2. Serotonin norepinephrine reuptake inhibitors (SNRIs), including desvenlafaxine, venlafaxine, and duloxetine .
Other medicines used to treat depression include:
1. Tricyclic antidepressants
2. Bupropion (Wellbutrin)
3. Monoamine oxidase inhibitors
If the patient has delusions or hallucinations, the psychiatrist may prescribe additional medications. The doctor will often prescribe higher doses of an antidepressant, or a combination of medications.
4. Lithium and thyroid hormone supplements also may be added to help the antidepressants work better.
5. St. John’s wort is an herb sold without a prescription. It may help some people with mild depression. However, it can change the way other medicines work in the body, including antidepressants and birth control pills. Talk to the doctor before trying this herb.
CHANGES IN MEDICATIONS
Sometimes, medications that the patient is taking for another health problem can cause or worsen depression. The doctor should be told about all the medicines taken. The doctor may recommend changing the dose or switching to an alternative drug. Do not stop taking the medications without first telling the doctor. Women who are treated for depression during pregnancy or thinking about becoming pregnant should not stop taking antidepressants without first consulting their doctors.
TALK THERAPY
1. Talk therapy is counseling to talk about a patient’s feelings and thoughts, and help him or her learn how to deal with them. Types of talk therapy include:
1. Cognitive behavioral therapy tells a patient how to fight off negative thoughts.The patient will learn how to become more aware of his or her symptoms and howto spot things that make the depression worse.The patient will also be taught problem-solving skills.
2. Psychotherapy can help the patient understand the issues that may be behindhis or her thoughts and feelings.Joining a support group of people who are sharing the same problems can alsohelp.
NEUROMODULATION FOR DEPRESSION
1. Electroconvulsive therapy (ECT) is the single most effective treatment for severedepression.It is generally safe.ECT may improve mood in those with severe depression or suicidal thoughts whodon’t get better with other treatments.It may also help treat depression in those who have psychotic symptoms.
2. Transcranial magnetic stimulation (TMS) uses pulses of energy to stimulatenerve cells in the brain that are believed to affect mood.There is some research to suggest that it can help relieve depression.3. Light therapy may relieve depression symptoms in the winter time.However, it is usually not considered a first-line treatment.
What is the prognosis of Depression?
Prognosis or outlook:Some people with major depression may feel better after taking antidepressants fora few weeks.However, many people need to take the medicine for 4 – 9 months to fully feel bet-ter and prevent the depression from returning.For people who have repeated episodes of depression, quick and ongoing treat-ment may be needed to prevent more severe, long-term depression.Sometimes people will need to stay on medications for long periods of time.
What are the complications of Depression
1. People who are depressed are more likely to use alcohol or illegal substances.
2. Increased risk of physical health problems
3. SuicideIt is urgent to call a doctor if the patient:1. hear voices that are not there.2. have frequent crying spells with little or no reason.3. the depression is disrupting work, school, or family life.
4. the current medications are not working or are causing side effects.Do not change or stop any medications without consulting the doctor.
How is Depression prevented?
1. Do not drink alcohol or use illegal drugs.These substances can make depression worse and might lead to thoughts of sui-cide.
2. Take the medication exactly as the doctor instructed.The doctor should tell the patient about the possible side effects and what to do ifany.side effects occur.Learn to recognize the early signs that the depression is getting worse.
3. Get more exercise
4. Maintain good sleep habits
5. Seek out activities that bring him or her pleasure
6. Volunteer or get involved in group activities
7. Talk to someone the patient trust about how he or she is feeling
8. Try to be around people who are caring and positive
Dr. Rameez Shaikh (MBBS, MD, MIPS) is a consultant Psychiatrist, Sexologist & Psychotherapist in Nagpur and works at Mind & Mood Clinic. He believes that science-based treatment, encompassing spiritual, physical, and mental health, will provide you with the long-lasting knowledge and tool to find happiness and wholeness again.
Dr. Rameez Shaikh, a dedicated psychiatrist , is a beacon of compassion and understanding in the realm of mental health. With a genuine passion for helping others, he combines his extensive knowledge and empathetic approach to create a supportive space for his patients.
Tried a lot “Best” “Senior” and so on psychiatrists in Nagpur. The day I ended up reading a answer on Quora which mentioned Dr. Rameez Shaikh excellent treatment, I feel there my journey of finding the “right doctor” for me, was over. 2 years later, now I am getting off my medications and almost completely healed from the deep psychological wounds and trauma I had. I 100% recommend him and writing this review only after I have experienced things. I can not emphasize enough on how good he is with what he does. To whoever reads this, you will be in good hands, I promise.
Consulted Dr Shaikh at Mind & Mood Clinic in Sadar. Very good doctor. Heard and explored the entire problem in detail and then made his recommendation. The staff members are polite and efficient. The appointment started right on time (they have a prepayment policy and consultation is by appointment only) and we were given ample time (almost half and hour). We have been to 2 other top psychiatrists in Nagpur in the past but they never gave us time to explain our point and we never felt so understood with them as we did here in the first meeting itself. Highly satisfied.
I believe Therapy is a collaborative process- a mutual exploration of your self. And the most important thing for any patient to recover is to FEEL SAFE with the therapist. The critical question you is this : Do you feel that your therapist is curious to find out who you are and what you, not some generic “diagnosed patient”, need ? Are you just a list of symptoms on some diagnostic questionnaire, or does your therapist take the time to find out why you do what you do and think what you think ?
And exactly this was the best part of my experience with Dr. Rameez Shaikh.
First, he actively “listened”. He didn’t judge me. He did not invalidate my feelings, emotions and actions. He made me feel safe. He become someone I could share my heart out (which is really important for someone dealing with uncomfortable emotions–(depression/anxiety are just diagnosis). The basic human needs are to be seen, to be heard. Most emotional issues comes when these needs are not met. So, he gave me this safe space where I was seen and heard objectively without any judgements. I opened up to many things in my present and past that I thought could have been causing all the troubles I was having. Then, he made sure we always communicate rather than just me speaking or him imposing some remedies. He did gave some practical tips. Always. Medicine was his last resort which I always appreciated. After giving some invaluable tips he ended with keeping them same or altering my medicines. To be honest, medicines did work for me but only for sometime. I think it can be a part of the process but medicines can never “cure” such conditions. And when after sometime, I always found myself back to the deep hole over and over again. I gave up. I started to look for another doctor. In the process, I was not taking responsibility to try what Dr. Rameez Shaikh had suggested and was rigid in staying in my comfort zone. I don’t go hard on myself either. It’s not easy. I know where I had been. It was darkness. I am writing this after 1 long year of giving up on the doctor, consulting a couple of doctors, and then eventually tapering off the last prescribed medicines myself and went the holistic way. I wouldn’t recommend anyone to do this on their own. I took a risk. And, it has been paying off. I don’t miss the medicines at all. In fact, I am better off without them. But I do miss someone like Dr. Rameez Shaikh. Just to talk. Just to have someone who “listens”. I would say he really helped me a lot figure out myself. I think deep down he believes in the healing power that everyone has in their own hands and that he can be a guide, a friend, a helping hand who can show someone that. I wish I’d have given him the chance to complete my recovery. But this is to tell you, you are amazing Dr. Shaikh. Thank you for being there when I needed you the most. Thank you for being a mentor. This is also to tell you that I am much better. I have started to befriend the uncomfortable emotions. I sit with my feelings. I don’t push them away. I have realized the fact that suffering and pain are inevitable. They are part of the deal we made when we signed up for a human experience. And that it’s not about what happens to you but how you choose to respond. I don’t let uncomfortable emotions to derail me anymore. Thank you again!
P.S. I recommend you and everyone reading “The Body Keeps The Score” by Bessel Van Der Kolk. It’s a must read for all professionals I believe. And I am sure someone like you will definitely appreciate the read.
Thank you again. Sending you lots of love. Stay safe Doc 🙂
He helped me understand what I was going through. Our talks and his medicines have helped me get a lot better. His suggestions of coping with my problems have made this easy. I’d highly recommend him to anyone having a tough time. He’s an extremely good listener and takes into account all your issues. I can see myself overcoming this completely in the near future, all thanks to him.
Very nice. Heard me out. He gave ample time and attention, and listened to everything that I had to say. The best part was that I was treated using psychotherapy, and with minimum use of medicine.
When I had visited him, I had been contemplating suicide for some months, and it all seemed hopeless. But the first session itself was a relief. He explained in detail about the reasons behind the issues I was facing, and suggested corrective measures. And now, a month later, I am so much better and hopeful.
Visited him at Mind & Mood Clinin after a friend recommended him. He made us comfortable from the start. My husband has been suffering from bipolar disorder and he would go through repeated cycles of mood swings and anger. Our family was falling apart. Thanks to Dr Rameez, my husband is doing much better now and we are hoping for even more improvement with further treatment.
Visited him at Mind & Mood Clinic in Sadar, Nagpur after a friend recommended him. He made us comfortable from the start. My husband has been suffering from bipolar disorder and he would go through repeated cycles of mood swings and anger. Our family was falling apart. Thanks to Dr Rameez, my husband is doing much better now and we are hoping for even more improvement with further treatment.
Visited him with a friend of mine who was going through depression. He’s best psychiatrist in nagpur. My friend has been getting better and I’ve been noticing a lot of positive changes over the last few months.
Dr Rameez Shaikh is the first person whom i would really term as a “doctor”. One thing that put me together as a human is his tendency to not just starting to scribe medicines on a piece of paper. He listens, understands, guides, then explains the course of treatment and then finally prescribes some medicines that you require. Not only is he a very professional doctor but he is a very good human as well. I will highly recommend anyone to pay him at least one visit and then he/she will realize what a good doctor actually means. You WILL get better, that’s what i can say with surety. Be good.
Dr Rameez Shaikh acted as a savior for our marriage. My husband and I visited him when relations between us were on the rocks. He listened patiently and in a non-judgmental way to each of us, and I was especially relieved that I could open up to him without any apprehension about my confidentiality not being maintained. He suggested a few measures for us to take, and we found ourselves bonding just as we used to in our courtship period. Over 4 sessions, we have not only been able to save our marriage, but it seems like I have found an old friend in my husband again.
I have been getting treatment for anxiety and depression and OCD. Dr Rameez is a very knowledgeable psychiatrist. I had left hope to live, doctor saved my life. I recommend him to every person suffering from the same. I like the way he talks, and explains the illness and knows beforehand everything. Thank you sir
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Tried a lot “Best” “Senior” and so on psychiatrists in Nagpur. The day I ended up reading a answer on Quora which mentioned Dr. Rameez Shaikh excellent treatment, I feel there my journey of finding the “right doctor” for me, was over. 2 years later, now I am getting off my medications and almost completely healed from the deep psychological wounds and trauma I had. I 100% recommend him and writing this review only after I have experienced things. I can not emphasize enough on how good he is with what he does. To whoever reads this, you will be in good hands, I promise.
Consulted Dr Shaikh at Mind & Mood Clinic in Sadar. Very good doctor. Heard and explored the entire problem in detail and then made his recommendation. The staff members are polite and efficient. The appointment started right on time (they have a prepayment policy and consultation is by appointment only) and we were given ample time (almost half and hour). We have been to 2 other top psychiatrists in Nagpur in the past but they never gave us time to explain our point and we never felt so understood with them as we did here in the first meeting itself. Highly satisfied.
I believe Therapy is a collaborative process- a mutual exploration of your self. And the most important thing for any patient to recover is to FEEL SAFE with the therapist. The critical question you is this : Do you feel that your therapist is curious to find out who you are and what you, not some generic “diagnosed patient”, need ? Are you just a list of symptoms on some diagnostic questionnaire, or does your therapist take the time to find out why you do what you do and think what you think ?
And exactly this was the best part of my experience with Dr. Rameez Shaikh.
First, he actively “listened”. He didn’t judge me. He did not invalidate my feelings, emotions and actions. He made me feel safe. He become someone I could share my heart out (which is really important for someone dealing with uncomfortable emotions–(depression/anxiety are just diagnosis). The basic human needs are to be seen, to be heard. Most emotional issues comes when these needs are not met. So, he gave me this safe space where I was seen and heard objectively without any judgements. I opened up to many things in my present and past that I thought could have been causing all the troubles I was having. Then, he made sure we always communicate rather than just me speaking or him imposing some remedies. He did gave some practical tips. Always. Medicine was his last resort which I always appreciated. After giving some invaluable tips he ended with keeping them same or altering my medicines. To be honest, medicines did work for me but only for sometime. I think it can be a part of the process but medicines can never “cure” such conditions. And when after sometime, I always found myself back to the deep hole over and over again. I gave up. I started to look for another doctor. In the process, I was not taking responsibility to try what Dr. Rameez Shaikh had suggested and was rigid in staying in my comfort zone. I don’t go hard on myself either. It’s not easy. I know where I had been. It was darkness. I am writing this after 1 long year of giving up on the doctor, consulting a couple of doctors, and then eventually tapering off the last prescribed medicines myself and went the holistic way. I wouldn’t recommend anyone to do this on their own. I took a risk. And, it has been paying off. I don’t miss the medicines at all. In fact, I am better off without them. But I do miss someone like Dr. Rameez Shaikh. Just to talk. Just to have someone who “listens”. I would say he really helped me a lot figure out myself. I think deep down he believes in the healing power that everyone has in their own hands and that he can be a guide, a friend, a helping hand who can show someone that. I wish I’d have given him the chance to complete my recovery. But this is to tell you, you are amazing Dr. Shaikh. Thank you for being there when I needed you the most. Thank you for being a mentor. This is also to tell you that I am much better. I have started to befriend the uncomfortable emotions. I sit with my feelings. I don’t push them away. I have realized the fact that suffering and pain are inevitable. They are part of the deal we made when we signed up for a human experience. And that it’s not about what happens to you but how you choose to respond. I don’t let uncomfortable emotions to derail me anymore. Thank you again!
P.S. I recommend you and everyone reading “The Body Keeps The Score” by Bessel Van Der Kolk. It’s a must read for all professionals I believe. And I am sure someone like you will definitely appreciate the read.
Thank you again. Sending you lots of love. Stay safe Doc 🙂
He helped me understand what I was going through. Our talks and his medicines have helped me get a lot better. His suggestions of coping with my problems have made this easy. I’d highly recommend him to anyone having a tough time. He’s an extremely good listener and takes into account all your issues. I can see myself overcoming this completely in the near future, all thanks to him.
Very soft spoken, gave full time & listened to patient very attentively. Good experience on first visit.
Very nice. Heard me out. He gave ample time and attention, and listened to everything that I had to say. The best part was that I was treated using psychotherapy, and with minimum use of medicine.
When I had visited him, I had been contemplating suicide for some months, and it all seemed hopeless. But the first session itself was a relief. He explained in detail about the reasons behind the issues I was facing, and suggested corrective measures. And now, a month later, I am so much better and hopeful.
Thank you so much Dr. Rameez Shaikh Sir
Visited him at Mind & Mood Clinin after a friend recommended him. He made us comfortable from the start. My husband has been suffering from bipolar disorder and he would go through repeated cycles of mood swings and anger. Our family was falling apart. Thanks to Dr Rameez, my husband is doing much better now and we are hoping for even more improvement with further treatment.
Visited him at Mind & Mood Clinic in Sadar, Nagpur after a friend recommended him. He made us comfortable from the start. My husband has been suffering from bipolar disorder and he would go through repeated cycles of mood swings and anger. Our family was falling apart. Thanks to Dr Rameez, my husband is doing much better now and we are hoping for even more improvement with further treatment.
Visited him with a friend of mine who was going through depression. He’s best psychiatrist in nagpur. My friend has been getting better and I’ve been noticing a lot of positive changes over the last few months.
Dr Rameez Shaikh is the first person whom i would really term as a “doctor”. One thing that put me together as a human is his tendency to not just starting to scribe medicines on a piece of paper. He listens, understands, guides, then explains the course of treatment and then finally prescribes some medicines that you require. Not only is he a very professional doctor but he is a very good human as well. I will highly recommend anyone to pay him at least one visit and then he/she will realize what a good doctor actually means. You WILL get better, that’s what i can say with surety. Be good.
Excellent experience.
Dr Rameez Shaikh acted as a savior for our marriage. My husband and I visited him when relations between us were on the rocks. He listened patiently and in a non-judgmental way to each of us, and I was especially relieved that I could open up to him without any apprehension about my confidentiality not being maintained. He suggested a few measures for us to take, and we found ourselves bonding just as we used to in our courtship period. Over 4 sessions, we have not only been able to save our marriage, but it seems like I have found an old friend in my husband again.
I have been getting treatment for anxiety and depression and OCD. Dr Rameez is a very knowledgeable psychiatrist. I had left hope to live, doctor saved my life. I recommend him to every person suffering from the same. I like the way he talks, and explains the illness and knows beforehand everything. Thank you sir
best psychiatrist in nagpur maharashtra
Dr. Rameez shaikh is psychiatrists in Nagpur offer consultation for children as well
नागपुर में सर्वश्रेष्ठ मनोचिकित्सक
Dr. RAMEEZ SHAIKH IS Psychiatrist doctor in Nagpur. VERY good result
dr. rameez shaikh is Best psychiatrist doctor in Nagpur. no medication just counseling. good result for suicidal thoughts
Dr. shaikh is psychiatrist in nagpur, maharashtra and good result for depression and negative thoughts
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