<s>[INST] Hi Doc,My husband is 38 years old and is often not-well. He has high B.P. and is taking one tablet per day since 3 months. He had suffered from Pneumonia about a year back. He is having heaviness in head since 4-5 months which we thought was due to high B.P. but even after B.P. control he is still unwell. At times he suddenly feels lifeless, at times very tired and cannot concentrate on official duties. What could be the reason. He had gone for general health checkup about 4 months back but everything was fine. [/INST] Hello, I have understood your concerns.your husband has high blood pressure and with meds it has controlled, then most common reason for this kind of symptoms is depression, so i ll suggest u to go for proper psychiatric interview and psychological evaluation. He must be remaining depressed, has lack of interaction as compared to past, lack of sleep, not taking proper food, navigability, tiredness, heaviness in head must be due to decrease sleep and stress of work and from worries about future...go for psychiatric consultation. With antidepressant medication he will be alright within 2 months, but meds shut be continued as per advice from the psychiatrist...u can give him meds like: tablet. Escitalopram [10 mg] once at night.for sleep tablet collided [ambient 10 mg] at night.regular exercise, proper diet, meditation and yoga will be helpful he can also go for psychotherapy...I hope this advice will be helpful to u.best of luck </s>