- Depression and anxiety are the two most
common reasons for presentation to my office.
Daily stresses, family issues, marital issues,
finances or a multitude of other reasons can
cause significant symptoms of depression or
anxiety. Sometimes the symptoms can be so
severe that one considers self-harm. This
requires treatment.
Even a mild to moderate level of depression or anxiety can be
quite disturbing to a person. The lack of interest in one's
activities, one's hobby, or one's job can be early symptoms of
depression. Anger, irritability, arguments at work or home also
can signify that a person is suffering from depression or anxiety.
When one does not want to get out of bed in the morning, whether
it is because of a lack of energy or because of a fear of what the
day will bring is a symptom that needs treatment. Constant or
intermittent nervousness or a feeling of not being comfortable in
one's own skin is another symptom of anxiety.
Treatment for these disorders is available. As with many
psychiatric problems, the primary course of treatment is
psychotherapy. Generally, my practice concentrates on insight-
oriented psychotherapy for these disorders, but other forms of
dynamically-informed treatment are necessary in certain
instances. Some patients need reassurance that their symptoms are
normal and will go away once the stressors are removed and
when they accept this, their depression and anxiety abates.
In some cases, medication treatment is needed. There are several
medications available for the treatment of depression and anxiety
and these can be effective when used in conjunction with
psychotherapy. In my experience, it is important that the
psychiatrist prescribing the medication be the professional
providing the therapy for the patient. This type of treatment seems
to be the most effective in the treatment of patients and leads to
the quickest and most complete relief of symptoms.
Depression and Anxiety
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