How can mood swings and depressing thoughts be managed?

Question

Hi doctor,

I have severe mood swings. I am also depressed. I prefer to have a monk-like life. I want to travel around the world. I cannot bear the pain of animals on the streets. I was diagnosed with chronic kidney disease six months back. But I have had mood swings for the last six years after the death of my father. I have no interest in money. I took Escitalopram for almost five years along with Propranolol. I find it unable to adjust with my mother. Currently, I take Prazosin 5 mg BD(twice daily), Telmisartan 80 mg OD(once daily), Dytor 10 mg OD(once daily), Amlodipine 10 mg OD(once daily), Febuxostat 40 mg OD (once daily), Iron supplement, antacid Sodium bicarbonate. I had taken Nexito 5 mg and Propranolol 10 mg previously for the same complaint. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern. In my opinion, a change in medication along with non-pharmacological methods is required. As far as medicines are concerned, I suggest increasing the dose of the tablet Nexito (SSRI) as the dose you take is insufficient. You can also discuss adding a mood stabilizer. I suggest the following non-pharmacological methods;

1. Practice relaxation techniques (like Breath relaxation exercises) daily.

2. Spend some me-time (i.e., give at least one hour daily for your hobbies).

3. Share your feelings with family members or close friends. It relieves your burden.

Hope this helps. Feel free to ask if you have further queries.

How can mood swings and depressing thoughts be managed?

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