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DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 65671
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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Hello, I have been depressed for a few months. I can hardly

Customer Question

I have been depressed for a few months. I can hardly cope with my demanding job (I cope OK but I know myself), and, of course, the tasks just pile up and I don't know where to start and have no energy. I know myself and I've not been like this even 2 years ago. Top marks at school, 1st class degree at the university, 2nd degree while working and a complete change of profession, moved cities and countries and have started anew (i.e. establishing myself, finding a new job etc - without having a partner to support me). I've just written all this down thinking - I must have had so much more energy! I am ambitious by nature but I am a bit stuck at the moment, hence the depression I suppose.
Key reasons: I am 40 yo and have no family, the current relationship is not going anywhere I feel and he lives in a different country although we meet every few months. He is reluctant to discuss the future which upsets me.
Professionally I am also not where I'd like to be (according to my ambitions), although in reality it's not that bad, I work for a top-tier firm with fantastic clients. But there hasn't been any progression over 4 years and I've lost my motivation (again, I know myself), the job is very demanding, that's why I just feel used. It's also not my ideal job as it doesn't allow me to fully realise myself although it's very demanding mentally and various etc. I have started to search for a new job but it requires lots of energy and focus which I lack as I said above.
So I don't know where to start - I feel like a complete failure at the moment: no family, no children, not where I'd like to be career wise. And I feel I am becoming less attractive. I just feel that I have not been able to realise all my potential to date: I am lucky to be attractive, well educated, have a curious mind etc, and yet what have I done with all that? People set up companies and do amazing things with their lives.
So where do I start? I feel I can't delay anything any more, particularly children.
And how can I get my energy back? On Saturday all I can do is sleep and recover. Whereas I should be doing lots and lots! What has happened to my energy and what should I do? Should I go to a doctor? Should I go to a psychologist?
Thank you.
Submitted: 3 years ago.
Category: Medical
Expert:  DrRussMD replied 3 years ago.
Sorry about this situation; I understand it fully.
You need to see your internist, and a psychologist.
First, medical problems such as hypothyrodism need to be ruled out. It is underdiagnosed and can cause all of your symptoms.
If there are no medical findings, the choices are a psychologist or psychiatrist.
A PHD clinical psychologist that uses cognitive behavioral therapy can be as effective as a psychiatrist who prescribes medication, although sometimes both are needed.
OK, so that is an initial answer….
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