Mental Disorders Online Doctors Consultation — page 2

Patient Name: Riya Age: 17 Date: 13 April 2025 Presenting Complaints: Constant headaches Overthinking Suicidal thoughts Inability to focus on studies Family conflicts causing stress Feeling of isolation and hopelessness Diagnosed / Suspected Depression History: Patient reports frequent tension due to family arguments and personal conflicts. She is unable to concentrate on her studies and feels overwhelmed by even small issues. Reports a strong desire to end her life and persistent sadness. No known physical chronic illnesses reported. Preliminary Diagnosis: Major Depressive Disorder (MDD) – Suspected Suicidal Ideation – Urgent concern Riya, if you're reading this: Tum bohot important ho. Tumhari zindagi kehti hai ki ruk ja madad mil sakti hai. I am here to help you Dr Shayeque Reza MD 9800280276 ( Whats app only) Age 26

You need proper monitoring and follow up treatment I can help you with that. These medicines does not work properly . Need to change your medicine. Don’t worry you will be fine soon. Thank you Dr Shayeque Reza MD 9800280276

Please explain your problem properly. Dr Shayeque Reza MD 9800280276

Hi Rozi, I’m really sorry to hear that you’re feeling this way. I can sense that the stress and frustration from being alone and managing things on your own are really taking a toll on your mental well-being. It’s completely understandable that you’d feel overwhelmed, especially when you're also missing your husband and trying to balance it all. Here’s a more personal approach to what you’re going through, with some ideas to help: **1. Acknowledge Your Emotions** First off, **it’s okay to feel this way**. You’re juggling a lot, and it’s natural to feel stressed and frustrated when you’re carrying those emotions alone. Being able to name and recognize what you’re feeling is a huge first step in moving forward. **Be kind to yourself**, you don’t need to have it all figured out. It’s alright to feel angry and frustrated sometimes. **2. Find Ways to Connect with Your Husband** I understand that your husband’s job keeps him away, and that can be really hard. Try setting up regular calls or video chats, even if it’s just for a few minutes. **Talking with him about how you’re feeling**—even though he might not be physically present—can make you feel supported and less isolated. You can share your frustrations and also plan small things for the future when he’s home, like a day out or a special moment together, to look forward to. **3. Managing Anger and Stress** You’ve mentioned that anger and frustration are coming up a lot, which is really common when you feel stuck. Let’s try a few simple ways to release that tension: - **Deep breathing exercises**: Take 5 minutes to close your eyes, breathe deeply, and exhale slowly. This can calm your nervous system and lower stress. - **Mindfulness or meditation**: Even 5 minutes a day can help clear your mind. Apps like Headspace or Calm offer guided sessions to help you relax. - **Physical activity**: Taking a short walk or doing stretches can release built-up tension in your body and improve your mood. Even a few minutes of movement can help you feel more energized and clear-headed. **4. Build a Support System** It’s important to reach out to someone who can help carry the emotional weight with you. **Friends or family members**, even if it’s just for a quick chat, can provide emotional relief. They care about you, and it’s okay to lean on them when you need it. If possible, you could also look into having a friend or family member stay with you for a few days to help break up that feeling of isolation. **5. Seek Professional Help if Needed** If your feelings continue to feel overwhelming and it’s starting to impact your mental health, I strongly recommend **speaking with a therapist**. Therapy isn’t just for crises—it’s a way to get practical advice on managing emotions, frustrations, and stress. A professional can also help with managing anger in a healthy way and help you feel less overwhelmed by your thoughts. 6. Practice Self-Care** When you’re in a stressful situation, it’s easy to forget to take care of yourself. But self-care is key to healing. You can try: - Taking a **relaxing bath** or spending time in nature to clear your mind. - **Pampering yourself** with skincare or doing something creative you enjoy. - **Setting a routine** for yourself, even simple things like having regular meals or taking time to rest, can bring a sense of control and peace. Suggestions for Anger Management**: You mentioned anger issues, and I completely understand how that can build up when you feel isolated. Some **anger management techniques** that might help: - **Count to 10**: Before reacting, count slowly to 10. It gives you time to pause and calm yourself. - **Physical release**: Try a quick release like punching a pillow, hitting a punching bag, or just shaking out the tension. - **Talking it out**: Sometimes when you feel frustrated, just talking it out with someone you trust can help release that energy. Take Small Steps Each Day:** Every small step towards managing your stress will help. Whether it’s a breathing exercise, calling a friend, or just resting for a while, each little act is a move towards feeling better. Be patient with yourself—things won’t change overnight, but each effort you make adds up. You're doing your best, and that’s enough. Rozi, you are not alone in this, even though it can feel that way sometimes. **You deserve support, rest, and understanding**. If you’d like, I can also help guide you with **stress-reducing techniques**, or **provide a more detailed self-care routine** that fits into your life. Just let me know! Dr Shayeque Reza MD 9800280276

Hey Aman! Don’t worry I am here to help you . anxiety and depression is common in young people nowadays. Take deep breathe whenever you get anxiety attack. You need counselling. Please contact me as it required proper treatment with lifestyle modification. Or you can get paid consultation.

Hi Nitesh, This is Dr. Aman Shaba. From what you’ve shared, it sounds like you’re under a lot of emotional stress due to ongoing family conflict. The changes in concentration, loss of interest, mood swings, and lack of motivation could be related to the mental pressure you're experiencing. We’ll need a proper evaluation to understand the full impact—how long this has been going on, how it’s affecting your daily life, sleep, appetite, and energy levels. This will help guide whether supportive care, stress-focused interventions, or medication might be useful. For now, try to maintain a basic routine—wake-up time, meals, and small daily tasks. If you're open, we can explore simple ways to manage the stress while planning further steps. Let me know when you’d like to take this ahead. Dr Aman Shaba Consultant Psychiatrist 7992489808

Patient Name: Myra Age: 20 Date: [13/04/25] Diagnosis: Anxiety, Panic Attacks, Insomnia, Low Blood Pressure, Elevated Heart Rate Rx: Sleep Hygiene: Recommendation: Maintain a consistent sleep schedule (sleep/wake times). Avoid naps in the afternoon. Create a restful environment (cool, dark, and quiet). Relaxation Techniques: Deep Breathing: 10-15 minutes of slow deep breathing exercises, especially before bedtime. Progressive Muscle Relaxation: Practice daily or before sleep. Meditation/Yoga: Try mindfulness meditation apps (e.g., Headspace, Calm) or gentle yoga for relaxation. Physical Activity: Recommendation: 30 minutes of moderate exercise (walking, swimming, light jogging) at least 5 times per week, preferably earlier in the day. Dietary Adjustments: Recommendation: Avoid caffeine, nicotine, and heavy meals 4-6 hours before bedtime. Light pre-bed snack (e.g., banana, nuts) for improved sleep. Drink herbal teas like chamomile or valerian root before bedtime. Cognitive Behavioral Therapy (CBT): Referral: Schedule an appointment with a licensed therapist trained in CBT for anxiety and panic attacks. Biofeedback Therapy: Recommendation: Consider biofeedback devices or apps for monitoring physical responses to anxiety (heart rate, muscle tension). Follow-up: Follow-up in 2 weeks for symptom review and adjustments if necessary. Monitor blood pressure regularly. * I haven’t prescribed any medication because it requires follow up and monitoring * You can take my paid consultation for further . Dr Shayeque Reza MD 9800280276

Hello Satwinder, I’m Dr. Aman Shaba. What you’re experiencing sounds like anxiety-related overthinking. When a thought triggers strong emotions, your mind spirals, leading to headaches, anger, and withdrawal. Try these quick tips: - Deep breathing to calm your system - Write down thoughts to break the cycle - Challenge assumptions—ask, “Is this really true?” - Stay active and ensure good sleep If this continues, a proper psychiatric evaluation can really help. Let me know if you'd like to take that next step. – Dr. Aman Shaba Consultant Psychiatrist 7992489808

Hi Ameena, Thank you for reaching out. I understand how difficult and tiring it must be to deal with these symptoms for so long. Right now, the most important step is a detailed psychiatric evaluation. This will help us clearly understand what’s going on and guide us toward the right treatment. Without a proper assessment, it's hard to plan anything effectively. Once evaluated, the right combination of medication, therapy, and support can bring relief. Recovery is possible with the right approach, and you don’t have to handle this alone. Please consult a psychiatrist at the earliest for proper guidance. You can Do online consultation too. Take care, Dr. Aman Shaba Consultant Neuropsychiatrist 7992489808