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Asking for Other, Female, 18 years old, Karachi, Pakistan.
Hey. Its me asking help for my friend who is 18 and had a recent heartbreak. (Generation nowadays, i hope you understand) She is suffering from serious depression where she cries all day and night. She cant sleep at night. She cant concentrate on her studies. She tried to kill herself for two times but Allah saved her. Alhumdulilah. Its been six months she has been suffering from this. She hardly smiles. She doesnt talk to anyone. This has hit her hard. She wants the person (boyfriend) back, but we as a todays generation fall in love and never think about ourselves. She wants some serious medication. She doesnt even eat anything. She shouts all night. She get worst nightmares. Please help :)
Thank you for considering this platform for the help.
First of all these symptoms are consistent with Grief reaction, Acute Stress Disorder and could be Depressive Disorder i.e. Depression depending on the period of time and tge extent of emotional trauma
There are few inquiries which are to be made to manage her, i would like to know, how much time has elapsed since break down of her relation ship?
Does that act of suicide was carried out in isolation or?
Does there family history of Depression in the family?
Does there any history of use of substance of addiction in this particular time period?
What are her family dynamic and emotional support system in family?
Her amangement inclue,
1) Keeping a vigilent eye, she can again carry out the act of suicide.
2) Strengthening her Social dynamics.
Ventilating her emotions in a non-judgemental way, strategies must focus on solving her problem if there are chances of re-settlement or any issue to be resolved?
3) Support from the family.
4) Encouraging hope and promoting her focus on the positive aspects of life.
5) Telling her to take care of her hygiene and routine by not loosing hope at all.
Let me explain, You have to take care, she must not feel blamed for all this, and encourage her to re-start her social life, so that she can get social stimulation, this is the way to overcome her state and to overcome distressing thoughts.
This is very necessary to ask about the suicidal iseations if she has yet?
Provide her calming and caring environment.
As far as the pharmacological treatment is concerned, the drug can only overcome her sumptoms not the inderlying causative factor. Check and make sure all of this and kindly let me know.
Patient
Post Owner
We all try our best to make her feel secure and happy. But this doesnt help yet. We even changed her environment, from one city to another. But still nothing helps. She cant sleep at night. She blames herself for all of this. She keeps degrading herself etc.
Dear doctor, which drug can overcome this state? I would have surely come to you to have direct meeting but this is really hard at the moment this is why i’m talking to you online. Any other questions? You can ask me? Plus any other suggestions for her? She doesnt even take her proper meal.
5 years ago
Encourage her oral diet, specially liquids so that she remain hydrated.
I am really sorry, on ethical grounds can not comment about the initition of any drug.
Patient
Post Owner
Can i’ve your contact number sir?
042-32591427, . You can call me in between 9-10pm.
5 years ago
She needs immediate treatment as she is suicidal and severe depression,talk to her and her family to take her to the psychiatrist as soon as possible thanks
Patient
Post Owner
Hello, Dr Aneel. Thank you for your reply.
Sir its very hard at the moment to take her to psychiatrist this is why i’m asking help online. If you can help online or on call. Let me know please ?:)
5 years ago
I think Dr Fawad has guided you enough to take care of her, practically talking that you should be vigilant to understand the depression and its consequences where she has attempted suicide two times, see emergency cant wait and life will not give the second chance to live and people with depression can not live with regret, this is what depression is where patient becomes hopeless and helpless that is why patient need help, she has positive family history of psychiatric illness where her relative left the home and did not return.... I am sorry you have mentioned that she doesn't want to break her parent's heart to tell them the truth rather she has decided to end her life and what do you expect how her parents will feel with her suicidal behaviour, where they are totally unaware of her depression, and I am sorry you also mentioned that her parents are supportive but will not support the ideas of relationship but ready to live with this depression to be suicidal??????, ethically, morally, on the grounds of friendship if you want to help her it is better to talk to her to get treated properly and talk to the parents about her depression, it is not necessary to tell them the truth at this time but discuss them technically in the best interest of your friends and find out the solution that you can help her to take to the doctor for proper managment... Thanks
Patient
Post Owner
Thank you so much for replying, Dr Fawad. Can depressive disorder could be treated? Its been six months since her breakup. Yes the sucides attempts were carried out in isolation. Yes there is a family history in depression i.e their uncle left the house due to depression and never came back. No i know her very nicely, there was no any substance used in this period of time. Her parents dont know the actual reason of depression yet. Because her family really doesn’t support the idea of ‘Relationships nowadays’. Family is supportive much but she doesnt want to tell them to break their heart. These five ways mean alot sir. Thank you sir. I’ve been living with her nowadays, i’ve an eye on her. Can you please explain what second point means 2) means?! Rest i’ll do inshallah. Further please suggest how to overcome the useless thoughts? Please check this and reply :) Thank you once again Dr Fawad.
5 years ago