[19F] Experiencing depression, anxiety, and sleep disturbances

Patient Description

A 19-year-old female has been experiencing depression and anxiety since the age of 15, with worsening symptoms due to home life and feelings of loneliness. The patient reports sadness, lack of motivation, and a short social battery, leading to fatigue and difficulty being social and relaxed. Anxiety manifests with hand tremors, nausea, feelings of being unsafe, and zoning out. Appetite changes include restricted eating during the day with increased intake at night, leading to a weight gain of over 5 kg in the past 6-7 months. Nausea is particularly noted upon waking and has been present for 4 months. The patient also experiences moderate hand tremors, primarily in the right hand, for several months, which may be related to low blood sugar or anxiety. Sleep disturbances have been an issue for 11 months, with difficulty falling asleep or waking multiple times during the night. Increased stress and anxiety have been noted recently, alongside thoughts of death as an escape, but no self-harm, although there has been an instance of head-banging against a wall.

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Arora's Assessment

What might be happening

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

  • Major Depressive Disorder: This is characterized by persistent feelings of sadness, hopelessness, and a lack of motivation. It can also lead to changes in appetite and sleep patterns, as you've described.

    • Treatment typically involves psychotherapy (talk therapy), medications such as antidepressants, or a combination of both.
  • Anxiety Disorder: This is characterized by excessive, long-term worry and fear about everyday situations. Symptoms can include trembling, feeling nauseous, and overthinking, which you've mentioned.

    • Treatment often involves a combination of psychotherapy and medication.

Please remember that this is not a formal diagnosis, and it's important to consult with a healthcare provider for a formal diagnosis and treatment options.

What you can do

  1. Reach out to a healthcare provider: It's important to discuss your symptoms with a healthcare provider who can provide a formal diagnosis and discuss treatment options with you.

  2. Self-Care: Regular exercise, a healthy diet, and adequate sleep can help manage symptoms of depression and anxiety. Try to maintain a regular sleep schedule, even if you prefer staying up late.

  3. Mindfulness and relaxation techniques: Techniques such as deep breathing, yoga, and meditation may help to reduce symptoms of anxiety.

  4. Social Support: Reach out to trusted friends or family members. They can provide emotional support and help you navigate finding the right healthcare provider or treatment.

What you should look out for

  • If your symptoms worsen or if you start to have thoughts of harming yourself or suicide, it's important to seek help immediately. You can reach out to a mental health professional or a trusted person in your life.

  • If you're in the U.S., consider reaching out to 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.

Remember, it's important to reach out to a healthcare provider who can provide a formal diagnosis and discuss treatment options with you.

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1 yr ago

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People Also Ask


What are the common symptoms of Major Depressive Disorder?

Common symptoms of Major Depressive Disorder include persistent sadness, loss of interest in activities, changes in appetite or weight, sleep disturbances, fatigue, feelings of worthlessness or guilt, difficulty concentrating, and thoughts of death or suicide.


How can anxiety manifest physically in the body?

Anxiety can manifest physically in the body through symptoms such as trembling or shaking, nausea, increased heart rate, sweating, dizziness, and muscle tension.


What are some effective self-care strategies for managing depression and anxiety?

Effective self-care strategies for managing depression and anxiety include regular physical exercise, maintaining a balanced diet, ensuring adequate sleep, practicing mindfulness or meditation, and engaging in activities that bring joy or relaxation.


When should someone seek immediate help for mental health issues?

Immediate help should be sought if someone experiences worsening symptoms, has thoughts of self-harm or suicide, or feels unable to cope with daily life. In such cases, contacting a mental health professional or a crisis hotline is crucial.


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