This forum is for questions and support pertaining to mental health issues such as: Anger, Dementia, Depression, Family Problems, Memory Problems, Personality Disorders, Phobias, Schizophrenia, Transitions and Work Problems.
I am 74 and male, currently suffering with depression. My GP looks as if he is successfully treating it. During many hours of a crying time, my whole life spread before me. I realised that I had many trauma's (7). I realised that I suffer with ADD, which has in my opinion encouraged, at a time when I could not completeboring tasks, no matter how urgent, compulsive cross dressing and gambling to provide excitement. I have on occassions massive anger surges which has historically caused problems socially, has given me a heart attack and caused my current depression. In the rage I act impulsively which is very worrying. Twice in my life Psychiatric examinations were mentioned but never acted upon. When my GP has sorted my Depression and BP out should I seek Psychiatric Assessment. How long in hours would an assessment take, and is it possible that I might need to go inside, at least to start the treatments. DoubleD
I appreciate your efforts for medical consultation in so much distress.
I am summarizing the important aspects of your query which are:
• You are a known case of Depressive disorder
• Past history of heart attack and cross dressing
• Complain of low mood and guilt over past
• Currently on some treatment from GP with improvement
In depression, patients usually have ideas of guilt. If we see your query, you describe several negative incidences in your life. Everybody has positive and negative incidences in their life but people with depression tend to think only about negative past life experiences. Medically this phenomenon is called “selective abstraction”. This symptom will improve after full remission of depression.
Psychiatric examination is done to diagnose psychiatric illness. The major role of psychiatric examination is to help in the initiation of treatment. Your GP has already examined you and they usually have training for diagnosing common psychiatric problems and treating them. You are also improving with treatment. So I don’t see much need for further psychiatric examination. However, if your depression is not satisfactorily resolved with the current treatment, you can consult a psychiatrist for cognitive behavior therapy which also helps in the treatment of mild to moderate depression specially when it is present with cognitive distortions (like selective abstraction).
Hope that this information helps and hope that you will get better soon.
Thank you for using MedHelp's "Ask an Expert" Service, where we feature some of world's renowned medical experts in their fields. Millions have benefitted from our service to get personalized advice for them and for their loved ones.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.