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Feeling very low and lazy, tightness in chest, feet, shoulders. All reports normal. What is it ?

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Practicing since : 2004
Answered : 1853 Questions
Hi doc, I feel very low and lazy...i am not very active from last lot many days and doesnt feel like socialising too much. From morning till late afternoon i feel v heavy and low and feels as if i am dragging my self to work... My concentration at work is also got affected and i get too stressed with situations there...i feel v tight on my head,chest,feet,shoulders,back..I have got my blood tests done and the reports are all normal..cant understand what it is
Posted Fri, 13 Jul 2012 in Mental Health
Answered by Dr. Ashish Mittal 10 hours later
Thanks for your query.

It is nice to see such a nice and precise description of your current suffering. From your history, it is clear that you have following symptoms:

•     Low mood, excessive stress
•     Loss of interest in previous pleasurable activities (anhedonia)
•     Poor concentration
•     Decrease motor activity (laziness)
•     Decrease socialisation
•     tightness on head,chest,feet,shoulders,back

In presence of normal blood test all these symptoms indicate towards the presence of depression and need attention.

Depression is not always situational (because of stress). Many times it is biological due to biochemical changes in brain. Such Depression does not improve by exercise or guidance or lifestyle modifications only but all these measures help in recovery with medicines.

Depression occur due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter. You need treatment with psychiatrist urgently to treat your depression.

In drug treatment two types of medicine used. For immediate relief of anxiety symptoms benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect.

All these process is complex. I have just simplified it to make you understand it. We can not write drug name directly because of ethical reasons and treatment is highly individualized. Apart from that, get your Serum TSH (related to thyroid hormone) done as sometime thyroid problem can lead to such symptoms.

Apart from above advice following simple measures will help you to some extent:
-Decrease worrying about symptoms as they will cure after treatment.
-Healthy diet: Milk and fruits in diet.
-Daily morning walk and breathing exercise.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
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