What could be the reason for depression even after having a narcissist personality disorder?

Hello,

Welcome to icliniq.com.

Thank you for taking help from a psychiatrist. I can understand your situation. You may have major depressive disorder due to your personality. There is non-pharmacological management for your depression, and you should try to follow the following guidelines to deal with it. It will help you.

1. You should do exercises daily for 30 to 45 minutes like going for a walk. It is better if you go for walk with your husband. It will uplift your mood.
2. You should do meditation for 20 minutes daily, just sit in one place in a comfortable position and try to concentrate on your normal breathing. Do not stop or force yourself to stop your thoughts, just let them be. It will calm you and reduce anger outbursts.
3. You should eat healthy home-cooked food, and avoid junk food.
4. You must drink enough water.
5. You should spend quality time with friends and family daily or do video calls if you are living away from your family.
6. You must spend enough time with your husband. Try to take interest in his hobbies and interests.
7. You may have a narcissistic personality and a high ego, so keep your ego low and spend time with him.
8. You should spend time on creative hobbies like reading good books, writing journals, painting, drawing, and learning new skills or language or musical instruments.
9. You should take enough seven to eight hours of sleep daily.
10. You must avoid tobacco or alcohol, or any other substance abuse.
11. Live your life, do not just spend it.
12. Be bold and confident.

Get the following investigations done:

1. CBC (complete blood count).
2. Thyroid profile.
3. RBS (random blood sugar).
4. Vitamin B12.
5. Vitamin D3.

I hope that helps.

Thank you.