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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Fatigue, Insomnia And Periodical Bouts Of Depression?

I am a 52 yr. old female and have a form of ADD and take no medication for it. I do have periodical bouts with depression. I work 30-35 hrs wkly as a beautician and I am always extremely tired, severe trouble sleeping, and up and down 3 to 4 times nightly urinating. I also get 3 to 4 migrants a month. It is getting extremely harder to make it to work and the past two wks. My hands and ankles have been swelling up and I m breaking out in very red splotches on my neck and shoulder and I cry sometimes for no reason.
Fri, 26 Feb 2016
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Psychiatrist,  's  Response
Well mam, to begin with it is important to rule out possible physical illnesses ,most importantly diabetes, hypertension and your thyroid profile as well. Because most of the symptoms that you mentioned can be a result of the above mentioned illnesses, apart from this it is important to see a psychiatrist and rule out possible depression, women during the time pf menopause can also go through the symptoms that you have mentioned. I would suggest you see a physician and get your basic investigations done followed by a psychiatric consultation. once the underlying cause is identified all related symptoms will decrease.
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Psychologist,  Dr. K. V. Anand's  Response
Dear,
Welcome to HCM
We understand your concerns

I went through your details. I don't think your issue is fatigue, and depression. You are stressed, alright. You are also over worked and physically you are having many problems. You should be able to consult a psychologist for the treatment of your depression and stress. At the same time you should not ignore your general health condition. Consult a physician too.

If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible.

Hope this answers your query. Further clarifications are welcome.
Good luck. Take care.
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What Causes Severe Fatigue, Insomnia And Periodical Bouts Of Depression?

Well mam, to begin with it is important to rule out possible physical illnesses ,most importantly diabetes, hypertension and your thyroid profile as well. Because most of the symptoms that you mentioned can be a result of the above mentioned illnesses, apart from this it is important to see a psychiatrist and rule out possible depression, women during the time pf menopause can also go through the symptoms that you have mentioned. I would suggest you see a physician and get your basic investigations done followed by a psychiatric consultation. once the underlying cause is identified all related symptoms will decrease.