[18M] Experiencing anxiety and associated symptoms
Patient Description
An 18-year-old male reports long-standing anxiety, which has been present throughout his life and has recently become more intense and noticeable. The patient experiences difficulty getting out of bed despite having plans, and heightened nervousness when performing tasks in the presence of others. The patient also describes episodes of derealization, where everything previously described about the condition resonates with his experiences. Additionally, the patient notes impulsive behavior, particularly difficulty leaving stores without purchasing desired items, and persistent thoughts about these items if not acquired. The patient has also mentioned experiencing hunger, occasional headaches, and fluctuations in mood, such as anger and sadness. The patient indicated a potential for self-harm or harm to others when asked, responding with 'Maybe.' No further details on the frequency, duration, or triggers of headaches were provided. No other medical history, medication use, or allergies have been reported.
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Arora's Assessment
What might be happening
Based on the information you've provided, you may be experiencing the following:
- Anxiety Disorder: This is characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one's daily activities. Symptoms include stress that's out of proportion to the impact of the event, inability to set aside a worry, and restlessness. Treatment often includes counseling or medication, including antidepressants, sedatives, and sometimes beta-blockers.
- Depression: This is a mood disorder that causes a persistent feeling of sadness and loss of interest. It can lead to a variety of emotional and physical problems and can decrease a person's ability to function at work and at home. Treatment often includes psychotherapy and antidepressants.
- Attention Deficit Hyperactivity Disorder (ADHD): This is a disorder marked by an ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development. Symptoms include impulsivity, hyperactivity, and inattention. Treatment often includes medication, psychotherapy, and treatment for any mental health conditions that occur along with ADHD.
- Derealization Disorder: This is a type of dissociative disorder that consists of persistent or recurrent episodes of derealization. Symptoms include experiences of unreality or detachment with respect to surroundings. Treatment often includes psychotherapy and sometimes medications.
Please remember that these are potential conditions based on the information you've provided. It's important to consult with a healthcare provider for an accurate diagnosis.
What you can do
- Seek professional help: Reach out to a mental health professional such as a psychiatrist or psychologist who can provide you with a proper diagnosis and treatment plan.
- Practice stress management: Techniques such as deep breathing, meditation, and yoga can help manage anxiety symptoms.
- Stay active: Regular physical activity can help reduce feelings of anxiety and improve mood.
- Eat a healthy diet: Certain foods may contribute to anxiety. Try to maintain a balanced diet with plenty of fruits, vegetables, lean proteins, and whole grains.
What you should look out for
If you're feeling suicidal or thinking of hurting yourself, seek help immediately. You can reach out to a close friend or loved one, a mental health professional, or a trusted person in your life.
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1 yr ago
