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Doctor insights on: 9 Postpartum Depression

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How do clinical depression and local episodic depression differ?

How do clinical depression and local episodic depression differ?

I am not familiar: With term "local episodic depression". Clinical depression is not standard psychiatric terminology. There is a term called episodic mood disorder which is used to refer to bipolar spectrum disorders. The term clinical depression helps to differentiate a depressed mood from a more substantial depression. ...Read more

Dr. Pamela Pappas
4,607 doctors shared insights

Depression (Definition)

Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more


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Are there psychiatric conditions associated w/ abnormally high levels of anger sadness & jealousy.feel like those destroying my life & relationships?

Are there psychiatric conditions associated w/ abnormally high levels of anger sadness & jealousy.feel like those  destroying my life & relationships?

Yes, the symptoms: you mention can cluster together w/in several different diagnoses. A mental health professional can help you sort this out. Work w/it now while you are young and it will make a happier life more possible in the future. Peaceand good health. ...Read more

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I've visited 2-3 psychologist.Some say adhd.Bipolar disorder, mood disorder, anxiety disorder, severe depression, m confused.Plz help, told evry doc same?

I've visited 2-3 psychologist.Some say adhd.Bipolar disorder, mood disorder, anxiety disorder, severe depression, m confused.Plz help, told evry doc same?

Diagnosis can be: quite difficult at times. Bipolar disorder is a mood disorder. Depression is part of Bipolar Disorder (AKA manic depression). ADHD and bipolar disorder can have overlapping symptoms and may also co-occur. Anxiety can occur with any of these - either as a symptom or as a clinical disorder. ...Read more

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At 9 weeks I'm 3 months right?

At 9 weeks I'm 3 months right?

Not quite yet: Most months have 4 weeks in them, so you are a little over 2 months pregnant. I always use that old poem: "Thirty days hath September, April, June, & November. All the rest have 31, except February, etc." If all goes well, & it often does, you'll get there in a couple of weeks.Remember, dating the age of an unborn baby is approximate and not written in stone.Good luck, eat smart, happy thoughts! ...Read more

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4-21-14 Thyroidectomy r/t thyroiditis, goiter. On Synthroid (thyroxine) 137 mcg- hypo s/s returning have felt great for months. Would adding Cytomel help?

4-21-14 Thyroidectomy r/t thyroiditis, goiter.  On Synthroid (thyroxine) 137 mcg- hypo s/s returning have felt great for months.  Would adding Cytomel help?

Not specific: The signs & symptoms of hypothyroidism are not specific for hypothyroidism (not a single one). Recheck your thyroid labs. If they're normal, your symptoms are due to something else. Having said that, I'm happy to do a trial of Cytomel with the Synthroid (thyroxine) in patients who want to try as long as I don't make them hyperthyroid. Some people report feeling better with comparable labs taking a little T3. ...Read more

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25 mcg levothyroxine is it normal to have fatigue, dry skin, muscle aching and weakness, depression, insomnia when on this medication for hypothyroi?

25 mcg levothyroxine is it normal to have fatigue, dry skin, muscle aching and weakness, depression, insomnia when on this medication for    hypothyroi?

Hypothyroidism: The symptoms you have are more compatible with hypothyroid state. You are on the lowest dose yet and likely your doctor is adjusting it, just can't give a very high dose right away. It takes a few weeks to adjust each level so as not to get side effects. Talk to your doctor for reassurance. ...Read more

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Period always late by 5-10 days. Terrible PMS - hot flashes, nausea, feverish feeling, increased appetite, weakness, irritability, depression. Advice?

Period always late by 5-10 days. Terrible PMS - hot flashes, nausea, feverish feeling, increased appetite, weakness, irritability, depression. Advice?

Options: Nsaid’s, ssri’s, hormone meds, otc meds containing diuretics, warm bath, heating pad, exercise ; acupuncture are excellent for pms / period. Avoid caffeine, chocolate, alcohol ; salt. Get gyn eval to r/o underlying pathology. Consider omega- 3 fatty acids, magnesium (supplementation or through diet) or black cohosh with dr ok. Sipping chamomile ; green tea can dissipate pain. Ginger helps w nausea. ...Read more

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I'm 22, female, type 1 diabetic 20 years & graves disease. Had baby 12/2 & sick for month. Angina, irregular heartrate, syncope, short of breath. Help?

I'm 22, female, type 1 diabetic 20 years & graves disease. Had baby 12/2 & sick for month. Angina, irregular heartrate, syncope, short of breath. Help?

PCP visit: I would suggest having your thyroid function tests obtained, and an evaluation for autoimmune disease. The other test that you should have while you are at the PCP, is an EKG. ...Read more

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Tsh 4.0 T3 (liothyronine) 27 T4 7.4 testosterone 58 tpo antibody 359 pregnant 7 weeks having chills no fever no overweight BMI 23 worried if something serious help?

Tsh 4.0 T3 (liothyronine) 27 T4 7.4 testosterone 58 tpo antibody 359 pregnant 7 weeks having chills no fever no overweight BMI 23 worried if something serious help?

Check with Dr.: Your tpo antibody is high, and more than a third of the women who test positive for thyroid peroxidase (tpo) antibodies while pregnant go on to develop abnormal thyroid hormone levels within two years, more followup needs to be done with these women. Your body maybe attacking your thyroid gland. This is not an emergency please do not panic and talk to your doctor. ...Read more

Dr. TRUC DAO Dr. DAO
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Symptoms of weight loss, heart palpitations, stomach pain, and respiratory distress. Viral or anxiety?

Dr. TRUC DAO Dr. DAO
7 doctors agreed:
Symptoms of weight loss, heart palpitations, stomach pain, and respiratory distress. Viral or anxiety?

Virus vs anxiety: Anxiety last a long time (weeks-months) and can cause a vicious cycle of damages, while a viral infection is self limited in time ( days to a week max) and people recuperates rapidly thereafter even without treatment. Lasting anxiety needs long lasting treatment with psychotherapy or medications or both. ...Read more

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16 f y/o. 5'3" & 143lbs. I have anxiety issues and meds for it aren working. Randomly resting BPM rases to 120 and breathing becomes frantic. Anxiety?

16 f y/o. 5'3" & 143lbs. I have anxiety issues and meds for it aren working. Randomly resting BPM rases to 120 and breathing becomes frantic. Anxiety?

?? Anxiety: Let your md know the meds aren't working. He/she may need to adjust dose. You might need a consult with a mental health professional to help you deal with your anxiety. ...Read more

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Been dealing with anxiety bad for about 3-4 weeks appitetes lessened been on ativan .50 and paxil 10 lost 10lbs meds and anxiety or cancer worry?

Been dealing with anxiety bad for about 3-4 weeks appitetes lessened been on ativan .50 and paxil 10 lost 10lbs meds and anxiety or cancer worry?

Likely anxiety...but: Without knowing more about your physical symptoms, it's difficult to say. Getting basic labwork and a physical exam is a good idea. But, anxiety is known to cause weight loss and is much more common than any type of cancer. Be sure to follow-up about medications. If you are tolerating Paxil it may nee to be increased as that is a starting dose. Anxiety is also very responsive to psychotherapy. ...Read more

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Female, age 34 taking thyroxin 2 and 1/2. Hypothyroid. Irregular period?

Female, age 34 taking thyroxin 2 and 1/2. Hypothyroid. Irregular period?

Talk to doc : I don't have enough information of your health to tell you what is causing the irregular bleeding. See your doc. Could be thyroid, prolactin, other meds, drugs, hormone imbalance, polyps, fibroids; a lot of stuff. Need exam and ultrasound, maybe blood work. Def recheck thyroid and do a preg test. ...Read more

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Why can't my major depression go away?

Why can't my major depression go away?

Depression is: Treatable. I know that you are on Effexor (venlafaxine) - but don't know what other treatment you have received. Talking therapy (such as cognitive behavioral therapy or insight oriented psychotherapy) is extremely important for lasting change. Don't isolate. Spend time w people. Having a support system is very important. Get out. Don’t allow yourself to stagnate at home. Work to get at least 8 hours of sleep >. ...Read more

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Thyroid u/s rl 2.2x1.5x6.1, ll 1.8x1.1x5.1. Mildly heterogeneous exhotexture.T4free 1.3 t3total 94 TSH .63. Having many thyroid symptoms.Thyroid prob?

Thyroid u/s rl 2.2x1.5x6.1, ll 1.8x1.1x5.1. Mildly heterogeneous exhotexture.T4free 1.3 t3total 94 TSH .63. Having many thyroid symptoms.Thyroid prob?

Probably not thyroid: Nodule does not appear autonomous ( doing its own thing) TSH still normal. No sptoms related to normal thyroid function. Sptoms usually come from an underlying autoimmune cponent. ...Read more

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For 3 yrs off & on nausea cold sweats anxiety seeing blurry objects flying round while verge of vomit shortness of breath &took effexor (venlafaxine) somewhat help?

For 3 yrs off & on nausea cold sweats anxiety seeing blurry objects flying round while verge of vomit shortness of breath &took effexor (venlafaxine) somewhat help?

Anxiety treatable: Anxiety is very treatable and people can enjoy a normal life. It is a process where an anxiety "regulator/antidepressant" is used to achieve that.. doctor works with patient to reach an optimal response...other meds are used as " helpers" to achieve this goal. Cognitive Behavioral Therapy (CBT) , when combined with medication is effective for long term prevention of recurrence Feel btter ...Read more

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What causes anxiety and depression?

The short answer: Currently, it is believed that they are caused by a combination of genetic predisposition and social, environmental factors and events. Usually a person predisposed to anxiety and depression will have difficulties adjusting to change and will not be emotionally resilient. That means can not recover quickly after a sad or challenging event. Tx: learn how to better cope, with/ without medication. ...Read more

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I have severe anxiety & depression for over 20 years but nothing helps. Seen MDs, counsellors (group & individual) & on meds. Can't work; now what?

I have severe anxiety & depression for over 20 years but nothing helps. Seen MDs, counsellors (group & individual) & on meds. Can't work; now what?

It's hard, but: Each therapist can be totally different. You might keep trying to find the right one for you. It's team work to solve problems. Consider meditation, yoga, physical exercise. Some creative arts can help. Re-evaluate your expectations too. Changes come at different paces and can be subtle at times. Don't give up, it's your life - aim for a 1st step and build on that! ...Read more

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I am 34 y/o and 4 foot 9 inches female i weight 134 lbs history of tricuspid regurgitation and asd repair as a infant. Having chest pain, heaviness, left arm aching pain and heart palpatations . Please help !?

I am 34 y/o and 4 foot 9 inches female i weight 134 lbs history of tricuspid regurgitation and asd repair as a infant. Having chest pain, heaviness, left arm aching pain and heart palpatations . Please help !?

Get Help: Serious issues can develop after hear surgery. Your palpitations are concerning for an abnormal heart rhythm. You should follow-up for life with a cardiologist specifically trained in adult congenital cardiology. Nationwide children's hosp and the cleveland clinic have such cardiologists. Your symptoms are concerning, so please see a cardiologist soon. ...Read more

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Dr. Linda Bernstein
222 doctors shared insights

Recently Gave Birth (Definition)

Postpartum is a term that means after the "separation of the mother and the baby", or after ...Read more