PATIENT PROFILE
Age: 22
Gender: Male
Topic: Psychiatry
Chat Rating: star star star star_half star_border
Location: Thiruvananthapuram

Hy doctor,I'm xxxx..I'm from xxxx..Through mangmnet quota I got a medical seat in xxxx.I joined in Mbbs 2016 ..I failed in regular,supply exams.Now I'm sitting for my exams with juniors..This is a good college,good staff..The reason for failure not tht I can't study...The problem is I'm the only odd one among all students..I'm the only one from different state.. Remaining everyone is from xxxx..Not even a single guy from my state or xxxx..I'm struggling to stay here..At first I thought somehow I ll adjust here..But day by day it's becoming worse..I'm acting in front of my parents,frnds,teachers that I'm hppy but inside I'm dieing daily..Not my state,not my language..Difficult to communicate..Can't even eat food properly ...I couldnt concerate on my studies..I use to cry daily..in front of mirror..I'm a guy don't like to share with anyone..after coming here condition became worse..I became phsyically weak, mentally weak..Headache, depression,no one here to share my feelings..I'm just closing my room door laying on bed..and thinking about my people..Everytime..No proper food,mentally physically became weak,daily use to cry,no one to share my feelings, depression,not intrstd to do anything,dieng inside..I became so so alone,Once in year that too 10 or 12 days I LL be in my home..Worst condition could anyone get like these,I left all my family,freinds,food,language even my state...Which made me more more sad...I'm struggling from this from 2 years.. I thought to share this with my parents..But I'm afraid how sad they will feel...they spent lot money to study me here..Feeling so so so alone...To overcome this loneliness I use to use phone,YouTube I thought somehow I ll adjust ...Whenever feel sad phone will be with me..But soon I understood that..this all are only temporary hppns..Can't sleep at all..I couldnt sleep till morning 5 ..I use to walk alone in midnights and just thnkng ..how alone I'm..I lost interest in everything..I use to skip brkfst,dinner sometimes even whole day I ll stay without food..With these condition again almost my freinds here passed in exams and studying 2 yr..I became more and more alone..My parents are sad about my education.. Teachers just left me..Whole world became against me..I feel like I'm in a puzzle..where I can't go out..I feel like I'm in a jail..no one to share, actually I love to study medicine..but I lost interest in studying it..even before my final exams I won't get interest to study..not because I don't like..This mental condition made me like this...If I stay here for more years..soon one day I ll become mad or I ll go into heavy depression or may be suicide .The only thing which can't get rid of these everything is...I ll quit from this college..not course..and I ll prepare so hard for NEET 2019 and I ll get a mbbs seat in my xxxx state..I ll be so so so so happy..My people,my college,my friends ,my language,my food,...I ll be so so so hppy...But sir is this a good decision?? leaving the course here??why should I act in front everyone as a I'm happy and dieng inside like these..If I study in my state with my people..I will be so happy to study medicine again

Dr.
Good Evening xxxx!
now
Dr.
call is preferred
I'm in class doctor..I ll be okay with chat
just for 15 min
Dr.
I need to read your problem
Dr.
please wait
ya thank u doctor....
Dr.
I will respond as soon as possible to chat with you
sure okay Doctor
Dr.
thanks for cooperation
fine
Dr.
I checked your problem
Dr.
it seems severe depression
Dr.
have you asked for professional help over there?
Dr.
giving NEET again can be option...
Dr.
but it needs detail counselling and discussion
Yaaaa
I'm planning
give again a attempt
Dr.
but it may not be option
no noo
if I talk with my parents
is medicines are necessary
disscuss my problem??
Dr.
yes
Dr.
You seem to be in depression with anxiety features. You should be treated for the same. Treatment includes medicines as well as psychotherapy. Medicines include some anti anxiety medicines like etizolam to make you relax and reduce your thoughts and give some immediate relief. And other medicine is antidepressant like Desvenlafexine which will gradually improve your mood, and reduce anxiety and will make you stable to take proper decision about future. In psychotherapy CBT- Cognitive behaviour therapy will help you. I have suggested following links and book for the same. Even psychologist/psychiatrist who can provide you psychotherapy he/she can provide the CBT also. Yes if you are comfortable through phone you can ask to customer care docsapp to provide you the same as few psychologists are available or you can consult someone locally. Approximately 4 to 6 sessions one per week or 15 days will be needed at most. Even if you feel some improvement after 10 days of medicines you can continue with only medicines also. We can then increase the dose to optimum level. We can stop the medicines when you feel complete improvement by tapering the dose. Feeling Good by David burns a self help book for depression You can try online CBT with following links https://moodgym.anu.edu.au/welcome http://serene.me.uk/ Or you can also take counselling sessions through DocsApp You can use some measures called 'sleep hygiene' which would help in sleep. You can find the same in below link. sleepfoundation.org/ask-the-expert/sleep-hygiene Drinking a cup of warm milk before going to bed helps in 30-40% of patients and they do not need medicines as per my clinical experience. Follow healthy lifestyle. This includes regular daily exercise (walking or running), hygienic food habits (no junk food, no fatty food, preferably only home-made food with law salt and fat with more fruits and vegetables) and timely scheduled sleep. Yoga- meditation can also help.
is it good option to leave this college
Dr.
I sent a treatment approach
Dr.
we can not say it is a good option or bed?
I'm not leaving the course
I love to be a doctor
Dr.
*bad
but if I stay here
my condition
will be like these
Dr.
yes that is got it
Dr.
but it will be a big decision
if I somehow stay here..the condition will be same for 5 yrs
Dr.
need to think overall
if i work hard
for one year
Dr.
me like if you cannot crack NEET then?
and get a seat in my colllege
Dr.
if you are confident you can go ahead
I ll be so hppy right!!
yaa doctor that's wht I'm thinking
I have confidence tht
if I work hard
I can crack
Dr.
good
Dr.
then discuss with your parents
Dr.
start the medicines for good study
My parents don't know about my condition
Dr.
I will prescribe after answering your queries.
of my parents I ll make a decision
but it's do or die decision
To be happy i should take risk
otherwise I should suffer for 5 yrs like these...
Dr.
ok..
Dr.
but do not delay now
Dr.
as only 3 months are there
Dr.
or sorry
Dr.
you are telling 2019
Dr.
why do you not want to try in 2018
yaaa
2018 its finished doctor
so I'm planning for Feb,may 2019
2 times now everyone had chance to crack
Dr.
ok...
why I'm not getting sleep doctor??Most of the time
I LL be sad
although somehow
I ll try to move with freinds
I can't be hppy
Dr.
this is depression
Dr.
Major Depressive Disorder
is it a serious problem??
Dr.
you must not do any self harm
Dr.
life is precious
Dr.
DocsApp prescription
Dr.
Not to worry xxxx, take the medicines that I have prescribed. You will feel better. If you need any help, I am right here.
Dr.
Thank you for consulting me through docsapp
Dr.
Take care.. Wish you good health
Dr.
Please do not hesitate to ask your doubt or query.
sure doc
thank uu
Dr.
Welcome
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