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Crying spells, get angry fast, chest congestion, sleep disturbances. Suffer from costochondritis. Have suicidal thoughts. What to do?

I am 33y female weighing 251, I cry in short bursts for no reason, I get angry at little thing, I feel like my chest is going to burst if things don t go a certain way at work, I sleep in 30 to 90 minutes patterns wking up all night long for no reason what so ever, the last week I have horrible nightmare and have screamed or cried myself awake, I am in contant upper body pain that I have been told is chostochronditis for 2 yrs, sometimes the thought of killing myself sound extremely appealing so I don t have to cook clean work try to come up with money for bills
Asked On : Tue, 19 Mar 2013
Answers:  1 Views:  53
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Psychiatrist 's  Response
Dec 2014
Welcome to HCM

You are 33 and you are having crying spells, irritability. Ideas like your chest is going to burst if you wouldn't do things in a particular way. This is called magical thinking. You have also sleep pattern in 30 to 90 minutes pattern. Also you are having costochondritis for 2 years.
From available information I can say that most likely these symptoms are due to OCD. Obsessive Compulsive Disorder is a anxiety disorder. It is characterized by obsessions and compulsions. Obsessions are intrusive ideas or thoughts which dominate the mind, individual tries to get rid of them but is not able to do so. These are invariably distressing and although the individual is aware of that these are purposeless still he can't control them. Compulsions are behaviors which are done in response to obsession to get rid of anxiety.
In your case thinking that chest is going to burst is obsession and doing things in particular way is compulsion. These cause severe anxiety in individuals.
I will advise you to visit a good Psychiatrist for expert opinion. Medicines like SSRI as Fluoxetine, Fluvoxamine, Paroxetine, Sertaline etc. are used in higher doses for OCD. Other medicines as Clomipramine are also used in OCD.
Behavior therapy like exposure and response prevention is other modality of treatment.

Dr. Seikhoo Bishnoi
Answered: Tue, 19 Mar 2013
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