Brief Answer:
it is all due to increased anxiety
Detailed Answer:
Hello,
Your symptoms are suggestive of increasing anxiety. It is seen cpmmonly that under periods of
stress, patients of
depression develop significant anxiety. All these shaking legs, reduced appetite can be due to anxiety. please avoid all tea and coffee as they increase anxiety. You should take lot of water & curd.
You said that you have depression and
chronic fatigue but have not named any medicines for the same. So, if you are presently not taking any medicine, then I would strongly recommend that you should start some good drug. This will help you in all the symptoms and you will feel a lot better within few days. They will improve overall quality of life.
I usually prefer starting venelafaxine 37.5mg, along with stilnoct 12.5mg for sleep. You may need
etizolam 0.5mg twice a day in daytime to manage anxiety early. Sleeping pill & etizolam can be safely stopped after a week or so.
If you can do and want some lifestyle changes, I can help you with them as well. They are very helpful in maintaing symptom free life & very little drug is needed with them.
## Please get routine blood counts &
TSH levels also.
Wish you good health.
Do ask more questions for clarification.
Dr. Manisha Gopal
MD Psychiatry
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