How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Robert Your Own Question

Dr. Robert
Dr. Robert, Doctor
Category: Medical
Satisfied Customers: 6680
Experience:  M.B.B.S, Experienced Family Physician
8493425
Type Your Medical Question Here...
Dr. Robert is online now

Good morning My name is Tracy. I live in Botswana. My daughter,

Resolved Question:

Good morning
My name is Tracy. I live in Botswana. My daughter, Vivienne, is 19 years old and is currently doing a gap year in Durham uk as a teachers assistant. She has been showing all the signs and symptoms of depression. Crying easily, feeling low, not wanting to socialize, wanting to stay in her room and sleep, weight gain. This is not new to her. She has struggled in the past. We have been the route of exercise and good eating. there is a history of depression in the family. My father (her grandfather) was institutionalized at one stage and I myself have successfully been on antidepressants (Fluoxetine) for a number of years now. Viv has visited her local GP in Durham who has given her the number of an organisation called 'talking changes' but has said she must simply persevere with exercise. Exercise is something she has done all her life, so I don't see it making any change. Obviously, as antidepressants have worked so well for me, I am biased towards them. However I would appreciate your advice on whether you think an antidepressant is the route for her. she has tried St. Johns Wort which hasn't made much difference either.
Thanks for your time.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Robert replied 2 years ago.
Hello,
Dear customer

Welcome to justanswer.com and thank you for your question.
I can understand your concern for your daughter.I will do whatever I can to help answer your questions:


Yes,the symptoms you have described about your 19 year old daughter,Vivienne seems to be due to depression.All her symptoms directs towards this.

Yes,its time to start the oral anti depressant medication for her.

Cause of depression/anxiety is the body's normal "alarm system," the set of mental and physical mechanisms that allows a person to respond to a threat, tends to be triggered unnecessarily, when there is no danger

She need to consult the psychiatrist/psychologist.The doctor can do various screening tests to know the cause,type,level & degree of depression like:

-Dexamethasone Suppression test
-Zung Self-Rating Depression Scale,
-Hamilton Rating Scale for Depression (HRSD).

There are many different types of drugs used in the treatment of depression, including selective serotonin reuptake inhibitors (SSRIs), atypical antidepressants, tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs).

As she has been doing exercise all her life,tried healthy diet,St. Johns Wort & counselling without much help,its time for her to consult the psychiatrist now for these above described tests & hence the prescription anti depressant medications accordingly.

Hope this helped.

My goal is to provide you with excellent service – if you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.

Thank you XXXXX
Dr. Robert







Dr. Robert, Doctor
Category: Medical
Satisfied Customers: 6680
Experience: M.B.B.S, Experienced Family Physician
Dr. Robert and 2 other Medical Specialists are ready to help you
Expert:  Dr. Robert replied 2 years ago.
Hi JA customer

I'm just following up with you to see how everything is going. Did my answer help?

Have your daughter consulted psychiatrist?
Was she prescribed with anti depressants?

Let me know,
Dr.Robert

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.