### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I read Psychi Sezures has had the symptoms for years. I get the dejavc spells 3 times ma day for almost a week for a few seconds. It s only about 3 times a day some are very straining but I just continure to try and hide it.Most of the time I can. As far as the memory problem I have very bad I do t remember peple I meet or names at work I keep notes.I don t run a register I try and fack it if a customers remembers me. I work there over 10 years and can t even punch in for work. The kids past I don t no at all.I know there my kids it s just past accounts. I even see a memory Dr. for how many years he told me over 4. He gave me a test and I past it but I told him to ask me the questions next week. My sis I don t rember at aqll shes been away for years over 20.She just moved back from Europe. In school she skipped grades,I had a tutor.I do have a lot of depression and that was all I really remembered the most now forget it. I keep a diary but haven t read it for years incase i ll depress myself what I wrote,and not remember..sandy

### output:

Hi sandy, you appear to be in severe distress. You appear to be having depersonalization and derealization experiences. Feeling as if you're not yourself and the world around is as if not as it looks!!  Also suffering from dissociative experiences. All these could be due to depression. You need professional help from a psychiatrist. We can help you by understanding your energy level, sleep and food pattern, ability to involve in work and hobbies, negative thoughts and worries you are getting. For time being use relaxation exercises with deep breaths. After consultation medicines like fluoxetine might help you.