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What should sufferers of depression or anxiety do if seeing several therapists and psychologists was ineffective?

Age: 30 - 39
Mental Health Psychiatry
DOCTOR’S ANSWER (1)
Dr Ng Beng Yeong
"Psychiatrist with over 20 years of experience"
(9 Reviews)
Whatsapp

It must be quite emotionally draining to realise that despite seeing a number of mental health professionals, your anxiety and depression do not seem to get better. I have a few suggestions, thoughts or pointers.

First, it will be good to stick to a particular psychiatrist for at least 6 months before moving on to see another psychiatrist as many forms of treatments (medications and psychotherapy included) would take some time to work.

Second, many patients have both anxiety and depression, so when choosing medications, it will be wise to choose an agent that works for both conditions.

Third, the psychiatrist can also order tests for you to see your genetic profile to predict your response to medications, so as to choose a medication that works for you.

Fourth, in terms of therapy, the most effective form of treatment is cognitive behavioural therapy (CBT). For this form of therapy to work, there needs to be close collaborative input from both client and therapist. This often means that the clients need to monitor his/her own thoughts, record them down and do some modification of their thoughts so that they become neutral or positive ones. However, CBT has been shown to be less effective when the client is not keen on homework.

Fifth, most anxious and depressive patients also have long-standing insomnia, chronic pain and sexual problems. You can discuss with your existing mental health professionals if they are able to help you with these issues. They can also refer you to their colleagues who are experienced in treating these concerns.

Lastly, do keep your spirits up as it often takes time to find the mental health professional that best suits you.


Dr Ng Beng Yeong
MBBS, MMed (Psychiatry), FAMS

NG BENG YEONG PSYCH MEDICINE CLINIC
3 MOUNT ELIZABETH
MOUNT ELIZABETH MEDICAL CENTRE
#15 - 05 Singapore 228510

197 views 9 Nov 2019
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Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

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