How to stop having anxiety and depression

Question #19205

109 days ago

281

How to stop having anxiety and depression - #19205

Naganandini

Hello Doctor, I’m reaching out because I’ve been struggling with ongoing depression and anxiety. Part of this may be related to my chronic eczema / topical steroid withdrawal, which has affected my quality of life, sleep, and confidence. Beyond that, I’ve been experiencing deep loneliness and emotional distress connected to past trauma. I’m a survivor of sexual assault and sexual abuse, which has left me with significant difficulties around intimacy and trust. I’ve never had a stable family environment or healthy relationship examples, and I am currently not in contact with my family. I live alone. These experiences have been affecting my ability to form or commit to relationships, and I often feel emotionally overwhelmed and isolated. Lately, I’ve been feeling very hopeless about the future and find it hard to see things improving. I’m seeking professional help to understand my options, including whether therapy and/or medication might be appropriate for managing my depression and anxiety. I would appreciate a compassionate, trauma-informed approach. Also, I can’t physically go to a professional because I’m from Malaysia and everything is pretty much 8 to 5 and due to my TSW I can’t step out in the sun just yet. Thank you for your time and support.

Anxiety and depression

300 INR (~3.53 USD)

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Doctors' responses

Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

109 days ago

Hello,
Your emotional responses (hopelessness, loneliness, difficulty with intimacy and trust) are normal trauma responses, not personal failures.
Trauma-informed therapy is strongly recommended, especially approaches like trauma-focused CBT, EMDR, somatic therapy, or IFS.
Online therapy is appropriate and effective given your situation in Malaysia.
Healing intimacy and relationships should come after stabilizing your mental health
there is no deadline.
If at any point you feel unsafe or have thoughts of harming yourself:
In Malaysia, you can contact:
Befrienders: 03-7627 2929 (24/7) or online chat
Meanwhile:
Sit and place one hand on your chest, one on your abdomen and breathe slowly for 2–3 minutes
Name 5 things you can see, 4 you can feel, 3 you can hear
Wrap yourself in a blanket or hold something warm (comfort matters)
You may need antidepressants but Medication + therapy together often works better than either alone.
I trust this helps
Feel free to talk again
Thank you

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

109 days ago

Your difficulty with relationships is not because you’re incapable of love.
It’s because:
Your nervous system learned that closeness = danger
You never had safe models of connection
Your body is still in survival mode
This can heal but only in safety, not by forcing yourself into relationships
Please visit nearest physician.

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Dr. Bheruram Netar

I am working in general medicine opd from 3 years now and that gave me wide exposure to all kind of patients walking in with different complain, sometimes mild, sometimes really serious. Most common I handle are seasonal allergies, gestational issues during pregnancy, diabetes and hypertension, but I also see cases of infections like dengue or malaria that need quick attention. In OPD you never know what the next case will be, one moment its a child with fever and next a adult with uncontrolled blood sugar, and I learnt to switch fast and think clear. I focus on proper diagnosis first, using detailed history and examination rather than rushing, cause many conditions overlap and can confuse. For example a viral fever might look like dengue in early days, or hypertension can stay hidden till it shows as headache or dizziness. I try to explain to patients in simple words what is happening with their health, as many come with fear and half information. Making them comfortable and giving them trust matters more than only prescribing medicines. Over these years I also developed a flexible approach in management, not every patient need same treatment plan. Like gestational diabetes require a very diff care compared to a young person with type 1 diabetes. Lifestyle counselling became important part of my practice, talking about diet, exercise, sleep routine and follow-up. Even with allergies or seasonal flu, guiding them on prevention and hygiene reduce re-occurence a lot. In opd practice volume is high and decision making has to be quick but safe. Sometimes you only have a few minutes, still I try to balance efficiency with personal care. Seeing patients recover and come back with gratitude motivate me everyday. Working across such diverse case made me more confident, but also humble because medicine is never fully predictable. There are times I doubt, recheck, ask for labs before final call, and I think that caution is also strength.

109 days ago

Hello  dear
In this era it’s major problem
And I can understand what’s going through you
1️⃣ What you can start today
Calm the mind
•	Deep breathing (5–10 min, 2–3×/day)
Inhale 4 sec → hold 4 sec → exhale 6 sec
•	Grounding (5-4-3-2-1 rule) when anxiety peaks
•	Limit overthinking time – write worries once daily, not all day
😴 Sleep is critical
•	Fixed sleep/wake time
•	No mobile 1 hour before bed
•	Avoid caffeine after evening
🚶‍♂️ Exercise (natural antidepressant)
•	30 minutes walking, yoga, or light workout daily
•	Morning sunlight exposure helps reset mood hormones
Tab amtyrptaline 10mg once before  going to sleep 3 days
Tab naxodom dsr once a day
If you still feel anything
TALK TO YOURSELF
MAKE FRIENDS SHARE WITH ONE PERSON
You can reachout to me
Thanks

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

108 days ago

Hello Naganandini
I’m really sorry to hear that you’re going through such a tough time. It sounds like you’re dealing with a lot of pain and challenges, both physically and emotionally. Your feelings of loneliness and distress are completely valid, especially given your past experiences and current struggles.
Here are a few suggestions that might help you navigate this difficult period:
1. Online Therapy: Since you can’t physically go to a professional, consider seeking online therapy. Many therapists offer virtual sessions, which can be more flexible and accommodating to your needs. Look for professionals who specialize in trauma-informed care.
2. Support Groups: Online support groups can provide a sense of community and understanding. Connecting with others who have similar experiences can help reduce feelings of isolation.
3. Self-Care Practices: Focus on self-care activities that you can do at home, such as mindfulness, meditation, or gentle yoga. These can help manage anxiety and improve your mood.
4. Journaling: Writing about your feelings and experiences can be a powerful way to process emotions and gain insight into your thoughts.
5. Reach Out to Trusted Friends: If you have friends or acquaintances you trust, consider reaching out to them for support. Sometimes, just talking to someone can make a big difference.
6. Educate Yourself: Learning more about trauma and its effects can help you understand your feelings better and find ways to cope.
Please remember that you are not alone, and there are people and resources available to support you. If you ever feel overwhelmed, don’t hesitate to reach out for help. Your well-being is important. If you have any specific questions or need further assistance, feel free to ask.
Thank you

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

108 days ago

Hello dear
See anxiety is not a big issue
It can be tackled by routine modification and regular physical exercise
Please follow below precautions
Do meditation
Avoid overthinking
Take regularly balanced diet
Avoid junk food and alcohol consumption of applicable
Engage in hobbies
Indulge in social activities
Hopefully improvement will occur in 1 month.
If no improvement occur consult psychiatrist in person for better clarity
Regards

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

107 days ago

Considering the multifaceted nature of what you’re facing, addressing both the medical aspects and the emotional layers is crucial. For your anxiety and depression, a combination of therapy and medication can be effective. Cognitive-behavioral therapy (CBT) is often beneficial, especially in processing trauma and developing coping strategies. Since accessibility might be an issue for you, consider online therapy platforms which can offer flexibility and allow you to connect with a therapist without leaving your home. Make sure to find a therapist skilled in trauma-informed care, particularly given your past experiences. Antidepressant medications like SSRIs or SNRIs might be considered as well. These can help mitigate depression and anxiety symptoms. However, it’s essential to discuss potential medications and their usage with a physician or psychiatrist who can consider any interactions with treatments you may be using for eczema.
While topical steroid withdrawal can be challenging, maintaining your skin health is vital. Non-steroidal treatments like moisturizers or antihistamines might help manage symptoms. Consult with a dermatologist about alternatives that won’t exacerbate your withdrawal. Regarding your current dermatological challenges, staying out of strong sunlight is understandable; utilizing virtual consultations could provide some medical guidance. Engaging in regular routine activities, such as light exercises indoors, can somewhat alleviate symptoms of depression and anxiety. It’s also worth exploring support groups online for individuals going through similar issues, as this can reduce feelings of isolation. Since you mentioned not being in contact with your family, building a support network, even if it’s virtual, can be instrumental in fostering a sense of connection. Finally, should you feel any impulsive thoughts of self-harm or descent into deeper despair, it’s imperative to seek emergency medical attention. Crisis lines and mental health helplines can provide immediate support and are often available 24/7. These small steps can cumulatively pave the way toward stabilizing your mental health while managing eczema.

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