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Mental depression out of reality
Dear Doctor, I am writing about a 35-year-old woman who has been experiencing noticeable changes in her mental health over the past month. She appears depressed, but there are additional symptoms that concern us. She does not speak much about her current reality and instead repeatedly talks in detail about past incidents where she felt humiliated, often exaggerating them and sharing them openly with others, including things she would normally have kept private. She says that our father, who passed away, is giving her instructions and telling her that certain events will happen. She had a good professional relationship with a male colleague, but other colleagues linked them together and spoke badly about her; although she did not react at the time, this seems to have affected her deeply. She also used to help a friend edit videos for a YouTube channel, and after that friend left, she has developed a strong fixation on editing and posting videos. She now constantly talks about uploading
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I want to acknowledge how much courage it takes to voice these struggles. Often, we treat mental health as a matter of 'willpower,' but as a psychiatrist, I can tell you that what you are experiencing has a real biological and neurological basis. ​Your brain, like any other organ, can sometimes struggle to maintain balance under stress. Seeking treatment isn't a sign of failure; it’s a proactive medical decision to regain your quality of life. We can work together to understand the 'why' behind these feelings and find a structured path back to your baseline. You don't have to navigate this alone.
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Behavioural complaints are there, dont spend time untreated, it affects prognosis Consult
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"Hi there, I understand that seeking help can feel overwhelming, but you’ve already taken the first brave step. I can guide you with a clear treatment plan tailored just for you, so you can feel better and regain control over your life. You can reach me directly on WhatsApp for quick support on seven zero eight two zero two two zero six two."
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Hi From what you are describing, the changes in her behavior sound significant and should be taken seriously. The combination of low mood, repeatedly revisiting humiliating past events, sharing things that she would normally keep private, and especially believing that a deceased parent is giving her instructions suggests that she may be experiencing a psychological episode that goes beyond simple depression. Sometimes when emotional stress, unresolved humiliation, or internal pressure builds up, the mind can begin to blur the line between thoughts, memories, and reality. The fixation on certain ideas like repeatedly talking about uploading videos can also be a sign that her mind is trying to find control or expression during a period of distress. The most important step right now is not to argue with her beliefs but to gently encourage a professional evaluation by a psychiatrist or clinical psychologist as soon as possible. Early intervention can make a big difference if this is a stress-induced episode, a depressive episode with psychotic features, or another treatable condition. Approach her with concern rather than confrontation, and frame help as support rather than correction. Take therapy. You can connect with me on nine two six six seven two six zero six five.
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Highly suggestive of Psychosis as she conveys getting instructions from a deceased person and other behavioral changes points towards the same. Do consult a psychiatrist and seek remedy. Earlier the better chances of recovery to achieve previous level of functioning. Good luck.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.