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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Anxiety, Chest Discomfort, Stiff Neck, Fatigue, Feeling Of Emptiness, Intrusive Thoughts. Minor Depression Diagnosed. Advise?

I have been dealing with constant anxiety for almost 2 years now. First year, my anxiety level peaked and I was scared to do things like driving, meeting friends and even talking a walk outside home. Now i can do these with ease but i have constant chest discomfort and feeling of emptiness. I get intrusive thoughts that try to not live the life the fullest. I went to see a psychiatrist he said i have minor depression but definitelt should watch out for.

What can be the reasons behind constant chest discomfort, stiff neck and fatigue?
Fri, 10 May 2013
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Psychiatrist 's  Response
hi there, that is true. In many cases anxiety and depression are combined. If your psychiatrist has been diagnosed you with minor depression, talk sessions can be helpful without taking medication. The reason for feeling fatigue and stiff neck that you mentioned could be sleep problem which could accompany depression as well. Talk therapy can improve that problem as well. Chest discomfort is a sign of your anxiety as you also mentioned. Practicing more about going to the social situations can definitely help. I wish you a good health.
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Psychiatrist Dr. Seikhoo Bishnoi's  Response
Hello
Welcome to Health Care Magic

You have mentioned that you are having anxiety for about 2 years. You were even not able to drive, talk to friends, or even walk outside. Later you have developed chest discomfort, stiffness in neck, fatigue etc symptoms. Most likely in view of your past history these are due to Depression. Mild to moderate depression may present with somatic symptoms as chest tightness, neck stiffness, tiredness, drowsiness, poor concentration, poor appetite etc. These cause stress to individual.
I will advise you to see your Psychiatrist again for detailed evaluation and addition of medicines if needed. Medicines as Fluoxetine, Sertaline, Venlafexine etc are very useful in anxiety.

thanks
Dr. Seikhoo Bishnoi
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Psychiatrist Dr. Sundar Gnanavel's  Response
Hello.......
Thanks for your query. It appears to me that you were initially suffering from social anxiety disorder. Any anxiety disorder can co-exist with depressive symptoms.I would suggest you seek a consultation with a psychiatrist to explore the following options:
1. An appropriate anti-anxiety agent/ antidepressant like SSRI's
2. Psychotherapy techniques like cognitive behavioural therapy
A combination of the above is likely to be beneficial for you. Wish you good health.
Regards
Dr Sundar
Psychiatrist
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Anxiety, Chest Discomfort, Stiff Neck, Fatigue, Feeling Of Emptiness, Intrusive Thoughts. Minor Depression Diagnosed. Advise?

hi there, that is true. In many cases anxiety and depression are combined. If your psychiatrist has been diagnosed you with minor depression, talk sessions can be helpful without taking medication. The reason for feeling fatigue and stiff neck that you mentioned could be sleep problem which could accompany depression as well. Talk therapy can improve that problem as well. Chest discomfort is a sign of your anxiety as you also mentioned. Practicing more about going to the social situations can definitely help. I wish you a good health.