i am experiencing feeling depressed (quality: feelings of despair, feelings of worthlessness) and feeling anxious (worsened by: psychological stress) . the following also describe me: sadness, mood swings, lack of pleasure, insomnia, and apathy. what sh

Question

I am experiencing fatigue, appetite changes (quality: reduced appetite) , mood swings, sadness, irritability, feeling depressed (quality: feelings of worthlessness) , loss of sex drive, lack of pleasure, difficulty staying awake during day, feeling anxio

Answer 1

You can: start w a medical eval. Cognitive Behavioral Therapy or insight oriented psychotherapy can help. Don't isolate. Spend time w people. Use your support system. Get out. Don’t stagnate at home. Get at least 8 hours of sleep/night & eat healthfully. Daily aerobic physical activity is a big +. Try acupuncture, tai chi, qi gong, yoga or meditation. Recommend the “Feeling Good Book" by Dr. David Burns.

Answer 2

Counseling.: Assuming there's nothing medical going on, for consideration of which you may want to visit a medical doctor, then a visit with a psychologist/therapist/counselor would be wise. You may need help with elucidating the cause of this anxiety and depression and developing coping mechanisms.

Answer 3

You need : professional help, see a psychiatrist for evaluation, you can use HealthTap as a start, but ultimately, if you need medications, you will need to see a psychiatrist in person, good luck

Answer 4

DEPRESSION: You are describing depressive symptoms. First have a physical exam to rule out a physical problem. Please consult with a Clinical Psychologist for psychotherapy to help you with ZOOM.com sessions. Research indicates with psychotherapy you can change & find better coping mechanisms. If there is a biological reason you are depressed please see a Psychiatrist for medication.

Answer 5

Damaged muscles: Childbirth can be traumatic to the muscles and nerves surrounding the bladder, vagina and rectum. The nerves can be damaged and small tears in the muscles can lead to prolapse and incontinence is some women. It's nothing to be embarrassed about. It is common and fixable.

Answer 6

Yes it can: It is very common for women to experience stress incontinence following delivery. It typically resolves within 3 months. I would encourage you to do kegel exercises daily. I usually suggest 3 sets of 10 squeezes, trying to hold each squeeze for 5 seconds. If it persists beyond this time frame i would encourage you to seek evaluation from your delivering provider.

Answer 7

Pelvic relaxation: Vaginal delivery results in damage to the pelvic support that allows the bladder, urethra, uterus, rectum, and vagina to begin to drop in the pelvis. Some women end up with the pelvic organs dropping out through the opening of the vagina. Some of them will require surgery to repair the damage and decrease the symptoms.

Answer 8

Tissue damage.: As the baby passes through the birth canal it can cause damage to the supportive tissues around the vagina, bladder, urethra and rectum. In time this can lead to mobility in the urethra and leaking urine with certain activities. It can also result in dropping or prolapse of the pelvic organs.

Answer 9

STRESS INC.: The stretching of the bladder neck , sphincter and urethra which all live in the place the baby came out effects it. Kegel excersizes can be very helpful along with other pelvic floor excersizes and rehab.

Answer 10

Tissue damage.: There's a complex system of supportive structures around the bladder, the rectum, the vagina, the urethra and the uterus that provide support to this area. Vaginal childbirth can damage all of these structures. This can result in stress incontinence and other pelvic floor issues like prolapse - when the bladder, the rectum, or the uterus fall down toward or through the vaginal opening.

Answer 11

It depends...: Stress fractures of the patella or the groove in the femur are relatively uncommon. Healing time depends on many factors: severity of the fracture, age of the patient, compliance with rest and immobilization and whether other negative healing factors are present (smoking, diabetes, etc.). Generally speaking, 8-12 weeks would be typical time for healing.

Answer 12

8+++ wks, maybe more: Stress fractures of the patella are rare and diagnosis is often delayed by months. Nonoperative treatment involves immobilization and protected weight bearing (ie stay off it). Nonop tx is often unsuccessful and then surgery is the recommended. Healing takes 2+ months, often 3-4. You need to be followed closely. See a knee specialist soon. Good luck!

Answer 13

Toxic home: High levels of air-borne particulates can occur if there has been improper maintenance of the home hvac system.

Answer 14

Many symptoms: See u physician , if u don't have medical problems , it could be depression, u need to be seen for evaluation.

Answer 15

Food allergies: It is common age for food allergy which is very difficult to test for but those are all common symptoms. You figure this out by eliminating foods and slowly introducing them back in one by one a week at a time. See doctor if does not help.

Answer 16

Yes: Allergy symptoms like itchy nose, stuffy or runny nose can interfere with sleep and make you feel tired because of lack of good quality sleep.

Answer 17

Possibly: Itchiness, stuffiness and excessive drainage are usual allergy symptoms. Itchiness by itself could be just from a local irritation. If it is allergic, taking an antihistamine at night should help.

Answer 18

Yes: You most likely have allergic rhinitis.

Answer 19

Possibly: The itchy nose is a typical symptom for allergic reaction. There could be other causes of itchy nose.

Answer 20

Both Potentially: Lexapro (escitalopram) and zoloft are similar medications and have both been shown to be helpful for panic, anxiety, and depression. There is probably a decreased percentage of side effects with lexapro (escitalopram), (escitalopram) so it might be preferable for that reason. However, plenty of people do well with either medicine, and I have had some patients do well with zoloft after not getting benefit with lexapro (escitalopram).

Answer 21

Nortriptyline: My drug of choice for panic attacks is called nortriptyline. It is an older medication. Many physicians who received their training after the first ssri-prozac came out in the late 80s, are not as comfortable or as familiar with prescribing it. I have used it extensively. It, like all medications, is not for everyone and it does have side-effects. It is usually well tolerated at 25 mgs at bedtime.

Answer 22

Panic Tx: All ssris are first line tx for panic/depression, the difference is in tolerability & individual variations, so there really is no 1 best med.

Answer 23

SSRI or SNRI: If you asked 10 doc's, you'd probably get 10 different answers. Any ssri, like zoloft or Lexapro would be good options. I personally choose Paxil tapering up to 40 mg or more or (snri) Effexor (venlafaxine) xr 150 mg to max of 300 mg. They have tended to work best for severe anxiety, but they are not always tolerated well because of nausea, sedation, BP or weight gain. Get a good detail from your practioner.

Answer 24

DEPRESSION: It is important to find the correct combination of medications with your Psychiatrist. But medications alone are not sufficient because they do not teach you coping mechanisms for stress. Psychotherapy with a Clinical Psychologist can help you find ways to handle stress that will help your medications to work better.

i am experiencing feeling depressed (quality: feelings of despair, feelings of worthlessness) and feeling anxious (worsened by: psychological stress) . the following also describe me: sadness, mood swings, lack of pleasure, insomnia, and apathy. what sh

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