Q: I have been a recreational user of cocaine for almost 10 years now. But I have always had it under control. Recently, having decided to quit as I get older, I have found it very difficult. Causing me to have depression, grogginess; sometimes palpitations. What is the easiest way to kick a cocaine habit without going to rehab?
A: Thank you for contacting us. I certainly appreciate your willingness to change your life. I understand you're desire to get clean without treatment, and I want to let you know that recovery looks different for everybody. I would encourage you to begin to exercise in some capacity. Walking might be a good start, but my sense is that you could benefit from any sort of exercise. Meditation would be helpful as a way to slow down your thoughts and act as a way to help you deal with cravings. Involvement in Group therapy would be beneficial so as you get feedback about blind spots in your life or feedback about the reasons/excuses you have to use. Group therapy could also provide you with an accountability partner to assist you in staying clean. Lastly, I would invite you to talk to a doctor about anti-craving medications such as Prazosin. These medications are helpful as you take the meds while you are using. The medications act as an antagonist and blunt the effects of Cocaine, essentially diminishing any of the effects or "benefits" of the drug. Journaling is always helpful. I also know a lot of clients who have found benefit in spending time at a pound or with animals in some capacity- they report that the pets act as a distraction and give them a purpose.
You are always welcome to write back if you need additional support.
Response was provided by Addiction Expert, Mr. Todd Branston.
Q: I just want to ask why I always get worry about everything and always think that the people around me don't want me to know what they're talking about? Also, I want to know that why I always be in changing mood? Please help me to to pass this, I want to live my life.:((
A: The first step is to recognize that your view of events is not normal. You obviously have already realized that your thinking is distorted. This is a big step forward! Now it is a matter of controlling these thoughts and learning to see events for what they really are.
It is hard to determine from what you have sent us what your condition may be. You seem to have some anxiety symptoms, some paranoia symptoms, and your mood swings may be a sign of some form of bipolar disorder. For this next step, we think you need to see a therapist to be evaluated thoroughly. Meantime, feel free to try our Anxiety and Bipolar Tests to see if you have the symptoms.
Q: When a person just want to sleep all the time, is that a sign of depression?
A: In our section on Depression, we talk about some of the symptoms of depression which can include the following:
So, as you can see, lack of energy and the need for too much sleep could be a sign of depression. However, by itself, it could also be caused by many other factors, some not related to any mental disorder. We think it is best if you could first see a physician to be examined for any physical causes of your over sleeping. You should also take our self-administered screening test for depression to see if you have some of the other symptoms. Then you can decide on the next steps.
Q: what is the diff b/w anxiety and depression?
A: SoundMindz defines these conditions as follows:
Anxiety can be defined as worry or apprehension about bad things that could potentially happen in the future. While everyone has some anxiety at times, an anxiety disorder is excessive and irrational worry that affects a person's everyday functioning in a negative way.
Everyday ups and downs are just more challenging when you have an anxiety disorder and it can cause problems with your work and home life as well as your social life. Anxiety disorders cause excessive stress and worry not only to the person themselves but also to the people around them. Living with someone who has an anxiety disorder is a challenge in itself.
Depression: Feelings of sadness are a normal reaction to life’s problems or disappointments, but if sadness lasts longer than two weeks and affects your work, studies, or day-to-day activities, it may represent a medical condition called depression.
Depression is a serious mood disorder. It can take different forms, but is typically characterized by feelings of sadness, helplessness, hopelessness, and worthlessness. People with depression may describe feeling empty, angry, aggressive, or restless. Depression can begin at any age, although is most commonly diagnosed during the early adult years. Symptoms may start gradually over several weeks or months but can also appear suddenly.
If you are concerned about either disorder, you can take one of our free tests to check for symptoms.
Q: How do i get rid of negative thoughts that is continuously coming to mind every second. I am getting these thoughts for almost 2-3 years and despite making several attempts to control these thoughts i can't control it.Because of these recurring thoughts i am feeling restless,irritated,angry and also this is affecting my concentration very badly.So please advice me some ways or methods to overcome these thoughts forever so that again i can live a normal life.
A: It sounds like you may be suffering from highly intrusive obsessive thoughts, and potentially some depression. It is hard to gauge the extent or nature of your symptoms from your note above. But here are a couple of points to remember:
>Repetition does not make thoughts go away; it just makes them more intrusive and pervasive. Try to remind yourself that you have already given enough time to a particular negative thought, and that it is enough. Will yourself to only allow limited time to any particular negative thought. Then, it must go away.
>Always remind yourself that no matter how negative, real, or important the thoughts may seem; they are only thoughts. They may or may not have any relation to reality. Make yourself think about what is real and how it compares with the thoughts.
Other than these simple techniques, we think you need to get diagnosed by a professional therapist and get personalized treatment. You can also start by taking our OCD test to check your symptoms.
Q: I have depression due to domestic abuse, difficulties in relationship, several deaths of close people, suspension from work and having to sign on and up and coming court appearance. What medication would be suitable? I am 33 years old woman and is under weight and i am a smoker.
A: First of all, please quit smoking! It will help with a lot of things.
We are truly sorry to hear about all the difficulties you are faced with in your life.
Based on all that you mention above, you are in a very difficult situation and if you are having some symptoms, they could very well be triggered by all the events in your life right now. It is not unusual to have temporary symptoms of depression or anxiety when faced with difficult events in life. However, as things get better, then your symptoms should disappear over time as well. If your situation does not change, or your symptoms do not get any better, then it is highly advisable to get some help from a therapist.
We would suggest that you get evaluated for depression and anxiety. Then if the therapist feels that medications are needed, they will prescribe them for you.
You can find a listing of therapists in London here.
Q: Hi i have done a few of these online depression tests and they have all had similar results saying i have symptoms of mild depression or im heading toward depression, do i need to get help? or do i need to tell my parents that i might be slightly depressed?
A: If you have taken our depression test as well as others and they all point to you having depression symptoms, then you need to take some action. We would suggest doing both of the actions you mention: talk with your parents and with their help and guidance find a therapist who can evaluate you and get you on the path to recovery.
Good luck and let us know how you progress.
Q: I think I am addicted to online games. I can’t seem to stop playing them. Have to play all the time. Any suggestions?
A: Online games in particular are very popular these days on phones or on PC’s. Playing a few games a day during your free time or breaks is perfectly normal. But if you find that you are playing games at the expense of other activities you should or could be doing, then you need to make a behavioral change. Any kind of obsessive behavior like playing online games constantly is not normal. Good news is most people will find it relatively “painless” to limit themselves to so many minutes of playing games per day, during specific periods.
However, if you cannot adhere to your schedule and feel like you have an uncontrollable urge to play games, then you need to seek some help.
Q: my younger brother 48 suffering from severe insomnia from 1992 .is there any treatment ?
A: Long term insomnia like that could be caused by any number of factors. For example his diet; does he drink coffee or alcoholic beverages within 6 hours of going to sleep? He could also be suffering from sleep disorders like Sleep Apnea. We suggest that you read our section on Insomnia and have him take our screening test as a starting point.
Q: i can't forget the past my husband cheated on me. i always cried at night and treated him cool but i love him very much. he had an affair twice a few years ago. how to forget the painful past?
A: We are sorry to hear about your husband. It is important to remember though, that it is quite common and natural for you to be feeling upset and maybe even depressed about the whole thing. It is also imperative for you to always remind yourself that you are Not the one at fault here, rather it was your husband who has been unfaithful to you.
As for courses of action, we would recommend two approaches. Try and see if you can go to couples counseling with your husband and work through why he was unfaithful to you; and see if you can come terms with your conflicting feelings for him. At the very least, you will have an opportunity to confront him about the whole affair and under a therapist’s guidance, let him know how he has made you feel.
We also recommend that you see a therapist on your own to get help dealing with the intense feelings you are having about your relationship with your husband. This should help you deal with the whole situation more objectively.
Best of luck; and let us know how you are progressing.
Q: What is the difference between Depression and Bipolar disease?
A: At SoundMindz, we define Depression as follows:
Feelings of sadness are a normal reaction to life’s problems or disappointments, but if sadness lasts longer than two weeks and affects your work, studies, or day-to-day activities, it may represent a medical condition called depression.
Depression is a serious mood disorder. It can take different forms, but is typically characterized by feelings of sadness, helplessness, hopelessness, and worthlessness. People with depression may describe feeling empty, angry, aggressive, or restless. Depression can begin at any age, although is most commonly diagnosed during the early adult years. Symptoms may start gradually over several weeks or months but can also appear suddenly. More info:
And Bipolar is defined as follows:
Bipolar disorder is also known as manic depression although this is an older term that is not much used nowadays. Bipolar disorder is a mental illness characterized by extreme changes in mood, energy and activity levels that cause noticeable changes in a person's behavior. While many people have periodic ups and downs in their mood, people with bipolar disorder are unable to function normally at home, school, or work during the extremes of their illness. Bipolar disorder tends to run in families. More Info
If you think you may be suffering from either disorder, start by taking one of our screening tests.
Q: For the past 5/6 years I have been suffering from symptoms of self-doubt, anxiety, feeling that my decisions or something I have already done will affect others. Involuntary thoughts constant worrying, worrying about what people think of me
A: Self-doubt can be both a treatable condition, or it commonly is a symptom of other disorders like Depression or Social Anxiety Disorder. From your note, it sounds like you may be suffering from some form of anxiety, and may be exhibiting some Obsessive Compulsive Disorder symptoms. The first step in getting help is to get diagnosed properly. We would suggest that you take our General mental Health Questionnaire to see how you score; and/or try the screening tests for OCD and Anxiety. Then take the results to your doctor and discuss them. This will hopefully help facilitate an effective diagnosis for you.
Q: I’m being treated for severe major depression disorder. I have been taking medication for about 4 years now, and medication that has helped a lot for about 6 months. The problem is, all of a sudden, I’m very moody, irritable and sad again, and nothing happened to bring it on! My sex life has also suffering severely since i started these new meds, as I have no interest at all!!!
Please shed some light on this for me………
A: First and foremost, we have to strongly urge you to see your doctor again. Since you have already been diagnosed with depression, your doctor has all the history and relevant facts. Only she can make an assessment of what adjustments, if any, are needed in your treatment plan. It is very important.
Here are a few data points for you to consider though:
- -It is very common for patients to have their dosage adjusted every so often. When you are not feeling as well as you should with your current dose and current medication, your doctor can decide if you need to adjust your dose and/or try a different drug. Any of these changes can potentially make you feel a lot better. From your note, it sounds like you were put on a new med in the last 6 months. Since these medications take some time before they are fully effective, it may be that you are not reacting well to the new medication. Only your doctor would know all the facts.
- -You should also know that most antidepressants, particularly SSRI’s, can cause a reduction in sexual desire as a side effect. This may take some time to develop, and is also dependent on your age, your particular depression type and so on.
- -Lastly, you should also tell your Doctor if something has changed in your life recently to cause this. Sometimes events in our lives can trigger a depression episode that may or may not require a treatment adjustment.
Hope all this helps. Let us know how you are doing. As a reference, you can look up your medication in our database to see how it has been rated by other members, and what its side effects may be.
Q: Mi hijo de 26 años se lava las manos cada minuto y come demasiado ya lo han visto los doctores pero no veo cambio en el
Q: My 26 year old son washes his hands every minute and eat too much and the doctors have seen it but I see no change in the
A: Lavado obsesivo de las manos es sin duda uno de los signos de trastorno obsesivo-compulsivo; El comer puede ser un efecto secundario o que puedan indicar un trastorno de la alimentación. Le recomendamos que tenga a su hijo tomar la prueba de TOC, aquí, y que vea a un doctor para una evaluación adicional.
A: Obsessive washing of hands is certainly one of the warning signs of Obsessive Compulsive Disorder; the eating may be a side effect or potentially signal an eating disorder. We would recommend having your son take our OCD Test, Here; and that he see a Doctor for further evaluation.