[25F] Experiencing insomnia and emotional disturbances

Patient Description

A 25-year-old female has been experiencing insomnia, emotional instability, feeling drained, and irritability for the past 2-3 weeks. The patient recently moved houses, which may have contributed to her symptoms. She reports an increased appetite but lacks the energy to eat, and has trouble concentrating and making decisions. She denies any thoughts of self-harm or suicide. The patient has an implant birth control in her arm and has not had a period in a while. She is not taking any other medications and adheres to her birth control schedule. No significant changes in menstrual cycle have been noted. The patient denies the use of alcohol, tobacco, or recreational drugs. No other physical symptoms such as headaches or muscle tension are reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—insomnia, feeling overly emotional, feeling drained, and irritability—along with the recent stress of moving houses, here are some possible explanations:

  • Stress and Anxiety: Moving is a significant life event that can cause stress and anxiety. These feelings can lead to insomnia, emotional instability, and irritability.

    • Treatment: Stress management techniques such as mindfulness, meditation, and exercise can be helpful. Cognitive-behavioral therapy (CBT) is also effective for managing anxiety.
  • Depression: The combination of insomnia, emotional instability, and feeling drained could be indicative of depression, especially if these symptoms persist.

    • Treatment: Treatment for depression often includes therapy, medication, or a combination of both. It's important to consult a healthcare provider for a proper diagnosis and treatment plan.
  • Hormonal Imbalance: Your birth control implant can sometimes cause mood swings and emotional changes due to hormonal fluctuations.

    • Treatment: If you suspect your birth control is contributing to your symptoms, discuss this with your healthcare provider. They may suggest an alternative method of contraception.

What you can do

  1. Consult a Healthcare Provider: It's important to talk to a healthcare provider to get a formal diagnosis and appropriate treatment. They can help determine if your symptoms are due to stress, depression, or hormonal changes.
  2. Stress Management: Practice stress-relief techniques such as deep breathing exercises, yoga, or meditation. Regular physical activity can also help reduce stress and improve your mood.
  3. Healthy Sleep Habits: Establish a regular sleep schedule, create a relaxing bedtime routine, and avoid screens before bed to improve your sleep quality.
  4. Nutrition: Even if you feel drained, try to maintain a balanced diet. Small, frequent meals can help if you don't have the energy for larger meals.
  5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your provider. This can be very helpful in managing your condition and communicating effectively with your healthcare provider.

What you should look out for

  • Worsening Symptoms: If your symptoms worsen or you start experiencing new symptoms, it's important to seek medical attention.
  • Thoughts of Self-Harm: If you ever experience thoughts of self-harm or suicide, seek immediate help from a healthcare provider or call emergency services.
  • Physical Symptoms: If you start experiencing physical symptoms like headaches, muscle tension, or significant changes in appetite or weight, consult your healthcare provider.

Remember, while I can provide information and suggestions, it's crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.

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5 mo ago


People Also Ask


Can stress from moving houses cause insomnia and emotional instability?

Yes, moving is a significant life event that can cause stress and anxiety, leading to symptoms like insomnia and emotional instability. It's important to manage stress through relaxation techniques and seek support if needed.


How can hormonal birth control implants affect mood and emotions?

Hormonal birth control implants can sometimes cause mood swings and emotional changes due to hormonal fluctuations. If you suspect your birth control is affecting your mood, discuss it with your healthcare provider.


What are some effective stress management techniques for dealing with anxiety?

Effective stress management techniques include mindfulness, meditation, deep breathing exercises, yoga, and regular physical activity. Cognitive-behavioral therapy (CBT) is also effective for managing anxiety.


When should someone seek medical attention for symptoms like insomnia and irritability?

You should seek medical attention if your symptoms persist, worsen, or if you experience new symptoms. It's also important to seek help if you have thoughts of self-harm or if physical symptoms like headaches or significant changes in appetite occur.


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