[21F] Experiencing anxiety, depression, and back pain

Patient Description

A 21-year-old female reports experiencing daily episodes of anxiety lasting 1 to 2 hours, which are alleviated when with her boyfriend. She has been feeling symptoms of depression for almost a year, including lying to friends for attention and feeling unlike herself, especially when feeling left out. The patient has had thoughts of self-harm and suicide but is not currently feeling the urge to harm herself or others. Additionally, she reports chronic back pain described as very bad, which has been present for almost a year, alongside symptoms of insomnia and fatigue. The patient's overall well-being and character have been significantly impacted by these symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you may be experiencing:

  • Major Depressive Disorder: This is characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities. It can also lead to physical symptoms, such as back pain and fatigue, and can significantly impact your daily life.

    • Treatment often involves a combination of medication, psychotherapy, and lifestyle changes. In severe cases, hospitalization may be necessary.
  • Generalized Anxiety Disorder: This is characterized by chronic anxiety, exaggerated worry and tension, even when there is little or nothing to provoke it. It seems like your anxiety is affecting your daily life and causing you distress.

    • Treatment typically involves psychotherapy, medication, and lifestyle changes.
  • Bipolar Disorder: This is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). You mentioned that you feel like you may have this disorder.

    • Treatment usually involves medication and psychotherapy.

Please note that these are possibilities based on the information you've provided and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and condition more thoroughly.

What you can do

  1. Seek immediate help if you're feeling suicidal or have thoughts of harming others. You can reach out to a mental health professional or trusted person in your life.

  2. Consult with a healthcare professional. They can provide a thorough evaluation and guide you towards the appropriate treatment.

  3. Try to maintain a regular sleep schedule. Lack of sleep can exacerbate feelings of anxiety and depression.

  4. Engage in physical activity. Regular exercise can help reduce symptoms of anxiety and improve mood.

  5. Try to maintain a healthy diet. Certain foods may contribute to anxiety.

What you should look out for

  • If your feelings of depression or anxiety worsen
  • If you start to feel suicidal or have thoughts of harming others
  • If you start to experience other symptoms, such as hallucinations or delusions
  • If your physical symptoms worsen or you start to experience new ones

Remember, it's important to reach out to a healthcare professional who can provide a thorough evaluation and guide you towards the appropriate treatment.

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11 mo 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 Generalized Anxiety Disorder affect daily life?

Generalized Anxiety Disorder can lead to chronic worry, restlessness, difficulty concentrating, irritability, muscle tension, and sleep disturbances, which can interfere with work, social interactions, and overall quality of life.


What are the treatment options for chronic back pain associated with depression?

Treatment options for chronic back pain associated with depression may include physical therapy, pain management techniques, medications such as antidepressants or pain relievers, and psychotherapy to address the underlying depression.


How can insomnia and fatigue be managed in the context of depression and anxiety?

Insomnia and fatigue can be managed by maintaining a regular sleep schedule, creating a relaxing bedtime routine, avoiding caffeine and electronics before bed, and seeking treatment for underlying conditions like depression and anxiety, which may include therapy and medication.


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