[40F] Experiencing anxiety, nausea, and overwhelmed feelings

Patient Description

A 40-year-old female has been experiencing anxiety for the past 4-6 years, which worsens when faced with large tasks or when feeling judged and inadequate. The anxiety has impacted her daily activities and overall well-being. It was better when she didn't have to worry about basic needs like food and shelter but worsens with threats from others. Recently, she has been feeling nauseous for the past week, especially after meals, triggered by the smell of moldy or rotten food. She has not experienced any vomiting, blood in her vomit, recent weight loss, or persistent abdominal pain but has had some sudden severe headaches or changes in vision. She is currently taking a multi-vitamin, calcium, melatonin, sertraline (50 mg), and allergy medicine, all for the past two years, and acetaminophen as needed. She has no known drug allergies.

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Arora's Assessment

What might be happening

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

  • Generalized Anxiety Disorder (GAD): Given your long history of anxiety, especially in response to stressors and feeling judged, you may be experiencing GAD. This condition often involves chronic anxiety, worry, and tension, even when there is little or nothing to provoke it.

    • Treatment: Treatment typically includes a combination of medication (like the sertraline you are already taking) and therapy, such as cognitive-behavioral therapy (CBT). Relaxation techniques and lifestyle changes can also be beneficial.
  • Stress-Induced Nausea: Your nausea could be a physical manifestation of your anxiety and stress, especially given the recent stressful situation with your landlord and the mess at home.

    • Treatment: Managing your anxiety and stress through relaxation techniques, mindfulness, and possibly adjusting your medication under the guidance of a healthcare provider can help alleviate nausea.
  • Migraine or Tension Headaches: Your severe headaches and changes in vision could be related to migraines or tension headaches, which can be exacerbated by stress and anxiety.

    • Treatment: Over-the-counter pain relievers like acetaminophen can help, but if headaches persist, a healthcare provider may prescribe specific migraine medications or recommend other treatments.

What you can do

Here are some steps you can take to help manage your symptoms:

  1. Practice Stress-Relief Techniques: Techniques such as deep breathing exercises, meditation, and progressive muscle relaxation can help reduce anxiety and stress.
  2. Maintain a Healthy Diet: Eating regular, balanced meals can help manage nausea. Avoid skipping meals and try to eat smaller, more frequent meals if nausea persists.
  3. Stay Hydrated: Drink plenty of water throughout the day to help manage nausea.
  4. Create a Cleaning Schedule: Break down the cleaning tasks into smaller, manageable steps and involve your children in the process. This can help reduce the feeling of being overwhelmed.
  5. Seek Support: Talk to friends, family, or a mental health professional about your feelings. Support from others can be very helpful in managing anxiety and stress.

What you should look out for

Please seek medical attention if you experience any of the following:

  • Persistent or worsening headaches, especially if they are accompanied by changes in vision or other neurological symptoms.
  • Severe or persistent nausea and vomiting.
  • Any new or worsening symptoms that concern you.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and appropriate treatment plan.

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7 mo ago


People Also Ask


What are the common symptoms of Generalized Anxiety Disorder (GAD)?

Common symptoms of Generalized Anxiety Disorder (GAD) include persistent worrying, restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbances.


How can stress and anxiety lead to physical symptoms like nausea?

Stress and anxiety can trigger the body's fight-or-flight response, leading to physical symptoms such as nausea. This is because stress hormones can affect the digestive system, causing discomfort and nausea.


What are the differences between migraines and tension headaches?

Migraines are often characterized by severe, throbbing headaches, usually on one side of the head, and can be accompanied by nausea, vomiting, and sensitivity to light and sound. Tension headaches typically cause a dull, aching sensation all over the head and are often associated with stress and muscle tension.


What lifestyle changes can help manage anxiety and stress?

Lifestyle changes that can help manage anxiety and stress include regular physical activity, practicing relaxation techniques like meditation and deep breathing, maintaining a healthy diet, ensuring adequate sleep, and seeking social support from friends and family.


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