[18F] Experiencing severe anxiety and nausea with additional symptoms

Patient Description

An 18-year-old female reports suffering from severe, constant anxiety and nausea, rating the latter an 8 out of 10 in severity. The nausea is longstanding and has worsened since she started working, with vomiting providing some relief. Anxiety is described as non-triggered, beginning upon waking and persisting throughout the day, leading to significant impairment including an inability to work or leave the house due to violent meltdowns and hyperventilation. Additionally, the patient experiences sadness, feelings of pointlessness, and a lack of rest. She also reports aches throughout the body, a sensation of throat closure, difficulty breathing properly, headaches, visual and auditory hallucinations, and heightened paranoia. The patient has been dealing with anxiety her entire life, and it seems to exacerbate her nausea.

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Arora's Assessment

What might be happening

Based on the information you've provided, it seems like you might be experiencing:

  • Anxiety Disorder: This is characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one's daily activities. Examples of anxiety disorders include panic attacks, obsessive-compulsive disorder, and post-traumatic stress disorder. These feelings may cause physical symptoms, such as a fast heart rate and shakiness.

    • Treatment typically involves a combination of psychotherapy (talk therapy), behavioral therapy, and medications.
  • Depression: This is a mood disorder that causes a persistent feeling of sadness and loss of interest. It affects how you feel, think and behave and can lead to a variety of emotional and physical problems.

    • Treatment usually involves a combination of medications, psychotherapy, and lifestyle changes.
  • Psychosomatic Symptoms: These are physical symptoms that can be caused by mental factors such as stress and anxiety. This could explain your nausea, aches, and breathing difficulties.

    • Treatment often involves addressing the underlying mental health issue, such as anxiety or depression.
  • Psychosis: This is a mental condition that causes you to lose touch with reality. You might see, hear, or believe things that aren’t real. Psychosis is a symptom, not an illness. It can be triggered by a mental illness, such as schizophrenia, bipolar disorder, or severe depression.

    • Treatment usually involves a combination of antipsychotic medications, psychotherapy, and social support.

Please remember that while these are potential explanations for your symptoms, only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Seek professional help: It's important to talk to a healthcare provider about your symptoms. They can provide a diagnosis and help you manage your symptoms. If you're feeling suicidal, it's crucial to reach out to a mental health professional immediately.

  2. Practice self-care: Regular exercise, a healthy diet, plenty of sleep, and reducing caffeine and alcohol can help manage symptoms of anxiety and depression.

  3. Mindfulness and relaxation techniques: These can help manage symptoms of anxiety. Techniques include deep breathing, meditation, and yoga.

  4. Stay connected: Reach out to trusted friends and family. They can provide emotional support and help you find professional help.

What you should look out for

  • If your symptoms worsen or you start to feel suicidal, seek immediate medical help.
  • If you start to experience severe physical symptoms, such as chest pain or shortness of breath, seek immediate medical help.
  • If your symptoms are interfering with your ability to function in daily life, seek medical help.

Remember, it's important to reach out to a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are common symptoms of an anxiety disorder?

Common symptoms of an anxiety disorder include excessive worry, restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbances. Physical symptoms can also include a fast heart rate, sweating, and trembling.


How can anxiety lead to physical symptoms like nausea?

Anxiety can lead to physical symptoms like nausea due to the body's stress response. When anxious, the body releases stress hormones that can affect the digestive system, leading to symptoms like nausea, stomachaches, and even vomiting.


What are the treatment options for depression?

Treatment options for depression typically include a combination of medications (such as antidepressants), psychotherapy (such as cognitive-behavioral therapy), and lifestyle changes like regular exercise, a healthy diet, and adequate sleep.


What should I do if I experience hallucinations and paranoia?

If you experience hallucinations and paranoia, it's important to seek professional help immediately. These symptoms can be part of a condition like psychosis, which requires medical evaluation and treatment, often involving antipsychotic medications and therapy.


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