Hi, Your current symptoms of decreased appetite, sleep disturbances, being stressed are highly suggestive of underlying depression and anxiety. In view of the fact that you have had panic symptoms and mild depressive symptoms in the past and have a positive family history of depression, you should seek a psychiatric consultation for complete evaluation and initiating treatment at the earliest. Earlier the treatment is started, better is the prognosis. Treatment with selective serotonin reuptake inhibitors like sertraline would be effective. In addition, you should start exercising daily. It will help you relax and feel better. You can also consider the option of cognitive behavior therapy which will consist of multiple sessions helping you relax and overcome your depression. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Iven Romic Rommstein, General Surgeon