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Have pressure behind eyes, difficulty focusing, anxiety. Something wrong with brain?

I have been seeing a pyshchiatrist for months now, even spent some time in a ward. Almost a week! I am not convinced that I only have anxiety. I have pressure behind my eyes, & my nose with some pain, however, mostly just severe discomfort. I have a hard time focusing, & this throws me into severe anxiety. I have gotten to the point where I can't even leave my house! My doctor has yet to follow through with more testing, like a catscan or bloodwork. I am worried that I may have something very wrong with my head/brain. I know part of why I freak out is due to my anxiety, but know that if my symptoms were treated or "better" than so would my anxiety. I feel like I don't want to live anymore some days, but am not suicidal though either. I am a mother of 3 & have a hard time functioning day to day. Do you have some advice for me please!
Asked On : Sat, 20 Apr 2013
Answers:  1 Views:  28
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Psychiatrist 's  Response
Pressure behind eyes can be seen in conditions like migraines, sinusitis, ocular hypertension or glaucoma. As you say, if the anxiety is secondary to a primary problem then treating the primary problem is necessary.
An ophthalmologist and an ENT surgeon consultation can rule out or confirm ocular hypertension, glaucoma and sinusitis respectively.
Migraines are also accompanied by headaches that are usually unilateral and throbbing in nature, accompanied by nausea that increases in intensity with exertion. Your psychiatrist most likely would have diagnosed it by now if you did have it.
But suppose the eye and nose discomfort (with or without a diagnosable physical basis) has triggered off severe anxiety in you, it can go on as a vicious cycle. Its the anxiety of anticipating that you may not be able to work in all situations because of the discomfort. This can go on and on. If anxiolytics or other anxiety allaying medications can help you, you can take them temporarily as prescribed by your psychiatrist.
Sometimes anxiety or low mood can cause difficulty in concentration and hinder with day to day activities. If anxiety does turn out to be the primary cause after all investigations then it would be more useful trying to gain insight into your illness rather than denying it.
Hope this helps,
Dr A Rao
Answered: Wed, 26 Jun 2013
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