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    Suggest treatment for fatigue and pain all over the body

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Posted on Thu, 27 Jul 2017 in Mental Health
Question: I have been slowly recovering from years of panic attacks and anxiety.

Im no longer very anxious but physically im so symptomatic still. Lots of stomach issues and headaches (always around/between my eyes or temples) and fatigue and really just pain all over my body. Old injuries are painful again even.

I was foing well but moved and had alot of stress i guess but im not used to it presently so physically where a good nights sleep doesnt relieve it but... sleep doesnt fix the priblem.

Im not sad about anything. My life is pretty awesome... but i feel awful everyday.

What do you think?
doctor
Answered by Dr. Alexander H. Sheppe 40 minutes later
Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

This sounds like a classic case of panic disorder and possibly generalized anxiety disorder. Fortunately, both these conditions can be treated very well. The best outcomes involve a combination of medication (an SSRI such as Zoloft, Lexapro, or Prozac) and weekly psychotherapy (specifically cognitive behavioral therapy, or CBT). Either or both of these will get you back on track.

Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Alexander H. Sheppe 1 hour later
You think? The thing is... i dont really get the panic attacks anymore, and all i "worry" about and get frustrated by are these physical symptoms...

If i were to describe it more its mostly like how one feels when they have had a crazy long day and they feel wiped out and headachy and quesy and need to rest to refresh... they dont pay any real attention to it because in a day or two it just goes away... except waking up barely refreshes me. I was just starting to get better until my move when the stress seemed tonoverwhelm my body agsin... Then as each day goes on, i feel physically worse. Headaches always stsrt in the afternoon and i need to rest for hours to just keep it less intense. Its like i have no ability to tolerate stress of any kind.

I dont think theyre migraines... it feels like pressure and foggy and sonetimes sharp and stabby. The other day i had it and when i sneezed it git way worse for a bit... which makes me think my body/head are just insanely tense .
doctor
Answered by Dr. Alexander H. Sheppe 18 hours later
Brief Answer:
Followup

Detailed Answer:
The way you describe this is more consistent with generalized anxiety (which often includes headaches) being the main problem. Fortunately, the solution is the same: the best outcomes involve a combination of medication (an SSRI such as Zoloft, Lexapro, or Prozac) and weekly psychotherapy (specifically cognitive behavioral therapy, or CBT). You may also want to consult with a neurologist to consider management for headaches separately.

Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Alexander H. Sheppe 23 hours later
Would it be GAD even though i literally only worry about the physical symptoms?

I can watch my mind constantly ask questions like "when is the headache coming bsck" "what if i cant tske it anymore". But i literally dont worry about anything else.

If the physical symptoms would go away... i wouldnt worry.

And most times im not even actuvely worrying becsuse logically i know a headache is no big deal. Its just automatic. Which then i think probably keeps the symptoms going?
doctor
Answered by Dr. Alexander H. Sheppe 27 hours later
Brief Answer:
Followup

Detailed Answer:
Welcome back,

Yes, this is still definitely consistent with GAD.

Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

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