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

### input:
I need some help. I do have an apoitment with mental health but not until December. I was in detox for alchole about a month ago. Upon returning home my boyfriend took my 3 year old twins and will not let me see them much. Not only is this man my x now but he also is my boss at work. For years now i have had anxiety paronia and depression. Now lately its 100 times worse. I dont want to leave my house. I have been missin time at work. My work has told me to go to the dr and get put off of work so i can get myself right. I do not know how to ask my dr that? Im actually terrified to even go to him. My x and my family this im being stupid but i cant help the way i feel. Its like i know what i have to do but my mind wont let me. How do i ask my dr for help? What could be wrong with me ? I do not understand why 24 hours a day i am feeling like im failing. I keep my doors locked and my curtins closed. I do not want to leace the house. I feel like ppl are talking about me and judging me. Im sad all the time. Nervous amd stressed out all the time. I find it so hard always feeling this way.

### output:

Hello! Welcome to Chat Doctor ! Presently your in depressive state. So, now you're suffering with all the depressive symptoms like feeling low and sad, wanting to stay alone, unable to concentrate on work, low self-esteem, etc. I guess you also feel hopelessness and guilt along with sleeplessness. It indicates that you're in a moderate to severe depression state, which ought to be treated with a psychiatrist. Mostly, they prescribe medications like SSRIs and TCAS. I recommend you to consult a psychiatrist immediately. Also, start practicing relaxation exercises like mindfulness, meeting friends, going for a walk in the morning, which will help relieve your stress. Hope that clarifies your concerns. Thank you for the question. Take care 