I am suffering from excessive anger and anxiety attack with pituitary tumor. Please help.

Hello,

Welcome to icliniq.com.

You have provided a detailed and insightful description of symptoms troubling you. You are reporting excessive anger, anxiety, panic attacks, self-injurious behavior for the past six months or so. These symptoms can occur in anyone, more common in people having high-stress levels. Physical health problems (like pituitary gland tumor in your situation) are known to contribute to emotional health problems like anxiety.

I just want to clarify whether you had similar problems with anger and anxiety before in your childhood? Or did all these problems start only in the past six months? When was Caberlin, Metformin and Aldactone started? Some patients can rarely develop side effects like anxiety, mood, and mental changes when on Caberlin and other medicaions. It will help to differentiate whether your anger and anxiety issues predated starting medication or whether it is a possible side effect.

Discuss with your prescribing doctor /endocrinologist about these issues during your next visit. Whatever the reason causing your anger issues and anxiety, it will get better with appropriate support.

Follow these self-help interventions:

1) Share your feelings with your parents and trusted family. Opening up and talking to a trusted family member can lower stress significantly. If you feel your parents do not understand mental health, you can share this query with them. It is closely linked to your physical health and overall well being.

2) You can write down your thoughts and the day’s experiences (diary/journaling).

3) Regular exercise - Exercise is the best mood regulator and reduces anxiety. Even a brisk walk of 10-15 minutes will be helpful.

4) Relaxation activities deep breathing techniques and progressive muscle relaxation will be helpful to manage anger and anxiety.

5) Deep breathing – Inhale through your nose for four counts (1-2-3-4 like smelling a flower), pause for two counts and then exhale through your mouth for eight counts of breath (1-2-3-4-5-6-7-8 like blowing a candle). Make the breath so deep that it reaches and expands the belly. Do it for 5-10 minutes or longer. You will notice that you are able to calm down.

6) Progressive muscle relaxation look at youtube videos for guidance and practice for 15-20 minutes daily.

If problems are severe and persistent, you will benefit by further consultation with a psychiatrist and consider counseling/ therapy. As I said earlier, it may be linked to your physical health problem. So discuss with your specialist as they may have an associated psychologist/psychiatrist who can help.