PATIENT PROFILE
Age: 23
Gender: Female
Topic: Psychiatry
Chat Rating: star star star star_half star_border
Location: Chandigarh

I think m suffering from depression. I have anger problem, I always hurt myself cuts self harming. I have this issue from last 8 years. But nw this gets worse.

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.
Little interest or pleasure in doing things
Little interest or pleasure in doing things Several Days
Dr.
Feeling down, depressed or hopeless
Feeling down, depressed or hopeless Nearly every day
Dr.
Trouble falling asleep, staying asleep, or sleeping too much
Trouble falling asleep, staying asleep, or sleeping too much Nearly every day
Dr.
Feeling tired or having little energy
Feeling tired or having little energy Nearly every day
Dr.
Poor appetite or overeating
Poor appetite or overeating More than half the days
Dr.
Feeling bad about yourself - or that you’re a failure or have let yourself or your family down
Feeling bad about yourself - or that you’re a failure or have let yourself or your family down Nearly every day
Dr.
Trouble concentrating on things, such as reading the newspaper or watching television
Trouble concentrating on things, such as reading the newspaper or watching television Nearly every day
Dr.
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
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 Several Days
Dr.
Thoughts that you would be better off dead or of hurting yourself in some way
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.
Dr.
Good Morning xxxx! I am here to help you, please tell me more about your problem.
Hey doc! Honestly i don't knw what i am going through. I don't feel good I don't feel alive. Whenever m angry i'll harm myself and hurt myself so that my anger will come out. I don't feel good abt anything. Everything around me is just bad full of negativity. I don't knw what is happening.
Dr.
Okay xxxx
Dr.
Would you like to discuss this over a call
Not now pls. If u can help through chat pls help.
Dr.
Okay so you are more convenient with chat...
sure
Dr.
You wish to discuss this over a call?
Actually m in hostel and talking about my problem over call is not comfortable for me
Dr.
Okay no problem
Dr.
So you wish to continue over chat
The problem is I dnt knw what m going through
Dr.
So basically xxxx, you are feeling negative now a days and having suicidal thoughts?
yes From the last few months actually
Dr.
Okay
Dr.
Any particular incident happened and that's causing you this feeling?
Yesterday I was okay. I went to class met my frds everything was fine. But after class when i came back to my room I was alone I dnt feel like talking to anyone. Then i dnt knw wht happened I started feeling sooo sad soo low.
And yes yesterday i tried to cut my hand but failed bcz knife was not sharp enough
Dr.
Okay
Dr.
How frequently you get these thoughts xxxx
Nearly everyday
Dr.
Okay
Dr.
Have you consulted anyone before
No
Dr.
Okay
M afraid
consulting abt this
Dr.
What makes you take this decision?
Dr.
There is nothing to be afraid xxxx, don't worry
which decision ?
Dr.
Suicidal thoughts
Few incidents
Dr.
Decision regarding ending everything
Dr.
Like what
like family issues, relationship problems
Dr.
Okay
Dr.
Will you able describe in detail
like few months before my dad shifted to abroad for his job. And my mum nd me were there with my grandparents. after my dad my grandparents behave so weird so bad that i cant even tell anyone that this is happening wid me.
Dr.
Okay
My grandmom is so torturing mental torture u knw, that mum is helpless and m worried abt her.
Dr.
So how ending life is a solution xxxx
I don't knw
Dr.
Infact you need to stay strong for your mother ?
I tried each and everything
Dr.
Like what all you tried
Talking to mum regarding this. I thought if my mind will be calm then I can find a solution. I tried meditation but whenever I do so my head strts paining so bad. My mom and my boyfriend advised me to consult a psychiatrist.
Dr.
Okay xxxx
Dr.
xxxx, see in life we face lot of problems because of other people
Dr.
However we do not have control over their behaviour
Dr.
It's very important to keep fighting and face the reality
Dr.
Suicide is not a solution
Dr.
It will just make things worst for your parents or your boyfriend
Dr.
Or anyone related to you
Dr.
Though things are negative right now, it's not gonna stay the same way right
I just harm myself and i don't think i can commit suicide. Its just I punish myself
Dr.
You punishing yourself will solve the problem is it?
Dr.
Or it will make it worst?
this self harming problem started when i was 16 years old
Dr.
Okay
Dr.
You feel better after punishing yourself?
Yes
Dr.
But does it give you any solution
no
Dr.
Then how that's the right choice xxxx
I dnt knw.
Dr.
Exactly it is not
Sometimes I dnt even knw the reason of my anger
Dr.
No matter what how good you feel
Dr.
Let me tell you couple of techniques which you can try instead of harming yourself
Dr.
Will you try?
ok
Dr.
There is anger management technique called, hitting pillow... So whenever you are angry rather than hurting yourself you have to hit pillo
Dr.
Pillow
Dr.
Keep one soft pillow in your room
Dr.
Whenever you get these thoughts start hitting your pillow on the bed
Dr.
This will help you to vent out your anger
Dr.
And you will not harm yourself
ok i will try this
And how to bring positivity
Dr.
Also you can write negative thoughts and positive thoughts about the day
Dr.
This will help you to focus on positive things as well
Dr.
No matter how small they are, start writing it
ok
Dr.
You use to meditate right?
Dr.
Why don't you start again
Whenever I try to meditate my head hurts
Dr.
Then start exercising everyday... Even if it's just for half n hr
Dr.
Be active
severe pain the sharp one
ok
Dr.
If that does not suit you then it's okay
Dr.
Figure out alternatives
ok
Dr.
xxxx... Talk to someone when you feel angry
Dr.
At that time
Dr.
Either a professional or your boyfriend
Dr.
Do not be harsh on yourself
I dnt hv anyone
Dr.
You don't deserve to be punished for someone else's mistakes
Dr.
If no one is there then write down your thoughts
My boyfriend is my other prblm
Dr.
I will share suicide helplines details with you as well just in case if you require
Dr.
Okay
Dr.
What other problem xxxx
Can u help with this?
I wanna break this relationship but i cant do it
Dr.
Tell me xxxx, how can I help you
If i get rid of this relationship then i think my mind will be better.
Dr.
You there?
Dr.
Oksy
yes
Dr.
So why can't you do it?
Dr.
What's stopping you
Addiction may be
Dr.
Addiction of what?
Addiction of him. Its been 5 years
Its really hard for me to move on
Dr.
Then why do you think the relationship is causing all the problems
Dr.
??
Bcz when i was doing my grad. I never felt lonely depressed. But when he came in my life (we were in long distance relationship Then) he asked me to leave all my frds jst to be wid him. Nd i did it now I hv noone to whom i can talk
Dr.
xxxx see, you need to understand that what's more important for you
My parents
Dr.
If you feel that is something is not good for you no matter how hard it is for you to give up
Dr.
You have to learn to give it up
Dr.
It's your life and you have all rights to take decision for yourself
Dr.
Things are not always black and white, at times there is a midway
But how to move on how to forget
Dr.
Once you take the decision you will learn on yourself
Dr.
Focusing on career on other priorities will help you to move on
Dr.
Unless you don't start it, you will always get these questions how and what
Dr.
But once you take the decision you will learn to live no matter what
Dr.
But it's very important for you to take that decision
ok
Dr.
If you want to learn how to drive a car, you can't just wait outside and think how
Dr.
You are to take a lead and start it
Dr.
Unless you won't learn
Dr.
13:56: You have to take a lead and start it*
ok
Dr.
So will start doing the things we discussed?
Dr.
I have another session now... So we will wrap up this session
yes for sure
ok
Dr.
If you need to talk to me or need any help just reach out to me
Dr.
I am just a message away
doc jst one last ques
Dr.
If you feel like punishing yourself, just talk to me before you take any step
Dr.
Yes ask
Dr.
You can consult.. it will be helpful
ok i'll think abt that. thank u for ur help
Dr.
What you can do is observe yourself few days if still you are unable to control then visit one
ok
Dr.
Sure xxxx, no problem
thank u so much
Dr.
Do you have any doubts or wish to share anything more?
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