[43M] Experiencing severe depression and physical symptoms

Patient Description

A 43-year-old male reports a longstanding history of severe depression, dating back to at least 2007, with a diagnosis in 2012. The patient describes a persistent lack of interest, hopelessness, high levels of fatigue and lethargy, frustration, and high anxiety. The patient also mentions experiencing homelessness during winter and financial difficulties contributing to his frustration. The patient finds some relief through the use of marijuana. Additionally, the patient has been feeling lethargic for the past 3 months, rating the severity as 9 out of 10. The patient reports no current use of any medications and has an allergy to oregano. The patient's physical symptoms also include acne breakouts on the face.

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Arora's Assessment

What might be happening

Based on the information you've provided, you're experiencing several symptoms that may be related to your severe depression, which was diagnosed in 2012. These symptoms include:

  • Lack of interest
  • Hopelessness
  • Fatigue
  • Lethargy
  • Frustration
  • High anxiety

Depression is a serious mental health disorder characterized by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life. It can lead to a variety of emotional and physical problems and can decrease a person's ability to function at work and at home.

Your acne could be due to stress or hormonal changes. However, it's also important to note that certain lifestyle factors such as diet, sleep, and substance use can also contribute to acne.

What you can do

  1. Seek professional help: It's important to reach out to a healthcare provider or a mental health professional. They can provide a thorough assessment and discuss treatment options with you. This could include medications, psychotherapy (talk therapy), or both.

  2. Self-care: Try to engage in regular physical activity, maintain a healthy diet, get enough sleep, and avoid alcohol, caffeine, and illegal substances. These can all contribute to your overall well-being and may help to manage your symptoms.

  3. Reach out to support networks: This could include friends, family, or support groups. They can provide emotional support and practical help.

  4. Mindfulness and relaxation techniques: Techniques such as meditation, deep breathing, yoga, or tai chi may help to reduce symptoms of depression and anxiety.

What you should look out for

If your symptoms worsen or if you start to have thoughts of harming yourself or others, it's important to seek help immediately. You can reach out to a mental health professional or go to the nearest emergency room. In the U.S., you can also contact 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.

Remember, it's important to reach out to a healthcare provider for a formal diagnosis and treatment. This advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of severe depression?

Common symptoms of severe depression 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 financial difficulties and homelessness impact mental health?

Financial difficulties and homelessness can significantly impact mental health by increasing stress, anxiety, and feelings of hopelessness. These challenges can exacerbate existing mental health conditions and make it more difficult to access necessary care and support.


Can marijuana use affect depression and anxiety symptoms?

Marijuana use can have varying effects on depression and anxiety. While some people report temporary relief from symptoms, marijuana can also exacerbate anxiety and depression in others, potentially leading to dependency and worsening mental health over time.


What are some potential causes of adult acne?

Adult acne can be caused by a variety of factors including hormonal changes, stress, diet, certain medications, and lifestyle factors. It's important to identify the underlying cause to effectively manage and treat acne.


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