[27F] Experiencing Long-standing Depression and Asthma

Patient Description

A 27-year-old female has been dealing with feelings of depression for several years, which have recently become more difficult to ignore. She describes feeling sad, angry, and demotivated without a clear understanding of why. These feelings intensify when she has time to think or when others show care towards her. Her coping mechanisms include sleeping or watching movies. She also experiences difficulty with social interactions and staying away from work for days. Additionally, she reports insomnia with nightmares of being attacked, constant fatigue, and random body pains. She has a history of asthma diagnosed at age 5 and migraines diagnosed at age 8. Currently, she does not follow a regular medication regimen but uses a Ventolin inhaler and possibly Beclometasone for asthma attacks, along with various painkillers and Loratadine. She mentioned the possibility of having scoliosis but is unsure of its severity. The patient has not been formally diagnosed with depression or sought treatment for these feelings but has had long-standing thoughts of not wanting to be alive, though she has never considered suicide.

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Arora's Assessment

What might be happening

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

  • Major Depressive Disorder: This is characterized by persistent feelings of sadness, loss of interest in activities you once enjoyed, difficulty sleeping, and feelings of worthlessness. These symptoms must be present for at least two weeks for a diagnosis of depression.

    • Treatment typically involves a combination of medication, psychotherapy (talk therapy), and lifestyle changes.
  • Anxiety Disorder: This is characterized by excessive worry and fear that is difficult to control, and may be associated with physical symptoms such as restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbances.

    • Treatment typically involves a combination of medication, cognitive-behavioral therapy (CBT), and lifestyle changes.
  • Asthma: This is a chronic condition that causes inflammation and narrowing of the bronchial tubes, the passageways that allow air to enter and leave the lungs. Symptoms include chest tightness, shortness of breath, and wheezing.

    • Treatment typically involves the use of inhalers to relax the muscles around the airways (bronchodilators) and reduce inflammation (corticosteroids).
  • Migraine: This is a type of headache characterized by severe, throbbing pain, usually on one side of the head. It may be accompanied by other symptoms such as nausea, vomiting, and sensitivity to light and sound.

    • Treatment typically involves medications to relieve symptoms and prevent future attacks.
  • Scoliosis: This is a sideways curvature of the spine that most often is diagnosed during the growth spurt just before puberty. Depending on the severity, it can cause pain and breathing problems.

    • Treatment can range from observation to bracing to surgery, depending on the severity of the curve.

What you can do

  1. Seek professional help: It's important to reach out to a healthcare provider who can provide a formal diagnosis and treatment plan. This is especially important given your feelings of depression and thoughts about dying.

  2. Practice self-care: Regular exercise, a healthy diet, adequate sleep, and avoiding alcohol, caffeine, and nicotine can help manage your symptoms.

  3. Stay connected: Reach out to trusted friends or family members about what you're going through so they can provide support.

  4. Join a support group: Connecting with others who are experiencing the same struggles can provide comfort, reduce feelings of isolation, and provide practical advice.

What you should look out for

If you ever feel that you may hurt yourself or others, or have thoughts about taking your own life, get help right away. You can reach out to trusted individuals in your life or seek professional help. 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.

Please remember that while I strive to provide accurate and helpful health information, this advice is not a replacement for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.

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8 mo ago

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 disorders affect daily life?

Anxiety disorders can lead to excessive worry, restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbances, which can significantly impact daily activities and social interactions.


What are the typical treatments for asthma?

Asthma is typically treated with inhalers that help relax the muscles around the airways (bronchodilators) and reduce inflammation (corticosteroids). Long-term management may also include avoiding triggers and monitoring symptoms.


How is scoliosis diagnosed and treated?

Scoliosis is diagnosed through physical examination and imaging tests like X-rays. Treatment depends on the severity of the curve and may include observation, bracing, or surgery to correct the spinal curvature.


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2 Comments


Marty#18248

8 mo ago

Are you open to considering a trial of antidepressant medication or therapy? It's worked really well for some of my friends

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Anonymous#15988

8 mo ago

I am considering therapy but not so welcoming to antidepressant probably as a last resort

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