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Constant fatigue and blurred spots in vision - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi,
User :   hello
Doctor :   How can i help you ?
User :   i need to get some answers to the following if i could please 29 yr old male ,non smoker ,dont drink , I have been experiencing "off balance" feeling in the brain,but walking normal , constant fautige ,sleep 10-12 hrs a day, pulsing right temple ,colored blurred spots in vision, pressure on top of the back of the head like compressing on my spine , consant anxiety attacks ,full blown panic attacks 2 resulted in trips to the E.R. , feels like pressure in both my ears , alternating, sometimes at the same time , dull pain at times in the upper left chst just under the rib cage ,used to lift weights every day now can not even go to the gym as i get panic attacks dizzy feeling like i am going to pass out and lightheaded problems focusing , remembering , dull pain n the base of my skull like there is something there that should not be I believe c1-c2 vertebre,like pressure in a downward motion ,only getting relief from laying down at times that does not help , currently I take diazepam 4 mg 2 x times a day sometimes more depends on how I feel . these symptoms used to include a chronic brain fog , but since I had an infected tooth removed and currently going to acupuncture the fog has subsided , symptoms are intermitten as far as severity of the discomfort, so far i had 2 x M.R.I,'s 1 with contrast inspected by GP,ENT
User :   also to add heart palpitations , rapid heartbeat at abnormal times (no exercise )
Doctor :   ok, Have you presented to a psychiatrist anytime ?
User :   no I have not
Doctor :   its CBT ( Cognitive behavioral therapy ) is what you need
User :   would this be related to all of the physical symptoms ?
Doctor :   the Anxiety disorder you have will not be controlled by diazepam alone
Doctor :   yes, the symptoms are very typical of anxiety disorder
User :   what do you think would be the root cause of this problem as there was no real reason on why it started just happened one day
Doctor :   its a point source , could be medical , illness related or even family matters
Doctor :   its a progressive illness , growing exponentially
Doctor :   the exact reason of the start of the illness could not be sorted
User :   curable? or reversable and how is Cbt , medicine or physical therapy sorry I am not aware of this
Doctor :   yes , its curable but takes time depending on the severity
Doctor :   CBt is psychotherapeutic in approach , no medication make part of it
Doctor :   it involves series of exercises , where desensitization to the triggers is done slowly
User :   but it seems like the symptoms are there 24/7 almost like a pinched nerve or something there are no triggers it just happens on a daily basis
Doctor :   i would consider all the somatic causes are ruled out as you have got MRI and blood tests done
Doctor :   Hence CBT would be a best remedy now rather than continuing the anxiety by thinking over the somatic causes and going for further tests
User :   and this is done through a psychiatrist correct ?
Doctor :   yes,
User :   ok well that gives me a place to start I do appreciate the help
Doctor :   you are welcome
Doctor :   Thanks for consulting me
User :   my pleasure you have a good day
Doctor :   Bye for now
Doctor :   Take care
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