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Asking for Self, Female, 37 years old, Rawalpindi
Respected doctors plz suggest something,,we have family history of anxiety like my grandma and mother had this.. initially I was diagnosed with pmdd but my frequent panic attacks, depersonalization disorder become part of my life,,I have been taking antidepressants since many years,, right now taking sertrline..I don't have anxiety and panic attacks with it but depersonalization order usually persists,,I want to know would I have to take antidepressants forever as I cannot get normal without them
Asst. Prof. Dr. Muhammad Ayub Baloch | Consultant Psychiatrist | Fcps (Gold Medalist) - Psychiatrist
MBBS, FCPS Psychiatry ( Gold-Medalist ), Fellow, College of Physicians & Surgeons, Pakistan, Certificated Child & Adolescent Psychiatry. Consultant Psychiatrist & Expert in the treatment of Psychiatric, Neuropsychiatric, Drug addiction & Sexual disorders | Karachi
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آپ کا یہ سوال بالکل جائز ہے، خاص طور پر جب دوا سے فائدہ ہو مگر depersonalization باقی رہے۔ ہر شخص کو antidepressant ہمیشہ نہیں لینا پڑتا، لیکن بار بار لوٹنے والی یا طویل مدت کی anxiety میں بعض افراد کو کئی سال علاج جاری رکھنا پڑ سکتا ہے۔ فیصلہ علامات کی شدت، پچھلے relapses، روزمرہ functioning اور side effects دیکھ کر کیا جاتا ہے۔ Depersonalization میں انسان خود کو یا ماحول کو غیرحقیقی سا محسوس کر سکتا ہے؛ یہ شدید anxiety، stress، کم نیند یا پرانے emotional trauma سے جڑی ہو سکتی ہے۔ دوا اچانک بند نہ کریں۔ Psychiatrist سے باقاعدہ review اور مناسب therapy ضروری ہے، تاکہ PMDD، anxiety اور depersonalization سب کو ایک ساتھ سمجھا جا سکے۔ نیند، caffeine، ماہواری کے ساتھ علامات اور stress کا ریکارڈ رکھیں۔ صحیح treatment plan سے بہتری ممکن ہے۔ ڈسکلیمر: یہ آن لائن معلومات عمومی رہنمائی کے لیے ہیں، مکمل تشخیص یا ذاتی علاج کا متبادل نہیں۔ شدید یا مسلسل علامات میں مستند ماہر سے براہِ راست رابطہ کریں۔
This decision depends on your symptoms, previous relapses, and overall functioning—it does not necessarily mean you will need antidepressants for life. Since depersonalization is still troubling you, it is important to discuss this with your psychiatrist, as psychological therapies (especially CBT and grounding techniques) are often very helpful alongside medication. Please do not stop or reduce sertraline on your own, as this may lead to a relapse. With the right treatment plan and regular follow-up, many people achieve long-term stability and a good quality of life.
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Thanks alot sir for such a comprehensive explanation
2 months ago