Hello doctor, I am still unmarried. Except medical, I do not have any friend circle. For the last two years, I am suffering from mood swings and empty nest syndrome along with OCD. And abused OTC sedatives without consulting a neuropsychiatrist. It enhances my capabilities during surgery. Otherwise I feel a little bit uncomfortable in major clinical managements. As an instance while execution of pelvic floor repairing. Autosuggestion does not work for me. And even if I think sometimes to give up and stop practicing. Please give me some solutions to get rid of these symptoms.
Hello. Repetitive mood swings, OCD (obsessive-compulsive disorder) symptoms, etc., result in depressive symptoms. It is common in depression to see reduced focus, reduced concentration. This is the probable reason that you are seeing problems while doing surgeries. What kind of OCD do you have?  Sometimes we relate such symptoms with psychiatric conditions but there are many medical causes that should be ruled out. First are vitamin B12 and D deficiency. Vitamin B12 deficiency increases the risk of anxiety and obsessive thoughts. This also results in poor focus and problems in sustaining focus. So please get B12 and D levels done and if the levels are low please start taking supplements. Also get thyroid function tests done. Hypothyroidism is one of the important cause of such symptoms. If the levels come normal, then no need to get worried.