04 Apr
Name Confidential

Dear Doctor,

I'm a 31 year old male and had been suffering from anxiety issues for almost a decade fro which I consulted a doctor long back. He had prescribed these meds (Venlift OD 75 -was eventually increased to 150 mg and Aplrazolam (Zolax) 0.5 mg was eventually increased to 1/1.5 mg) and had to be taken on daily basis. I ve been on and off meds for almost 11/12 years Dont remember when exactly i started. I ve been experienccing some extreme with drawal sympotoms after stopping the meds. I chose to stop abruptly as i didnt want to go back the medication again. its been almost 7 or 8 months now. I get extremely irritated at things like chatter and mingling, mostly anxious i can say. I lost my mom 3 years ago and around the same time my girl friend broke up too. I didnt know what to do then and started feeling very insecure most of the time. lack of motivation or to do anything. I have hard time even mingling and conversing with those who im close to.  I work with a reputed start up search/recruitment firm and the work place environment messes my day to day activity as I need to get aalong with the colleagues. I dont feel attached to anyone here and i feel very inferior. I tried talking but nothing seems to be working. I dont want to quit here as they're sponsoring my education (BA.LLB)and as this is the only job which gives me flexibility. I dont have any ambition/goal in life and also finding it very difficult to focus on my studies. Please suggest me as to what to do. At the moment im consulting another psychiatrist and he has prescribed (Prodep 20 mg) daily 2 capsules after breakfast or lunch from past 2 months. 

Wating in anticipation,


Warm regards,


Responses 2

  • Ivan Sarone
    Ivan Sarone   Apr 05, 2016 11:51 AM

    Thank you so much for your advice Doctor:):)

  • Dr. Ibrahim Abunada
    Dr. Ibrahim Abunada   Apr 05, 2016 01:41 AM

    Dear, according to the given information it seems without any doubt that you are passing a very miserable situation that needs real interventions from a specialist. In your case it is recommended to use a combination of interventions. Firstly medication mainly antidepressant which you already have under the prescription of psychiatric. Secondly psychotherapy such as supportive Psychotherapy. Cognitive behavioral therapy (CBT), which in general considered as the most effective form of treatment for depression and anxiety. Cognitive behavioral therapy focuses on the thinking patterns and behaviors that are sustaining the depression. It helps you to see your fears in a more realistic way. However, regardless the type of the intervention the improvements of your condition depend on you yourself, which means that, you should work on yourself, your thoughts, beliefs, daily routine, ambitions and so on. For instance, you should focus on your negative attitudes and thoughts about yourself and your circumstances. Try your best to see the world through colored glasses not only through black glasses. Try to add some positive changes to your daily life routine such as look for new relationships with people, colleagues, and friends. Try to use your strong points and positive aspects of your personality, abilities to achieve some of your life goals such as finding a suitable job, house, etc. Talk with some trustworthy people to help you choose convenient goals. In addition to all above suggestion you should stay under supervision of an online specialist. Take Care