[19M] With daily panic attacks and derealization

What might be happening

Based on the information you have provided, it sounds like you might be experiencing symptoms related to severe anxiety and panic disorder. Here are some possible explanations:

• Panic Disorder: This condition is characterized by recurrent, unexpected panic attacks. Symptoms can include intense fear, heart palpitations, sweating, shaking, shortness of breath, and feelings of detachment or derealization. Lightheadedness and nausea are also common during panic attacks.

  • Treatment: Typically involves a combination of therapy (such as cognitive-behavioral therapy) and medication (such as SSRIs or benzodiazepines). Relaxation techniques and breathing exercises can also be helpful.

• Generalized Anxiety Disorder (GAD): This condition involves persistent and excessive worry about various aspects of life. It can cause physical symptoms like fatigue, muscle tension, and sleep disturbances.

  • Treatment: Similar to panic disorder, treatment often includes therapy and medication. Lifestyle changes, such as regular exercise and mindfulness practices, can also be beneficial.

• Depression: Your feelings of being very depressed, tired, and having trouble sleeping could be indicative of depression. Depression can also exacerbate anxiety symptoms.

  • Treatment: Often involves a combination of medication (such as antidepressants) and therapy (such as cognitive-behavioral therapy). Lifestyle changes, such as regular exercise and a healthy diet, can also help.

• Environmental Triggers: Your mention of cleaning chemicals triggering lightheadedness and panic attacks suggests that certain environmental factors might be exacerbating your symptoms.

  • Treatment: Identifying and avoiding triggers can help manage symptoms. Using natural or less harsh cleaning products might reduce these episodes.

What you can do

While you wait for your appointment with a healthcare professional, here are some steps you can take to manage your symptoms:

1. Practice Deep Breathing: Continue using deep breathing exercises to help calm your heart rate and reduce anxiety.
2. Avoid Known Triggers: Try to avoid cleaning chemicals or other known triggers as much as possible.
3. Stay Active: Regular physical activity can help reduce anxiety and improve mood.
4. Maintain a Routine: Establishing a regular sleep schedule and daily routine can help manage anxiety and improve sleep quality.
5. Stay Hydrated and Eat Well: Proper nutrition and hydration can have a positive impact on your overall well-being.
6. Use MDandMe: Journal your symptoms, track your progress, and get insights. This can help you and your healthcare provider better understand your condition and tailor your treatment plan.

What you should look out for

It's important to seek medical attention if you experience any of the following:

• Severe or Worsening Symptoms: If your symptoms become more severe or frequent, it's important to consult a healthcare professional.
• Suicidal Thoughts: If you have thoughts of harming yourself, seek immediate help from a healthcare provider or call emergency services.
• Physical Symptoms: If you experience chest pain, difficulty breathing, or other concerning physical symptoms, seek medical attention promptly.

Remember, while these suggestions can help manage your symptoms, it's crucial to follow up with a healthcare professional for a formal diagnosis and treatment plan. Take care, Tom!