[37F] Experiencing emotional distress and physical symptoms related to past trauma

Patient Description

A 37-year-old female reports experiencing significant emotional distress and physical symptoms for several years, which have been intensifying. The patient describes a history of feeling unloved, unwanted, and invisible due to a partner's addiction, leading to a decline in mental health, self-seclusion, and a deep sense of loneliness. Emotional symptoms include irritability, anger outbursts, intrusive thoughts related to the trauma, and a constant feeling of being broken and lost. The patient also reports suffering from panic attacks, which occur 7 to 14 times a week, primarily at night, and are preceded by hot and cold sensations emanating from the chest. Difficulty sleeping has been a persistent issue for about 6 years, with the patient staying awake until exhaustion due to overthinking and feeling safer when the partner is asleep. Despite these challenges, the patient has not found relief from these symptoms. Additionally, the patient experiences lethargy and a lack of motivation, particularly upon waking for work. The onset of panic attacks dates back to childhood, with an increase in frequency to once or twice daily. The physical sensations associated with panic attacks have been occurring for a couple of years.

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Arora's Assessment

What might be happening

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

  • Depression: This is a mood disorder that causes a persistent feeling of sadness and loss of interest. It's characterized by feelings of sadness, tearfulness, emptiness or hopelessness, angry outbursts, irritability or frustration, loss of interest or pleasure in most or all normal activities, sleep disturbances, including insomnia or sleeping too much, tiredness and lack of energy, and feelings of worthlessness or guilt. Treatment typically involves psychotherapy (talking therapy), medications, or a combination of both.

  • Anxiety Disorders: This is a group of mental health disorders characterized by feelings of anxiety and fear, including general anxiety disorder, panic disorder, and various phobia-related disorders. Symptoms include feeling nervous, restless or tense, having a sense of impending danger, panic or doom, having an increased heart rate, breathing rapidly (hyperventilation), sweating, and feeling weak or tired. Treatment typically involves psychotherapy, medications, or a combination of both.

  • Post-Traumatic Stress Disorder (PTSD): This is a disorder that develops in some people who have experienced a shocking, scary, or dangerous event. Symptoms include flashbacks, nightmares, severe anxiety, and uncontrollable thoughts about the event. Treatment typically involves psychotherapy, medications, or a combination of both.

  • Insomnia: This is a sleep disorder that is characterized by difficulty falling and/or staying asleep. Treatment often involves behavioral changes, such as establishing a regular sleep schedule, avoiding napping, and making changes to your sleep environment.

What you can do

It's important to seek help from a healthcare professional. They can provide a formal diagnosis and appropriate treatment options. Here are some steps you can take:

  1. Schedule an appointment with a mental health professional: This could be a psychiatrist, psychologist, or a licensed counselor. They can provide a formal diagnosis and discuss treatment options with you.

  2. Practice good sleep hygiene: This includes going to bed and waking up at the same time every day, avoiding caffeine and alcohol close to bedtime, and making your sleeping environment comfortable and conducive to sleep.

  3. Practice stress management techniques: This could include mindfulness, meditation, yoga, or other relaxation techniques.

  4. Stay connected with supportive people: Reach out to trusted friends or family members. They can provide emotional support and help you navigate through this difficult time.

What you should look out for

It's important to seek immediate help if you're feeling suicidal, or if your symptoms are causing significant distress or are interfering with your ability to function in daily life. Reach out to a healthcare professional or a trusted person in your life.

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9 mo ago

People Also Ask


What are the common symptoms of depression and how can it be treated?

Common symptoms of depression include persistent sadness, loss of interest in activities, changes in sleep and appetite, fatigue, and feelings of worthlessness. Treatment often involves psychotherapy, medications, or a combination of both.


How can anxiety disorders manifest and what are the treatment options?

Anxiety disorders can manifest as feelings of nervousness, restlessness, a sense of impending danger, increased heart rate, and sweating. Treatment typically includes psychotherapy, medications, or a combination of both.


What is PTSD and what are its typical symptoms?

PTSD is a disorder that can develop after experiencing a traumatic event. Symptoms include flashbacks, nightmares, severe anxiety, and uncontrollable thoughts about the event. Treatment usually involves psychotherapy and medications.


What strategies can help improve insomnia?

Improving insomnia can involve establishing a regular sleep schedule, avoiding caffeine and alcohol before bed, creating a comfortable sleep environment, and practicing relaxation techniques like meditation or yoga.


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1 Comments


Archie#3960

9 mo ago

I'm so sorry, know you are heard and seen. Let me know if I can help you somehow <3

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