[42F] Experiencing headaches, mood swings, and severe anxiety

Patient Description

A 42-year-old female presents with a year-long history of recurring frontal lobe throbbing headaches, rated 7/10 in severity, occurring 4-6 times a week during the daytime, sometimes accompanied by dizziness and occasional blurred vision. Tylenol provides some relief. The patient also experiences mood swings, characterized by sadness and crying, which have been ongoing for 6 months and are more pronounced during headaches, impacting social interactions and daily activities. Additionally, the patient describes severe anxiety that interferes with daily routines, with a tendency to anticipate the worst possible outcomes. The patient's medical history includes high blood pressure, type 2 diabetes, Hashimoto’s thyroiditis, general anxiety disorder, obesity, and a vestibular schwannoma surgery performed 2 years ago. Current medications include Atenolol (100mg), Hydrochlorothiazide (25mg), Levothyroxine (175mcg), Duloxetine, Lisinopril, Atorvostatin, and Xanax (.5mg as needed for anxiety, taken for the last 3 years). The patient has allergies to penicillin and amoxicillin.

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Arora's Assessment

What might be happening

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

  • Tension headaches: These are the most common type of headache and can be caused by stress, anxiety, lack of sleep, or skipping meals. They are often described as a constant pressure or throbbing at the front of the head and can be accompanied by nausea.

  • Migraines: These are severe headaches that can cause throbbing pain, usually on one side of the head. They can also cause nausea, vomiting, and sensitivity to light and sound. Some people may also experience visual disturbances, such as blurred vision, before a migraine attack.

  • Anxiety and depression: Your symptoms of severe anxiety and mood swings, along with your lack of interest in social activities, could suggest an anxiety disorder or depression. Both conditions can also contribute to headaches and fatigue.

  • Side effects of medications: Some of the medications you're taking, such as Atenolol and Lisinopril, can cause headaches and dizziness as side effects.

  • Hormonal imbalances: Given your history of Hashimoto’s thyroiditis and the medications you're taking for it, it's possible that your symptoms could be related to hormonal imbalances.

Please remember that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

Here are some general suggestions that might help:

  1. Manage stress and anxiety: Regular physical activity, relaxation techniques like deep breathing or yoga, and maintaining a regular sleep schedule can help manage stress and anxiety, which might help reduce your headaches.

  2. Monitor your symptoms: Keep a symptom diary to track your headaches and mood swings. This can help identify any patterns or triggers, which can be useful information for your doctor.

  3. Stay hydrated and eat a balanced diet: Dehydration and skipping meals can trigger headaches. Try to drink plenty of water and eat regular, balanced meals.

  4. Consult with your doctor: Given the severity and frequency of your headaches, as well as your other symptoms, it's important to consult with your doctor. They can review your symptoms, perform a physical examination, and possibly order tests to determine the cause of your symptoms.

What you should look out for

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

  • A sudden, severe headache that's different from your usual headaches.
  • A headache accompanied by a high fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness, or speaking difficulties.
  • A chronic headache that's worse in the morning.
  • A headache that gets worse over days or weeks or changes in pattern or behavior.

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of frontal lobe headaches?

Frontal lobe headaches can be caused by tension headaches, migraines, sinus issues, or stress. They are often described as a pressure or throbbing sensation at the front of the head.


How can anxiety and depression contribute to headaches?

Anxiety and depression can lead to muscle tension, changes in sleep patterns, and stress, all of which can trigger or exacerbate headaches. Additionally, the emotional distress can make the perception of pain more intense.


What are the potential side effects of Atenolol and Lisinopril?

Atenolol and Lisinopril can cause side effects such as dizziness, headaches, fatigue, and nausea. These medications are used to manage blood pressure but can sometimes contribute to these symptoms.


How can hormonal imbalances affect mood and headaches?

Hormonal imbalances, such as those caused by thyroid disorders like Hashimoto’s thyroiditis, can lead to mood swings, depression, anxiety, and headaches. Proper management of thyroid levels is crucial to minimizing these effects.


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