<s>[INST] hi dr my wife aged about 60yrs who is maintaining a good health and is suffering from some unwanted prob,like always feeling sl;eepy thinks of unwanted things throughout, not interested in mixing up with people .she hasto go to usa, for daughters pregnancy in sept.she is having arthritis , muscular degeneration etc .i am planning to meet some good psychatrists  .kindly advice me on this [/INST] Hai Your wife might be having a mild depression due to stress about the pregnancy and her arthritic pain whether she might be able to help out her daughter or not. Get regular treatment for arthritis and reassure her repeatedly that the delivery is going to be alright. Low dose of benzodiazepines for sleep might be enough but get it after consulting a psychiatrist. If need be, she will be prescribed antidepressants too.  Avoid leaving her alone, engage her in something all the time because loneliness may aggravate the unwanted thoughts. Bye </s>