Our expert says:
I've said before that it should not be allowed for doctors or clinics to perform abortions without a properly trained mental health professional assessing the person first, and following them up in the period following the operation.
Abortion is generally a really simple procedure surgically, but highly complex emotionally, and just as with pregnancy and child-birth, is associated with emotional problems including depression, which need to be recognized and helped properly.
And diet pills, mainly inefective and risky, are rarely a good idea - better to work with a dietician on a proper diet and exercise progam - and such diet pills can also disturb one's mood - and antidepressant would probably be more useful. But a full assessment from a good local shrink, to take all of this into account and suggest treatment options, would be the best way to go. It sounds as though the Depression may be returning, and deserves higher priority than the diet pills.
Ectiva inhibits serotonin in a way that could make depression a real possibility. The pakage insert lists psychiatric illnesses as a contra-indication, and also that it should not be combined with antidepressants and similar drugs.
It should not be used on its own but only as part of a proper program including diet and exercise.
So do see a good local psychiatrist for a comprehensive assessment of all your problems, and to plan an optimal treatment program for all if them.
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