I feel like i need to let out physical energy, but i also feel mentally tired. i've been worrying excessively about my mental state.very nervous. help?

Anxiety will do that: Your energy can bounce around like brownian motion which depletes and exhausts you. Don't know if the "feeling of unreality" you described is dissociation related to panic attacks or not. At this point, if you are not obtaining psychiatric help - that would be recommended. Medical causes need to be ruled out. Take care.

Generalized Anxiety: People with gad can’t seem to get rid of their concerns, even though they usually realize that their anxiety is more intense than the situation warrants. They can’t relax, startle easily, and have difficulty concentrating. Often they have trouble falling asleep or staying asleep. Physical symptoms that often accompany the anxiety include fatigue, headaches, muscle tension, muscle aches, difficultyswallowing, irritability, trembling, twitching, nausea, lightheadedness, sweating, shortness of breath, hot flashes, and frequent need to use the bathroom.Treatments include psychotherapy, relaxation exercises, learning how to do abdominal breathing, antidepressants that also serve as an antianxiety agents, Buspirone which is approved for generalized anxiety disorder, and benzodiazepines which are generally used short term due to abuse and addiction potential.Please reference the national institute of mental health at www.Nimh.Nih.Gov reference their article on gad.Please see your family doctor first to rule out physical causes and then from there see a psychiatrist for treatment options and a psychologist to help you to learn how to live with the disorder. You also need to have other diagnostic possibilities look into is well. Best wishes.

1-800-336-1170: Tuscaloosa crisis hotline: contact number: 1-800-336-1170 daily is too often to suffer anxiety/panic attacks. Too much unnecessary energy for too long can cause a crash that can be dangerous to you or others and if you already feel mentally tired - you may be at risk. So call the 800 number and get some help. Talking long distance is not enough. You want to feel safe - that's good. Get well!