[23F] Experiencing emotional disturbances and physical symptoms

Patient Description

A 23-year-old female reports feeling as though she may have a mental illness, citing frequent changes in appetite, a disrupted sleep schedule, a loss of interest in previously enjoyed activities, and feelings of nausea. She describes her condition as primarily emotional but also acknowledges the presence of physical symptoms. She is not currently pregnant. Further evaluation and a detailed history are necessary to assess for possible mental health conditions such as depression or an anxiety disorder, and to rule out any physical health issues that may present with similar symptoms.

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Arora's Assessment

What might be happening

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

  • 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. You've mentioned feeling depressed, changes in appetite and sleep, and loss of interest in activities you usually enjoy. These are common symptoms of depression.

    • Treatment often involves a combination of medication, psychotherapy, and lifestyle changes.
  • Anxiety Disorder: This is a type of mental health disorder characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one's daily activities. You've mentioned feeling nauseous and a fear of abandonment, which can be symptoms of anxiety.

    • Treatment often involves a combination of medication and cognitive-behavioral therapy.
  • Borderline Personality Disorder (BPD): This is a mental health disorder that impacts the way you think and feel about yourself and others, causing problems functioning in everyday life. It includes self-image issues, difficulty managing emotions and behavior, and a pattern of unstable relationships. The fear of abandonment is a common symptom of BPD.

    • Treatment often involves psychotherapy, such as dialectical behavior therapy.

Please note that these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment options.

What you can do

  1. Reach out to a healthcare provider: They can provide a formal diagnosis and discuss treatment options with you. This might include medication, therapy, or lifestyle changes.

  2. Practice self-care: This can include regular exercise, a healthy diet, enough sleep, and avoiding alcohol, caffeine, and illegal substances.

  3. Stay connected: Reach out to trusted friends or family members. They can provide support and help you feel less isolated.

  4. Consider joining a support group: This can provide you with a safe space to share your experiences and feelings, and to receive support from others who are going through similar experiences.

What you should look out for

If you're feeling suicidal, it's really important to get immediate help. You can reach out to a mental health professional or trusted person in your life.

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11 mo ago

People Also Ask


What are the common symptoms of depression?

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


How can anxiety disorders manifest physically?

Anxiety disorders can manifest physically through symptoms such as nausea, increased heart rate, sweating, trembling, dizziness, and gastrointestinal issues. These physical symptoms often accompany feelings of worry or fear.


What is Borderline Personality Disorder and what are its symptoms?

Borderline Personality Disorder (BPD) is a mental health disorder characterized by unstable moods, behavior, and relationships. Symptoms include intense fear of abandonment, difficulty managing emotions, impulsive actions, and a distorted self-image.


What are some effective treatments for mental health disorders like depression and anxiety?

Effective treatments for mental health disorders like depression and anxiety often include a combination of medication (such as antidepressants or anti-anxiety drugs), psychotherapy (such as cognitive-behavioral therapy or dialectical behavior therapy), and lifestyle changes like regular exercise, a healthy diet, and adequate sleep.


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