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Anxiety and depression symptoms, , nervous system issue, headache - 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 : 2008
Answered : 3631 Questions
Doctor :   how can i help you today ?
User :   I have been having anxiety and depression symptoms over the last couple of months. I feel that it has been triggered by a psysical condition or issue. I feel that my body is partially number in temperature and feeling, not completely but in part and also have been light headed, having headaches and nervous systems issues for a while. I have never had any issues with anxiety or depression before. I have always been an optimistic excitable lady who just wants to find out whats wrong with me...any idea what it could be? Should I get an MRI to double check?
Doctor :   may i know your age ?
User :   25
Doctor :   have you had any recent stressful situations before the onset of your symptoms ?
User :   few large life events
User :   thinking of switching jobs
Doctor :   can you explain a bit more if possible ?
User :   end of last year i was part of an earthquake, pretty shakey
User :   i was looking at leaving work and looking for a new job
User :   made me anxious
Doctor :   ok
Doctor :   so have those situations solved now ? Have you got into a new job ?
User :   no i ended up staying at work because if everything that been happening
User :   work supports my situation...i find it hard to concentrate at work
User :   because of how im feelign
Doctor :   can you let me know if the symptoms, that you mentioned before, are persistant ? or come only in episodes ?
User :   the part numbness is constant
User :   have slight tinitus as well
User :   and the derealisation/lightheadedness is most of the time,, sometimes i feel as though it's not there though
Doctor :   Are you taking any medications as of now ?
User :   yes i just recently started an antidepressant
Doctor :   have you got any blood tests or any other investigations done ?
User :   however feel that it wont solve the problem -i think it's something else
Doctor :   ok
User :   i had a thairoid test - came back negative
Doctor :   may i know how long ago was the medication started ?
User :   when i was having chest pains i had blood test and chest xray to check chest and heart with no probems
User :   and also a iron blood test to see if that caused lightheadedness and came back fine too
User :   medication started about 2 weeks ago
Doctor :   ok
Doctor :   have you seen any benefit with the medication ?
User :   not really
Doctor :   do u sleep well at night ?
User :   on an overall id say not much has changed
User :   my sleep is now broken - before the meds it was through the night...the one thing that was on traxk
User :   track*
Doctor :   may i know the name of the medication you are on ?
User :   aropax
User :   equivalent to paxil
Doctor :   ok
User :   r u aware of this one?
Doctor :   yes
User :   do you prescribe it?
Doctor :   this medication is a SSRI, commonly used all over the world to treat minor depression and ANXIETY disorders
Doctor :   this medication needs at least a 3-4 weeks of continuous use, so that the actual benefits can be seen
User :   ok so i read
User :   however is there anything I can do to check my symptoms
User :   away from just being anxiety/depression triggered?
Doctor :   so you might benefit by continuing the medication for now
Doctor :  
Do u have any weakness in any part of the body ?
User :   not specifically
User :   i feel week but i dont think i am..feel fatigued
Doctor :   any difficulty in doing your regular activities or doing your job, satisfactorily ?
User :   not to massive degree but I have trouble concentrating - feel fartigued and spaced out
User :   this does not lead to productivity
Doctor :   ok
User :   and because i have been feeling out of it for a couple of months its hard to ger motivated
Doctor :   i understand, the more you feel that you dont fit into the job, the more you feel bad working at that position
Doctor :   Do u think,, that changing the job will help you?
Doctor :   Do u think , anything else would suit you better ?
User :   yes i do
User :   but i feel because im down and out at the moment its an ok place to be for now
Doctor :   can you tell me about it ?
User :   about what sorrt
User :   sorry*
Doctor :   the more you resent your job, the more you will feel miserable in it , and this in turn can cause issues like depression and anxiety
User :   yes
Doctor :   i meant, what job, would you like to do instead ?
User :   this is what my councellor suggested
Doctor :   when was the last time you took a break from the job ?
User :   however before the thought of change i was quite happy there
User :   yes recently i took a couple of weeks off...hit me coming back
User :   symptoms did not go away over holidays though
Doctor :   so do u think , it will take some time to get used to the job again ?
User :   no im back in it but i still feel really under the weather
User :   i dont think its the depression and anxiety as themselves, what i think is it's a physical condition which has left me feeling like this
User :   when i feel fine physically, mentally im quite strong
Doctor :   as per your question, about tests, i do not feel that it is needed, at this point of time, in case you do not have any major symptoms like body weakness, joint pains, or seizures, nausea, vomiting, loss of weight, etc
Doctor :   you might wait for about 4 weeks, more, so that the effect of medications kick in
User :   i have weakness through fatigue and have lost weight
User :   body numbness and derealisation is not normal doc?
User :   somethin has to be up there
Doctor :   how is your appetite ?
User :   it goes up and down, mostly eat because i know i need to eat 3 meals
Doctor :   derealisation is a symptom, that can be seen in depression and anxiety disorders
User :   nausea is felt a bit lately too
User :   yes i know it can - i guess i feel it must be related to the numbness
User :   nervous system issue or something
Doctor :   body numbness, that is not associated with radiating pain, or weakness, or inability to walk, is usually not a thing to worry about. It could be due to pressure on the nerves, on the peripheral body points
User :   derealisation is most of the time though-i thought derealisation with depression or anxiety is only momentarily
User :   would massages of any kind help the numbness?
Doctor :   yes , physiotherapy and massages will definitely help
Doctor :   deep breathing exercises, and physical workouts in a gym, will also be helpful
Doctor :   a healthy diet with nutricious food, fruits will help to improve your appetite
User :   i have been getting accupuncture not sure how helpful it is though
User :   i have a health diety - i am seeing a nnaturopath
User :   and im on vitamins and minerals etc
Doctor :   accupuncture is helpful in some cases of chronic pain, but its efficasy to treat numbness, is not well known
User :   ahh
User :   its meant to treat depression and anxiety
User :   but she doesnt really know how to help either
Doctor :   it does help , cases of depression by relieving pain issues, but not in cases, of plain numbness
User :   ahh
User :   how about XXXXXXXX therapy
User :   do u suggest that might help
Doctor :   this techniques is also helpful to relieve chronic pain issues like sciatica, and fibromyalgia
User :   so not helpful for my numbness?
Doctor :   but trying it out will not cause any issues, but its efficacy in your case, is doubtful
User :   i also feel tension in my sinus, behind my eye and pressure in the ears
Doctor :   numbness could be due to the following reasons -
Doctor :   1. nerve pressure
Doctor :   2. vascular reasons, (reduced blood flow ) - ruled out by checking the pressure of the pulse in the peripheries and the color as well
Doctor :   3. skin diseases
User :   skin disease?
Doctor :   you can undergo tests including - nerve condutction study
Doctor :   this might be helpful
User :   howdo i get all these tested?
Doctor :   skin diseases - which destroy the nerve endings and sensation
User :   goodness
Doctor :   vascular causes - tested with doppler study
User :   doppler study? whats this
Doctor :   this is just like a ultrasound, to know the flow in the blood vessels
User :   o ok
Doctor :   I hope you have understood my advice

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