instruction: hello doctor I am a 42 year old female I have a 12 year old son my husband is years old and is a heart patient who has undergone a cab 10 years back my husband is such a nice support and love to me my son is very smart and vibrant I try my best to be happy with them but I fail desperately my issue is I feel like crying very often I feel being hated by my friends and acquaintances I fell into a toxic relationship one and a half years back he betrayed me but I cannot let him go as I am so addicted and now I do not have any close acquaintances to turn up on I was under psychiatric treatment for the past one year I was put on fluvoxin 100 and decorate which I stopped due to weight gain now I do not want to be under medication some therapies or strategies would be better for me it seems please help
output: hello you have clear depressive symptoms it happens due to reduced levels of certain neurotransmitters such as serotonin which reduce the stress handling capacity of the brain medicines help to replace chemical deficiency and correct the imbalance counseling will on augment or add to the effectiveness of the medicines but it cannot replace it I will give you one example in fever crocin paracetamol helps is given to this you can add cold water sponging which helps but you cannot replace crocin with sponging this is the exact same thing there are medicines which also help you not gain weight or are weight neutral you can ask your doctor for the same one example of such a dose plan would be fluoxetine 20 my and lithium 300 my and aripiprazole my also if you wish you can consult a psychologist for some sessions of cut cognitive behavioral therapy and undergo six to eight sessions online or locally