Can regular exercise and journaling help alleviate symptoms of somatic anxiety?

Question

Hello doctor,

Why do I feel irritated when trying to focus on a subject? Why do I avoid solving puzzles or dealing with slightly difficult situations? Why do I not feel refreshed after sleep? Why do I experience unusual headaches, pin-pricking sensations, and a feeling of wearing a cap-like sensation at times?

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concerns regarding your symptoms. Based on the information provided, it appears that you may be experiencing somatic anxiety, which can manifest as irritability, difficulty focusing, disturbed sleep, headaches, and physical sensations. It is important to consult with a psychiatrist for a detailed assessment of your mental health and a thorough examination. Additionally, incorporating regular physical exercise of at least 45 minutes per day and practicing writing down your thoughts may be helpful. It would be beneficial to discuss the duration of these symptoms and any preceding stressful events with the psychiatrist during the consultation.

Thank you for choosing icliniq.

Answer 2

Hello,

Welcome back to icliniq.com.

That's great to hear that you have started exercising regularly. It's important to continue with that routine. Regarding your symptoms persisting for a month, it may be advisable to consider starting medication. Additionally, psychotherapy can be beneficial. Before proceeding further, I have a few questions:

Have you experienced any preceding stressful events?
Do you have any smoking or drinking habits?
Are you currently dealing with any medical conditions such as diabetes, hypertension, or thyroid issues?
Have you undergone any previous treatments?
Is there any family history of a similar condition?

Please revert back with the answers. Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

Since there are no preceding stressful events, it suggests that your symptoms may be due to biological depression, possibly inherited genetically from your mother. Your sensitive nature can contribute to the experience of stress, tension, and secondary somatic pain. In this case, starting medication such as SSRIs (Selective serotonin reuptake inhibitors) or SNRIs (serotonin and norepinephrine reuptake inhibitors) and engaging in psychotherapy, specifically assertiveness training, would be beneficial.

Regards.

Answer 4

Hello,

Welcome back to icliniq.com.

Yes, I can suggest considering medications such as tablet Escitalopram (escitalopram oxalate) 10 mg or tablet Sertraline (sertraline hydrochloride) 50 mg to be taken once daily. However, it is advisable to consult with a healthcare professional through audio or video call for a proper evaluation and prescription. Additionally, it would be beneficial to start a practice of writing down your daily thoughts and engaging in psychotherapy.

Thank you for choosing icliniq.