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What causes depression, anxiety and fatigue?

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Posted on Thu, 7 Sep 2017
Question: Hi,
Since the brink of menopause, i have experienced depression, anxiety, loss of concentration, fatigue, low blood pressure, and many many more, which have made my life very unpredictable. I've been diagnosed with the above mentioned conditions, plus others. With all different kinds of meds I've been taking for years, I still do not feel ok all the time. Almost one week or more every month, I feel very down, lie in bed, unwilling to do anything. Alongside this, I get bruises in my body, mostly on my limps. At the same time, i experience nose bleeding, at times heavy. Also, as if these were not enough, I get cold sores/blisters/herpies on my lips . I have gone to tens and tens of doctors, within the network, or out of network. This has contributed negatively on my family budget, but without any solution. All blood work results are within the norms. Hormones levels are fine.Lack of sleep (insomnia) or oversleep (day and nite). Can't be productive at work, acessive talking at times, or else. If this is bipolar, why meds are not working. I'm tired of taking them bc of their side effects.
What can this be? What is your opinion?
doctor
Answered by Dr. Ashok Kumar (53 minutes later)
Brief Answer:
It is most likely post menopausal depression

Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

I am sorry to know that despite use of multiple medications and numerous consultations the problem is still out of control on regular basis in a month and so on. Although it is never possible to make a diagnosis without personally talking to individual and conducting a mental status examination but as per the available information I feel it is atypical depression.

Presence of hypersomnia and insomnia, laden paralysis on episodic basis, excessive talking on few occasions and onset of disease after menopause indicates above.

I am of the opinion that if not tried in the past either of these two medications should be explored instead of lexapro, in due consultation with your specialist.
1. Wellbutrin
2. Pristiq

I hope this helps you.
If you have any further query, I will be glad to help you.
In future, if you wish to ask any more questions, you can use the below-mentioned link to contact me.

http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386

Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 3157 Questions

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What causes depression, anxiety and fatigue?

Brief Answer: It is most likely post menopausal depression Detailed Answer: Dear XXXXXXX Thanks for using Healthcaremagic. I read your query and understand your concerns. I am sorry to know that despite use of multiple medications and numerous consultations the problem is still out of control on regular basis in a month and so on. Although it is never possible to make a diagnosis without personally talking to individual and conducting a mental status examination but as per the available information I feel it is atypical depression. Presence of hypersomnia and insomnia, laden paralysis on episodic basis, excessive talking on few occasions and onset of disease after menopause indicates above. I am of the opinion that if not tried in the past either of these two medications should be explored instead of lexapro, in due consultation with your specialist. 1. Wellbutrin 2. Pristiq I hope this helps you. If you have any further query, I will be glad to help you. In future, if you wish to ask any more questions, you can use the below-mentioned link to contact me. http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386 Thanks and regards.