how hard it must have been for yoh
Dr.
The best way to treat it is a combination of medication and therapy. Neither works in isolation.
it is too complicated and I am trying to recover
now I have less friends and unsocial
Dr.
I can understand how difficult it is making your life.e.
ok madam
Dr.
In addition to these symptoms you are also experiencing some symptoms of depression as well
Dr.
It could be your experience with this taht is causing you to feel low and sad
Dr.
And a lot of people experience depression in addition to anxiety..
yes madam
Dr.
With anxiety it's very important to learn to control your thoughts
Dr.
If you don't control your thoughts, your thoughts will start to control you
yes
Dr.
And in our sessions we'll work on learning to recognise and identify anxiety inducing thoughts and then learn to tackle them..
Dr.
Do you do any meditation or yoga?
no
Dr.
It will help if you start.. maybe if you can join classes
Dr.
On a daily basis
Dr.
Yoga and meditation helps to make people more calm and relaxed.
Dr.
It also increases mindfulness
Dr.
And mindfulness is necessary to learn how to start controlling your thinking
Dr.
See if you can join classes near by
it is a small place
Dr.
Or if you know anyone who will come home and teach
I will search
Dr.
Okay then for now, you can start with deep breathing exercises..
ok
Dr.
This will improve relaxation too.abd help you to learn to focus inwards on your breath and thought
Dr.
These skills are very important
yes
Dr.
As it is the foundation and basis for the skills you will learn later
Dr.
To control and manage your thoughts
sure
Dr.
Alright.
Dr.
Also make sure you start maintaining a healthy lifestyle
yes I will start yoga with medication
Dr.
Meaning good food, proper sleep and physical exercise on a daily basis
Dr.
This will help you get your physical strength up, so you will be healthy and have more energy to start dealing with mental health
Dr.
Good.
Dr.
Keep yourself positive
Dr.
And everytime negative thoughts appear, push them out and think positive
ok
Dr.
Great. Any other questions or thoughts you have now?
besides these what other things to do
Dr.
For now focus on these..
ok madam
Dr.
This is a step by step process
Dr.
It's is also a long process
ok
Dr.
But if we work on it step by step it will help..
Dr.
Because once you master teh skills of being mindful
from today I will start
Dr.
This.mindfulness will help in learning to identify thoughts, called metacognition
sure
Dr.
Once your re able to complete the steps of meta cognition, then we can start challenging these unhelpful thoughts
ok
Dr.
Once you start challenging these unhelpful thoughts, we can start making behavioral changes
Dr.
So it's a step by step process
Dr.
Nd the sooner you start teh better it will be
I will try from today and will be in contact with you
Dr.
Good
Dr.
Stay positive
sure
Dr.
Alright. After you consult with a psychiatrist, if you connect again we can continue with therapy
Dr.
Alright. After you consult with a psychiatrist, if you connect again we can continue with therapy
Dr.
So you have anymore questions or shall we end the session?
I have to consult ???
Dr.
Don't worry anxiety and depression are totally treatable and people can live with out it affecting their lives.
Dr.
With a psychiatrist, yes. I mentioned it earlier.
Dr.
For medication.
where
Dr.
If required
Dr.
Psychiatrist will evaluate and prescribe
Dr.
You can consult offline or online. Where ever you are comfortable.
Dr.
Big hospitals will have good experienced psychiatrists.
Dr.
There are psychiatrists on DocsApp too
how to contact online
Dr.
They will help
you are also psychiatrist
Dr.
I am psychologist
Dr.
Not psychiatrist
Dr.
Yes
Dr.
It says "ms xxxx"
Dr.
It doesn't say "dr xxxx" right? I am a psychologist. Not a psychiatrist
ok
Dr.
I am a psychologist, and I have specialised in clinical psychology. Please read my profile as well.
ok madam
Dr.
Alright
Dr.
Do you have anymore questions or shall we end the session?
wil end
Dr.
Alright.
Dr.
Remember stay positive
ok
Dr.
And the key is to start controlling your thoughts
sure
Dr.
Alright, take care xxxx
thanks
Dr.
Do you have any doubts or wish to share anything more?
Dr.
Most welcome xxxx, hope you feel better soon
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