Dr. Edward H. Tobe, DO PA

Yes

I do not know their relationship; however, favorable or not, they became part of each other and now there is a loss of part of oneself.
May I suggest a psychotherapy group for your Mom or individual therapy. If there is a prolonged [greater than 6 month] period of diminished appetite with weight loss, I would consider medicines.

Yes, your daughter's loss of appetite could be associated with alterations of hormones and adolescents. That is the more optimistic point of view. Please be aware that a lot of adolescent girls are involved in clicks that can involve weight loss. Other considerations to weigh include a high rate of substance abuse even in the "finest high schools." If I might say, if it is possible, please sit down with your daughter in a noncritical way and say that you notice that she is losing weight and you're wondering if she felt she needed to lose weight or was it something else making her lose weight.

Her symptom is not atypical, especially with anxious children. If there was a disease present, it would fall under the anxiety or depression spectrum. Ask her what she thinks about at night as she's not able to sleep. It was hard for her to tell you, ask her to draw it for you.

I very much doubt that you had capable psychopharmacological treatment. Today I noticed the patients are exposed to something called "med checks". There placed on a similar group of drugs that don't work when that group of drugs don't work replace another similar group of drugs that don't work. Thus if you need is for competent psychopharmacological care, I would ask consider whether or not you been on pain medicines: Parnate, Nardil, EMSAM, tricyclic antidepressans. Many doctors today have not been trained in using these medicines because they been sold a bill of goods by well marketed pharmaceutical companies. The treatment of depression requires a competent algorithm meaning a very well organized structural approach with an understanding of why each medicine, why the various doses of the medicine, when the shift with medications and how to involve the more aggressive medicines such as Parnate, Nardil.

You asked a very difficult question. My immediate thought concerns social relationships. You would be well advised to find out about his friends with whom he spends time to determine whether they are positive or negative influence. Empathy develops over the years; however, as a parent, you may have the appropriate intuition. I also would consult the school to determine if his behavior's the same at that "age-appropriate workplace."

Hearing voices inside of her head is not necessarily the same as hallucinations. Of course she can be helped. I would encourage you to consider a very thorough medical examination rule out many various causations and then to determine what is the diagnosis. There is no set minimum diagnosis for someone hearing voices in her head; for example, obsessive-compulsive disorder people can hear voices that they describe it in their head; people with depression can hear voices in their head.

The fact that you wrote that question gives me the impression it is not normal. I would encourage you to sit down with her daughter in a setting that is not in the form of a intimidation of mother over daughter father of her daughter were rather relaxed situation which you would begin to explore with her what did she experience.

When you note that you require sexuality on a daily basis, my best suspicion is that you find, through sexuality, comfort, acceptance, feeling close. Because he may not have sex with you every day is not necessarily a demonstration that he is not in love with you.

As an initial step, I would search out psychotherapy to help you understand realistic versus unrealistic concerns about the baby. Hopefully, the psychotherapy will be adequate and you will not need medications.

My answer to your question is somewhat jaded. In psychiatric practice today, there's something called a med check and somehow the doctors decide what medicine to offer you in a few moments and then send you to the therapist. I don't think that there is a lot of consideration on the part of many professionals when deciding criteria for the employment of medication for depression. I suspect that if you go to most psychiatrists and tell them you are feeling sad and have a sleep disorder or some degree of loss of energy drive or motivation, you will be given the latest advertised psychopharmacological product.

From a different perspective, please allow the following:
There needs to be a careful biological work-up to ensure that you do not have certain neuroendocrine diseases that present as depression. Because depression is defined in terms of its presentation without a known biological marker it is essential that there is meticulous study of your presentation clinically to be certain that a correct diagnosis has been made. It is a terrible decision to initiate medication with an incorrect diagnosis.

Dr. T

The mind and body are one. Worries can cause body pains and body pains can cause worries. There are expressions like: "he or she is a pain in the neck" or "my job is a pain". Your back pain at least is causing you distress.