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Depression

Question
Posted by: BB | 2019/09/24

Q.

Depression, Health issues

Hi, I am 32 and had a horrible 2 years. Dr doesn't say it but the medication does. Severe panic attacks and depression as I have been hospitalized 3 times where one was 5 days in ICU and 3 days medical, did a CAT scan for a stroke as lost all control, severe migraine, speech, movement, ect. Medically they could not find anything. Another one for extreme panic attack. The last hospitalization was for some bacteria (think pylori can't remember) which caused me to vomit blood. I am seeing a therapist on a monthly basis. But since the bacteria, my health is even worse. Blood pressure issues, non stop headache, pounding chest, numbness/ spasm muscles, tired, sleeping problems, body tremors, edgy, extreme nausea and vomiting at least twice a day mostly after eating. Sometimes even liquids doesn't stay down. I have lost 15kg the last 3 months. I sometime will go 3 days without eating properly. I haven't been able to get myself to do the things I used to love doing as it is as if I get an anger outburst if I try so 99% of the time you'll find me on the bed. Even tried exercise that didn't work out. Dietician said to avoid, gluten/ lactose/ dairy/ alcohol/ caffiene/ chocolates/ carbonated drinks/certain fruits and veg as well as some meats. 6 Months ago, I informed her it is not working well (the little I do eat I still can't keep it down). A week ago gave her an update and now suggested meal replacement shakes. Emotionally drained, depressed, random anxiety 'pop ups' and constantly feeling ill is getting to me as if you can't even appreciate the breathe you are taking. What can I do - I can't keep on going on like this!!! I would really love to plan our second child but will be no good in this state.

Expert's Reply

A.

Depression expert
- 2019/09/25

Hello BB,
Sorry to hear about this unpleasant situation.  Yes, it's wise of you not to embark on a second child at this stage, before the situation has come back under control.
I am wondering what form of psychotherapy / counselling your "therapist" is providing.  Some still provide old-fashioned analytical type therapy, which still lacks convincing evidence of being useful.  On the other hand, modern evidence-based therapies like CBT ( Cognitive-Behaviour Therapy ) have been shown to be really useful in helping you regain control of depression, anxiety and a wide range of symptoms.
I'm not sure of the dietary advice you mention, and a second opinion might be useful : while various dietary factors may relate to digestive and GI problems, they rarely contribute to depression or anxiety disorders.  I've never understood why anyone would caution about carbonated / fizzy drinks : fizz is wholly harmless.  Sugary fizzy drinks can be a problem, related to the sugar, but not the fizz.
It's often useful, when such situations seem to be getting out of control, or at least not coming under control, to consider getting an independent second opinion and re-assessment.  You describe many different unpleasant symptoms, but many sound likely to be associated with anxiety disorders, and more likely to come under control with modern treatments for such disorders.  A problem can be that anxiety can cause such a variety of symptoms that it's easy to chase off in different directions if one explores each as if they were independent problems ; and as one grows understandably anxious about this whole process,  this can worsen the underlying anxiety.

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