[56F] Experiencing constant anxiety with physical symptoms

Patient Description

A 56-year-old female reports suffering from constant anxiety for several months, which has been persistent without specific triggers. The anxiety is severe enough to prevent her from leaving the house and completing daily tasks. Accompanying symptoms include significant hair loss, particularly noticeable on her hairbrush and after showers, which started a few months ago and has not been experienced in the past. She also experiences a slight tremor in her hands, predominantly in the mornings but can last all day. Additionally, she has been feeling uncomfortably warm in a 64-degree environment for the last month or two. Sleep disturbances have been noted; she can initially fall asleep but wakes up and struggles to fall back asleep. This insomnia has been ongoing for several months. The patient has not mentioned any relief measures that have been effective for her anxiety, nor has she indicated any other medical conditions or medications at this time.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

  • Generalized Anxiety Disorder (GAD): This is a common condition characterized by persistent and excessive worry about a number of different things. People with GAD may anticipate disaster and may be overly concerned about money, health, family, work, or other issues. GAD is diagnosed when a person finds it difficult to control worry on more days than not for at least six months and has three or more symptoms.

    • Treatment typically includes cognitive behavioral therapy, medication, and lifestyle changes.
  • Hyperthyroidism: This condition occurs when your thyroid gland produces too much of the hormone thyroxine. Hyperthyroidism can accelerate your body's metabolism, causing unintentional weight loss and a rapid or irregular heartbeat. It can also cause tremors, feeling hot, and hair loss.

    • Treatment can include medication, radioactive iodine, and sometimes surgery.
  • Menopause: This is a natural biological process that marks the end of menstrual cycles. It's diagnosed after you've gone 12 months without a menstrual period. Menopause can happen in your 40s or 50s. Symptoms can include hot flashes, sleep problems, and mood changes.

    • Treatment can include hormone therapy, medications, and lifestyle changes.

What you can do

You should definitely consult a healthcare professional about your symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, here are some things you can do:

  1. Try to maintain a regular sleep schedule. Go to bed and wake up at the same time every day, even on weekends.
  2. Limit caffeine and alcohol, especially in the hours leading up to bedtime.
  3. Try relaxation techniques, such as deep breathing, yoga, or progressive muscle relaxation.
  4. Stay active. Regular physical activity can help reduce anxiety and improve sleep.

What you should look out for

Please seek immediate medical attention if you experience:

  • Thoughts of harming yourself or others
  • Severe restlessness or agitation
  • Rapid or irregular heartbeats
  • Unexplained weight loss

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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People Also Ask


What are the common symptoms of hyperthyroidism?

Common symptoms of hyperthyroidism include unintentional weight loss, rapid or irregular heartbeat, increased appetite, nervousness, anxiety, tremors, sweating, increased sensitivity to heat, and hair loss. Treatment options include medication, radioactive iodine, and sometimes surgery.


How can anxiety affect daily life and what are some treatment options?

Anxiety can lead to persistent worry, difficulty concentrating, restlessness, and physical symptoms like increased heart rate and sweating. It can interfere with daily activities and social interactions. Treatment options include cognitive behavioral therapy, medications like SSRIs, and lifestyle changes such as regular exercise and stress management techniques.


What are the typical symptoms of menopause and how can they be managed?

Typical symptoms of menopause include hot flashes, night sweats, mood changes, sleep problems, and irregular periods. Management can involve hormone therapy, medications to manage specific symptoms, and lifestyle changes such as maintaining a healthy diet and regular exercise.


What lifestyle changes can help improve sleep disturbances?

To improve sleep disturbances, maintain a regular sleep schedule, create a comfortable sleep environment, limit caffeine and alcohol intake, especially before bedtime, and practice relaxation techniques like deep breathing or meditation. Regular physical activity can also promote better sleep.


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