[18F] Experiencing vision disturbances, mood swings, and numbness

Patient Description

An 18-year-old female reports experiencing distorted vision, increased sensitivity to brightness, and the appearance of squiggles in her field of view for the past one to two weeks. These visual disturbances affect both eyes and are intermittent. Additionally, she has been experiencing rapid mood swings for a few years, which she describes as extreme and rapid changes in emotions triggered by minor daily events. These mood swings have affected her relationships, with some people finding it hard to trust her, though some are supportive. She also describes a sensation of numbness that seems to originate in her brain, leading to a lack of emotion and physical numbness. She has had previous episodes of vision changes. The patient also reports feelings of detachment from reality and difficulty discerning what is real, as well as suicidal thoughts.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing the following:

  • Migraine: Migraines can cause visual disturbances, such as seeing squiggles or bright lights, and can sometimes be associated with mood changes. However, they are usually accompanied by severe headaches.

    • Treatment typically involves over-the-counter or prescription medications to relieve the symptoms and prevent future migraines.
  • Mood Disorder: Rapid mood swings and feelings of numbness or detachment could be signs of a mood disorder, such as bipolar disorder or major depressive disorder. Suicidal thoughts are a serious symptom that should be addressed immediately.

    • Treatment usually involves a combination of medication and psychotherapy.
  • Dissociative Disorder: Feeling detached from reality and experiencing a sense of unreality can be symptoms of a dissociative disorder. These disorders are often associated with trauma or stress.

    • Treatment typically involves psychotherapy, and sometimes medication.

Please note that these are only potential diagnoses. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Seek immediate help if you're having suicidal thoughts. You can reach out to a mental health professional or trusted person in your life. In the U.S., you can also contact the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or use the Crisis Text Line by texting HOME to 741741.

  2. Schedule an appointment with a healthcare professional. They can provide a formal diagnosis and appropriate treatment options.

  3. Try to identify any triggers for your mood swings and avoid them if possible.

  4. Practice self-care activities, such as regular exercise, a healthy diet, adequate sleep, and stress management techniques.

What you should look out for

Seek immediate medical attention if:

  • Your vision changes become worse or are accompanied by other symptoms such as severe headache, difficulty speaking, or weakness on one side of your body.
  • Your mood swings become more severe or frequent, or if they're accompanied by other symptoms such as loss of interest in activities you once enjoyed, changes in appetite or sleep, or feelings of worthlessness.
  • You continue to experience feelings of detachment from reality, or if these feelings are causing distress or impairment in your daily life.

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment.

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11 mo ago

People Also Ask


What are the common symptoms of migraines besides visual disturbances?

Common symptoms of migraines include severe headaches, nausea, vomiting, and sensitivity to light and sound. Some people also experience aura, which can include visual disturbances like seeing flashes of light or zigzag patterns.


How can mood disorders like bipolar disorder affect daily life and relationships?

Mood disorders such as bipolar disorder can lead to extreme mood swings, affecting daily life and relationships by causing unpredictable behavior, difficulty maintaining relationships, and challenges in work or school performance. Treatment often involves medication and therapy to manage symptoms.


What are dissociative disorders and how are they typically treated?

Dissociative disorders involve a disconnection between thoughts, identity, consciousness, and memory. They are often linked to trauma or stress. Treatment typically involves psychotherapy to help integrate the dissociated aspects of identity and sometimes medication to manage symptoms.


What should someone do if they are experiencing suicidal thoughts?

If someone is experiencing suicidal thoughts, it is crucial to seek immediate help. They can contact a mental health professional, reach out to a trusted person, or call a suicide prevention hotline such as the National Suicide Prevention Lifeline at 1-800-273-8255 in the U.S. for support and guidance.


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