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Bipolar disorder leading to sleeplessness and chest pain - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1716 Questions
User :   I am experiencing diffculty functioning normaly and it changes from day to day. I dont know what I should do or what is effecting me. Help?
Doctor :   Hi
Doctor :  
Can you please explain it in detail?
User :   Yes.
User :   Well My overall feeling of how each day is going to go is different everyday and can change at a moments notice. I get agitated at certain things and can not control what is going on with myself. Its like i go into a fit of rage for what seems like nothing later on , but at the time, I am convinced that something is "wrong enough" for me to go into my moods.
Doctor :   ok.
Doctor :  
Since when have you been like this?
Doctor :  
May i know your age and gender?
User :   I am a 23 year old female.
User :   i would say it has been a long time. My parents complained of my "lack of remorse" from the time I was 12 until i moved out.
Doctor :   Ok.

Doctor :  
Are you working?
Doctor :  
May i know your occupation?
User :   It has gotten EXTREME in the past year though. I have lost many jobs, friends, and have become completely unable to drive.
User :   I am a stay at home mother of 2. snows here so I just do not drive. It is ok for me though because i am not required to drive because I am a stay at home mom.
Doctor :   Do you have any other physical problems?

Doctor :  
Like excessive sweating?
Doctor :  
Doctor :  
chest pains?
User :   No, i wouldnt say so. I do sweat alot and get extremely angery, scared and sually tear up when I am forced to get into a car. Sometimes i will be fine, but as soon as i tense up for anyreason it doesnt stop.
Doctor :   Ok.
User :   I have chest pains when i get angry but they are not terrible. almost like a pulling in my chest.
Doctor :   Are you periods been regular?
User :   Yes. Normal time every month, give or take a day or 2
Doctor :  
Do you get frequent headaches?
User :   on most days, yes.
User :   Excerdrine helps though, just makes me feel wired.
Doctor :  
Doctor :  
Have you seen any doctor for these problems in the past?
User :   Once when I was a young teen
Doctor :   Do you have any other medical illness?
User :   Any other time I made appts i cancelled because I was afraid of what I would be told. Embarrassed maybe.
User :   I do not sleep well. usually I can fall asleep by 1:30 if i really really try, but most nights I am up at 4.
Doctor :  
Doctor :  
I shall brief you on what might be the problem
User :   Ok. Are you a Doctor & if so, where?
Doctor :   I am a general physician and from India.
Doctor :  
The psychological problem that you have been facing are probably related to the stressors.
User :   what is a stressor?
Doctor :   Are you there?
User :   yes
Doctor :  
They could be related to the decreased sleeping habits you have.
Doctor :  
or any other episodes in the life.
User :   what do i need?
User :   how can i stop this
Doctor :  
They can be treated with few life style modifications.
Doctor :   I shall suggest few.
Doctor :  
1. You may need to have a good regular sleeping habits.
User :   tried
Doctor :   Ok.
User :   my brain is most active at night. racing thoughts keep me awake
Doctor :   A normal person need atleast 6 to 8 hours of sleep in a day.
Doctor :   If your sleep has been altered, then you can consult one of your local doctors who can put you on one of the sleeping pills.
Doctor :  
They can help you in solving atleast 75% if the problem.
Doctor :  
Are you following?
User :   Yes
User :   So just ask a doctor for sleeping pills and everything will be better? Even my fear of driving?
Doctor :   Good amount of sleep will make you feel better if not completely stop them.
Doctor :  
If the problem is persisting inspite of all other medications then
Doctor :  
you can seek the help of a clincal pyschologist
Doctor :  
for a councelling.
Doctor :  
Have you followed?
User :   yes
Doctor :   Do you have any other query?\
User :   no
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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