[37F] With chronic mental stress and emotional dysregulation

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Major Depressive Disorder (MDD): This condition can cause persistent feelings of sadness, loss of interest in activities, changes in appetite and sleep patterns, and difficulty concentrating. Given your significant weight loss, lack of sleep, and feelings of worthlessness, MDD is a strong possibility.

  • Treatment: Typically involves a combination of medication (such as antidepressants) and psychotherapy (such as cognitive-behavioral therapy).

• Generalized Anxiety Disorder (GAD): This condition is characterized by excessive, uncontrollable worry about various aspects of life. It can lead to physical symptoms like restlessness, fatigue, and difficulty concentrating.

  • Treatment: Often includes medication (such as anti-anxiety drugs) and therapy (such as cognitive-behavioral therapy).

• Bipolar Disorder: Given your family history, bipolar disorder is another possibility. This condition involves mood swings that include emotional highs (mania or hypomania) and lows (depression).

  • Treatment: Typically involves mood stabilizers, antipsychotic medications, and psychotherapy.

• Post-Traumatic Stress Disorder (PTSD): If you have experienced a traumatic event, PTSD could be contributing to your symptoms. This condition can cause flashbacks, severe anxiety, and uncontrollable thoughts about the event.

  • Treatment: Often includes therapy (such as cognitive-behavioral therapy or EMDR) and medication.

• Attention-Deficit/Hyperactivity Disorder (ADHD): Difficulty focusing and losing track of time could be symptoms of ADHD, which can persist into adulthood.

  • Treatment: Typically involves stimulant medications and behavioral therapy.

What you can do

1. Seek Professional Help: It's crucial to consult a mental health professional for a formal diagnosis and treatment plan. They can provide a comprehensive assessment and recommend appropriate therapies and medications.
2. Maintain a Routine: Try to establish a daily routine to help manage your symptoms. This includes regular sleep patterns, meal times, and activities.
3. Stay Connected: Even though social interactions can be challenging, try to stay connected with supportive friends and family members.
4. Practice Self-Care: Engage in activities that promote relaxation and well-being, such as exercise, meditation, or hobbies you enjoy.
5. Limit Substance Use: While marijuana may provide temporary relief, it's important to discuss its use with a healthcare provider to ensure it doesn't interfere with other treatments.
6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

• Worsening Symptoms: If you notice your symptoms getting worse or if you start having thoughts of self-harm or suicide, seek immediate help from a healthcare provider or emergency services.
• Physical Health Changes: Significant changes in weight, sleep patterns, or energy levels should be discussed with a healthcare provider.
• New Symptoms: If you develop new symptoms, such as hallucinations or severe mood swings, it's important to seek medical attention promptly.

Remember, while I can provide information and suggestions, it's essential to consult with a real healthcare professional for a formal diagnosis and treatment plan.