September 23, 2018

Ask The Doctor > Questions & Answers > I constant have verge of tears. Do I have depression and do I need antidepressents?

I constant have verge of tears. Do I have depression and do I need antidepressents?

Patient: I’m constantly on the verge of tears. I have very frequent thoughts of suicide. I’m constantly exhausted and lacking motivation. I procrastinate everything. I’m always trying not to self harm and I always feel so self conscious. I dont know what to do!



Symptoms: Exhaustion. Constant tears. Suicidal thoughts.



Doctor: HelloThanks for using “Ask The Doctor” for posting your query.The symptoms that you have mentioned suggest that you could be having a depression. Depression in young can present such atypically. The mood swings that you are describing are occurring due to imbalance of neurotransmitters in the brain. The neurotransmitters like serotonine, nor-epinephrine, and dopamine. This condition can be corrected with the help of medicines such as fluoxetine, mirtazapine or venlafaxine. These medicines start showing improvement in 2-3 weeks and the illness requires a treatment of 6-8 months. During this period, try to do regular exercise and eat healthy food and try inculcating some hobby. If you averse to medicines, then cognitive behavioural therapy can help you in the treatment of depression. This is a specialized counselling technique mastered by clinical psychologists and is almost as effective as medicine.You may meet your doctor and get these medicines prescribed, or you can request for a psychologist consult.Hope this helps,Wish you a good health.


Dr. Jimmy Obaji M.D.

Dr. Jimmy Obaji completed his residency in Family Medicine at the University of Manitoba. He currently operates a walk-in-clinic in downtown Toronto.

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