PATIENT PROFILE
Age: 28
Gender: Male
Topic: Psychiatry
Chat Rating: star star star star_half star_border
Location: Hyderabad

Doctor I did an online self care test on DocsApp. They have sent you the results, please advise the next steps.

This is the PHQ-9 test, a globally used test to measure the severity of depression.Over the last two weeks, how often have you been bothered by any of the following problems? 1/9. Are you having little interest or pleasure in doing things? Not at all
2/9. Have you been feeling down, depressed or hopeless? Nearly every day
3/9. Are you having trouble falling asleep, staying asleep, or sleeping too much? Nearly every day
4/9. Are you feeling tired or having little energy? Nearly every day
5/9. Do you have Poor appetite or have you been overeating? Nearly every day
6/9. Are you feeling bad about yourself - or that you’re a failure or have let yourself or your family down? Nearly every day
7/9. Are you having trouble concentrating on things, such as reading the newspaper or watching television? Nearly every day
8/9. Have you been moving or speaking so slowly that other people could have noticed. Or, the opposite - being so fidgety or restless that you have been moving around a lot more than usual? Nearly every day
9/9. Are you having thoughts that you would be better off dead or of hurting yourself in some way Nearly every day
Dr.
Hi xxxx , Ms. xxxx will take up your case.
Hi doctor
Dr.
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Doctor, i dont get sleep easily at night, am not able to concentrate on doing things, my mind always stays in past memories, i always worries a lot on litle things, always feel lots of stress and pressure, it may be personal life or professional life, I lost interest in doing things Pls guide me.
Dr.
Good Morning xxxx ! I am here to help you, please tell me more about your problem.
I msgsd my problem doctor
Dr.
Hi xxxx
Hello madam
Dr.
Would you like to discuss this over a call
I feel hesitate we can chat if it's is confertable to you
Dr.
It's okay with me, however we recommend to have call consultation... But if chat suits you more then I am fine
Ok
Dr.
Hope you understand
Ok fine
Dr.
We can chat now
Doctor as I said above problems r my symptoms
My mind always thinks on past memories which gives trouble to me
Dr.
Yes so what I gathered is you are having depression synonyms like loss of interest, thoughts of self harm... Sleeping problems and lack of concentration
Dr.
Symptoms*
I always be stress and pressure a lot able to concentrate on work n difficult to fall sleep
Dr.
Okay
Yes mam exactly
Dr.
You also having suicidal thoughts!
Dr.
?
Sometimes I feel
Dr.
What do you feel xxxx
Suicidal thoughts
Dr.
Yes , can you elaborate?
I feel guilty on myself for past memories. I try to stop such thoughts even repeadlty thoughts will come in mind wich uncontrollable
Dr.
Okay
Dr.
What about your past memories?
Worries, stress and pressure will be more mam wat to do
Dr.
I understand xxxx...
Dr.
But you have to share it in detail so I can help you better
Dr.
Please share your thoughts about past
Dr.
Stress is gonna be part of life but it's very important for you to start dealing with it rather than giving importance to your past
Past memories Means whetever pain, or sad memories thru wich I suffered a lot, it may be helath upset, or crazy behavior during school days or college days etc. I feel paschatap
Dr.
Okay
Dr.
Tell me by thinking of all these, is it gonna change?
No mam practicaly I know it but I don't have control on my own thoughts
Dr.
Tell me one thing xxxx what makes you think you do not have control over your thoughts
Dr.
If you do not have then who has?
3 years back I suffered thru टीबी at that time I suffered a lot for 6 months. Now I recovered but during treatment wat I felt pain n all those thoughts coming in mind still
Dr.
See past is something which we can not change
Dr.
That must be difficult xxxx
Dr.
But what we can change is our present and future
Dr.
The pain stress tension gonna be part of life... But we have to see the future optimistically and start fighting for your better future
It's difficult to fall sleep at night mam
Dr.
Tell me what is your routine?
Mam I use to sleep night 12 or 1
I get up morning at 8am
10 to 5 office
Dr.
So that means you are able to sleep for 7 hours?
Dr.
Do you exercise xxxx?
No mam I want to exercise but for that also no interest at all
In 7 hours also no perfect sleep mam sometime 4or 5 hours sleep only
Dr.
Okay
Dr.
xxxx I will tell you couple of things which you need to start doing
Ok
Dr.
I understand it's little difficult but you need to take some efforts
Ok I will do
Dr.
Depression can get more difficult if you don't start working on it
Dr.
First thing first make a schedule for your day
Dr.
Everyday start doing small small things
Ok
Dr.
No matter how difficult they seems for you
Dr.
It can be going for a walk
Dr.
Or meditating at home
Ok
Dr.
Or working on something
Dr.
Or housecleaning
Dr.
Every day one small target
Yes mam,
Dr.
No matter what you have to set that target and try and achieve it
Dr.
Start exercise daily... Start with 20 mins
Dr.
Then increase slowly
One thing mam, sometime I feel due to over thinking I have become litle mental patient whether these symptoms true of mental illness?
Dr.
See giving up is not an option
Dr.
No xxxx
Dr.
These are your irrational thoughts
Dr.
And making you think negatively
Dr.
Once you change your lifestyle a bit you will feel better about yourself
Yes mam highly torture from my own thoughts all the time cant explain
Dr.
I understand
Dr.
Those are your thoughts and you have control over it
Dr.
When you are feeling too low, talk to someone
Ok
Dr.
Distract yourself from such thoughts
Ok mam
Dr.
The more you keep thinking negatively the more it's gonna be difficult
Dr.
Start things slowly
Dr.
But complete it no matter what
Yes mam even small things of homely work am not able to do total interest lost I use to post pond work
Dr.
Hmm I understand
Dr.
But as I said you need to start pushing yourself bit
Dr.
If not completely atleast do small small things
Ok mam
Dr.
It might take a while but slowly you will be able to control it
Dr.
When you feel low talk to someone
Ok mam
Dr.
Do not take any major step before talking to any professional
Any medicine I have to take?
Dr.
I am just a msg away
Dr.
Do you think you can try these on your own for few days?
Dr.
If you are still not able to do then let me know.. for medicines related help you will have to visit local psychiatrist
Ok mam I will not medecine
Dr.
Try these things for few days
Dr.
We will talk on tuesday again
Dr.
Then will see if you still need mediation or not
Dr.
xxxx no one is perfect... We have to keep doing things to make our life better
Ok sure I wil try to do whatever u said
Dr.
Dont worry you will be able to come out of this
Some relife am feeling mam after listening it
Dr.
I am glad xxxx
Dr.
It will make a lot of difference
Dr.
Don't worry
Dr.
Take care
Dr.
I hope you have the answers you were looking for, do check in with me tomorrow if any new questions come up.
Ok mam
Thank you mam for giving ur valuable time
Dr.
Do you have any doubts or wish to share anything more?
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