A 24-year-old male asked:
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anxiety, feeling down and out, feeling unreal, and like my memory is slipping. then i started getting a little bit of a headache plus i'm tired. what could this be?

7 doctor answers
Dr. Patricia Foster
43 years experience Psychiatry
See doctor: See your pcp for exam/eval to rule out medical causes for anxiety, ?short-term memory problem, headache and fatigue. Write down meds you take (prescribed/OTC/supplements), any alcohol/drug/tobacco/caffeine use, any recent head or other injuries (I see you tagged "accidental fall" below) and current stresses to review with doc. Try to take it slower meantime. Best wishes.
Answered on May 25, 2017
Dr. Donald Colantino
60 years experience Internal Medicine
Therapy needed: Such a chronic anxiety state and possible depression need help by a psychologist or psychiatrist(can prescribe medication as well). Stress management therapy and possible short term medication will result in resolution of your anxiety as well as the fatigue caused by continuing stress. Discuss getting a referral to an appropriate specialist with your physician.
Answered on Nov 28, 2017
Dr. Andrew Berry
13 years experience Clinical Psychology
Therapy?: Have you yet tried any form of psychotherapy? Typically, the optimal combination of things to treat emotional issues such as depression is medication (which, on your best day, is supposed to take the edge off symptoms) but the real gruntwork takes place in psychotherapist's consulting room.
Answered on May 12, 2016
Dr. Steven Griggs
38 years experience Clinical Psychology
These are classic: anxiety symptoms, of which there are about 33, en total. Sounds like they may be getting the best of you since they might be behind the derealization/depersonalization. Try treating the anxiety first. See a psychotherapist or psychiatrist. Here's a general reference on understanding anxiety: http://www.psychologyproductsandservices.com/page2.html
Answered on Nov 28, 2017
Dr. Miroslava Fox
14 years experience Clinical Psychology
See below: You have to rule out medical causes first:i would recommend contacting your primary care physician asking for complete work up and take things from there. Meanwhile can start with psychotherapy to help you cope with your symptoms. Good luck!
Answered on Jun 11, 2017
Dr. Judith Tellerman
41 years experience Clinical Psychology
Depression: First please get checked out for any physical illness. If you are OK, then it would be good to consult with a psychologist to help with these symptoms. Once you figure out the problem there could be medications that would help too.
Answered on Jun 6, 2017
Dr. Kathryn Seifert
25 years experience Clinical Psychology
Psychological issue: If you are worrying excessively or feeling down, it could be anxiety and/or depression. See a psychologist for an evaluation of the roots of your distress. Help may be a combination of psychological, biofeedback and medical interventions. Have your physician communicate with the psychologist for best results.
Answered on Jul 21, 2017

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