Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Female, 28 years old, lost love and work problems, resulting in obvious psychological problems. The symptoms lasted for half a year, with severe insomnia, about 3 hours a day, easy to fluctuate, very unhappy, talk a lot of nagging, think they can’t do anything, repeatedly stressed that they are useless, retreat in case of things, and even have the idea of “do not want to live”. All the psychological help from the people around her hardly worked, and she visited several hospitals and took Chinese medicine for half a year, but nothing worked. According to her family, she is allowed to take western medicine because of its side effects and dependence. 1. Can the doctor confirm the diagnosis of depression, and does your hospital also ask patients to fill out tests to confirm the diagnosis? 2. If the diagnosis is confirmed, do you have to take western medicine to treat it, and do you use Chinese medicine? 3. I heard that the cost of western medicine is very high, thousands of dollars per month, how long does it take for her condition? 4. Is it true that western medicine has a lot of side effects, damages the kidneys, and will there be dependence? Finally, I would like to ask, if she does not treat this condition, will it get better and will it still be serious? Thank you, doctor, and happy Lantern Festival.
Beijing Huilongguan Hospital Psychiatry Department Ling Jueang.
According to the information you provided, a diagnosis of depression can be considered. The diagnosis of depression mainly relies on the doctor’s history questioning, psychiatric examination and psychometric examination of the patient, as well as other necessary laboratory tests. The cost of medicine is related to the selection of medicine. If you choose a domestic medicine, the cost is 100-300 yuan/month, and the imported one will not exceed 1000 yuan/month. In terms of medication, whether it is Chinese or Western medicine, there are certain side effects, which are not the same as adverse reactions, and some side effects can be used to treat symptoms. For example, antidepressants with side effects of sedation are positive for those patients who have insomnia, so you should not talk about side effects, but the problem is that you must tell your doctor in time to see if you need to deal with them. In addition, not all the side effects listed on the drug instructions will occur in the same person, so there is no need to worry. Antipsychotics antidepressants are not addictive and dependent, but some anti-anxiety drugs, such as Valium, may produce drug dependence with long-term heavy use, and even then, do not ignore the psychological dependence of the individual on the drug.
Depression should be treated promptly, and many people who commit suicide are more or less related to depression. Although a significant portion of the population can heal on their own, treatment can shorten the course of the disease, control it early, and reduce the individual’s sense of distress.