Patient Question: Illness/Is it depression? Description of illness: My daughter is 21 years old 1, from April 2011 before the college entrance examination began to sleep all day, do not talk much, do not go out, do not answer the phone, sleep difficulties at night, dreamy, can not go to school, but the college entrance examination that 3 days went to take the college entrance examination, but only on the third, after the graduation ceremony, during the vacation can participate in classmates, etc., can go out to play with classmates. 2.After the university started in September 2011, I was able to participate in military training for about half a month, and after attending classes for two weeks, I was unable to go to school again from October, and the above condition appeared, I slept all day, I did not get up to eat at noon, I got up to eat at 5 or 6 pm, I had difficulty sleeping at night, and I dreamed a lot. He began to take time off from school. 3.In December 2011, I started to take Cetana hydrobromide, and I ate it for about 4 months, but my condition did not improve significantly, and then I ate venlafaxine for about 3 months, but my condition did not improve either. 4.In September 2012, I started to take Prozac and was found to have mild hypothyroidism, and at the same time, I took Eugenol, which was more effective. 5.In March 2013, after school started, I couldn’t go to school again after 2 weeks, so I started to take off school again. I started to take Prozac, and at the same time, I have been taking Eugenol. In May 2013, I ate Prozac and added 1/4 tablet of Eugenol, after which my condition improved, I was more energetic, I could get up and eat at noon, I could join the tour group in July, and I could go out with my classmates, but in September, I started to sleep all day again and could not go to school. Still sleeping during the day, no relief. 7. In August 2013, a large cyst of 12*14*15 was found in the spleen, and in December, the cyst was drained. 8. In March this year, after going to school for 2 classes, I couldn’t go to school again. These days, I slept all day and couldn’t get up at noon, and I didn’t eat. She started taking Prozac and has been taking it for 13 days today, but her condition is not getting better. 9. My daughter has never had normal menstruation. She has not had a period since 2006, and only comes every time she takes medicine. She also has high testosterone and is suspected of having polycystic ovary syndrome. Previous treatment and results: 1. In December 2011, she started local treatment with Cetana hydrobromide for 4 months and venlafaxine for 3 months, with no significant effect. 2. In September 2012, I started to take Prozac (one 20mg tablet per day) for 3 months, and at the same time, I have been taking Eugenol, and my condition has improved significantly. 3. In March 2013, I started taking Prozac again, one tablet (20mg) per day, and I have not stopped taking Eugenol. His mental state was relieved. 4. Stopped Prozac in September 2013. 5. Now I started to take Prozac again (one 20mg tablet per day) and I have been taking it for 13 days. What kind of help do I need: 1. Is my daughter depressed? 2. What is the best medicine to treat sleeping all day? 3. Is it okay to take Prozac? How long should I take it and is it appropriate to take one tablet (20mg) every day? 4.I hope a good treatment plan can be given. 5.Now she sleeps all day and doesn’t get up and go out, so she can’t go to see a doctor. I have seen many patients say that your number is not good, so I hope that you can give additional number when you see the doctor. Reply: From what you have described, your daughter is not at least in a typical situation of depression. You need to come to the clinic to make a preliminary judgment. Please bring the various examination reports since the onset of the illness; summarize the manifestations of excessive sleep, such as whether each episode is sudden or gradually aggravated, other abnormalities during excessive sleep, how long each episode lasts, and the total number of episodes so far. Patient question: Thank you! My daughter has not been well since April 2011 before the college entrance examination, the most serious time is the first time from April 2011 to June before the college entrance examination, the second time in October 2011 when the university started a month to January 2012, more serious, from November 2012 began to take off school also began to eat depression drug citalopram for about 4 months, not very effective, the third time From mid-March 2012, half a month after resuming school to June 2012, it was more serious, from April 2012, I started to take off school again and could not go to school to take medication to switch to venlafaxine, and ate about 3 months, the fourth time from September 2012 to December 2012, it was more serious, from September 2012, I started to take Prozac, and at the same time, I found out that I had hypothyroidism, and at the same time, I took Umethazine, this time, the medication was more effective, and after 3 months, I stopped taking Prozac. The fifth time was in mid-March 2012, also half a month after the resumption of school again, and started to be serious again. The sixth time was in August 2013, and it has not been good since then. In August, a huge cyst was found in the spleen, and in December, it was drained. Since she couldn’t take a break from school this year, she started to review in March and went to school only twice at the beginning of the school year and then it got worse, so she couldn’t go to school and took a vacation at home. When it was serious, she slept from the night before until 5:00 p.m. the next day, and did not get up to eat at noon, but only ate a meal at night, and did not talk much when she got up, did not go out, did not wash her face, did not take a shower, did not call or answer the phone, and did not go to the doctor. In the most serious cases, the person starts sleeping the night before, sleeps all day the next day, does not get up and does not eat, and does not get up until the morning or noon of the third day. Each time is about a month or two began to gradually improve, and I do not know whether it is the effect of taking antidepressants or the effect of a good rest. When I was good, I could get up around 12:00 noon every day, I could eat lunch, I didn’t sleep in the afternoon, and I didn’t go to bed until 12:00 p.m. When I was good, I didn’t get up before 11:00 a.m. every day. When I was well, I could wash my face every day and take a bath every week, attend classmates’ parties, go out shopping, watch movies, and eat with my classmates who had good relationships with me, go on overseas trips with my parents, go to the doctor, and communicate with strangers without problems. From the onset of the disease to the beginning it seems that nothing can be done, such as the night before the clothes and school bag ready to go to school the next day, but the next day just can not get up and do not go to school, such as promised to go to the doctor the next day, but the next day just do not go, and so on, now she said she can do anything I basically do not hope that she can do. From the onset of the disease in April 2011 to now, when she is well, as long as she does not sleep, she basically reads novels on her cell phone or the Internet during the day, watches TV at night, and goes for a walk outside with her parents at night in summer. In bad times, she sleeps at home all day and does not leave her bed. She has been having irregular periods since she was 12 years old, and has not been having periods without medication since 2007. In September 2012, she had a particularly high testosterone test, suspected to be polycystic ovary syndrome, and started to take Daing 35 irregularly. What do you think is her disease? What should be the treatment? She is more serious these days, so she is not going to see a doctor, and we can only convince her to see you when she is better. What do you think we should do now? Patient’s question: I think she looked more energetic for 4 to 5 days after I increased the dosage of Eugenol, and I was able to get up around 8:00 or 9:00 in the morning, but after a few days, I was back to my usual self. This was also the case when I started taking Prozac again. Patient’s question: In the past few days, although the state is not good, it is not difficult to fall asleep, dreaming but better than when the disease first appeared, and sleep at night is basically okay. Response: Measure and record the child’s temperature every day for at least a week, both during and after the onset of narcolepsy, and at a basic fixed time every day, preferably once in the morning and once in the evening. Focus on the function or lesions of the hypothalamus and thyroid gland (adrenal and gonadal glands are best to check as well).