Hello,
Thanks for posting your query at DoctorSpring.com
I have gone through your question in detail and I can understand what you are going through.
You are definitely caught between the relationships and there is no way you can pacify both your wife and your mother. It would be wise to continue to stay separately and meet your mother as and when possible. You and your wife should consider meeting a marriage counselor and get the counselling done. This may involve some 8-10 face to face sessions and this will aim to improve the marital relationship between you and your wife. Further from what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep.
If you are averse to the drug therapies then there is also an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.
Hope this helps,
In case if you have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy
Patient replied :
Dear Doctor,
Thank you very much for your feedback.
One thing I forgot to mention you is myself and my wife work in same office and she is office manager and myself as R&D engineer.
My boss sits at Dubai and all the other employee left the organization long back due salary and other issues.
Since the business is not so good and only few small projects required for Dubai that too rarely, there is no new staff appointed.
Now my wife made me to sit at home and not letting me to go anywhere. We will be online on office hours, so my boss thinks we are at office only.
Whenever required she alone go to office and I become like house arrested. The only way to explore to outside world is via internet. Even for purchase of groceries etc also she only get it done.
With current situation, it’s difficult for me to have sittings with psychiatrist. I need to help myself to come out and help my wife also to be alright.
The only way I can see to come out of this situation is, somehow I need to get another job.
But I am unable to prepare for any interview also due to the depression and anxiety.
Request you to kindly suggest dosage of mediation with fewer side effects so that I will take it along with regular exercise to improve from my depressions.
Also it’s difficult to make my wife and mother in law understand about marriage counselor. As they feel family issues should not be discussed with 3rd person.
I will try to rectify the situation myself, once I myself out from the current situation.
Regarding tablet kindly suggest with dosage/timing details along with duration it needs to be taken please.
Thanks & Regards
Jayamohan.M
Hello
I agree that your depression has to be taken care of at first. However at Doctor Spring, its an online consultation forum and legally we are not supposed to prescribe your medicines without physically examining you. This rule is meant for the safety of the patient and the doctor. Sincere apologies for the same.
Normally when such a patient comes to my clinic, I prescribe him Tab Nexito 10mg to be taken at night after dinner daily for 2 weeks and then reassess him after 2 weeks to look for the improvement.
Kind regards