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Avatar universal

stress question

I was just wondering whether there was any easy way for a person to differentiate between stress symptoms and 'real' medical symptoms.

I ask because I asked another question on another forum and was told to consult a doctor immediately.  The doctor listed a number of possibilities of which she said several were potentially life threatening (TIA, high BP and benign intracranial hypertension).  Migraine and pinched cervical spinal nerve were also put forward as possibilities.

Yes, I feel sick, have a sore neck, have had problems with my vision and have a sore head, (and couldn't put a simple coherent sentence together), etc but ... aren't these just normal stress symptoms?

I've never had such problems formulating words let alone whole sentences but it seems to have resolved itself.  That is just due to stress or extreme stress, isn't it?

I feel neurotic for asking.  Stress on top of stress may have tipped the balance but at which point should a person feel concerned.  My doctor says that everything is stress-related.  I have a doctor's appointment on Tuesday.  I shouldn't need to phone him and ask him about this should I?  I'm sure it's just stress.  At worst a migraine brought on by excessive computer use due to me trying to distract from other stuff.  Sounds feasible.

Presentation keeps changing for stress, etc so how is one to know?


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1308134 tn?1295187619
MEDICAL PROFESSIONAL
Good question.

I think that the time course is the most useful information. Stress related changes tend to come up relatively quickly - weeks to months-  (too quickly to be most of the things that you would worry about which would take months to years, but too slow to be many of the remaining things which would take days or hours).
Also stress effects tend to vary (good days and bad) versus most worrisome causes.

Of course, the other thing I would say is that there is actually no distinction between stress related and non-stress related in terms of the cause being biologically mediated. Stress causes increased cortisol (and other hormone levels) that are the cause of the changes in memory formation and ability to multi-task that you are probably observing (by the way, look up dorsolateral pre-frontal cortex when you have a moment - those are the brain functions that really get shut down by stress).
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Avatar universal
Maybe our anxiety is driven by our excess caffeine intake?  I think I use tea as a tool to self-soothe.  Crazy when it is anything but helpful.  Drives anxiety, causes mood to fluctuate, affects sleep, makes me want to go to the loo and causes me to become dehydrated.  Gives me headaches.

You could easily incorporate your creative talents into presenting your meals.  Theoretically anyway.

Your boyfriend doesn't know what he's missing.  I hope he is never forced to change his habits due to resultant health issues.

I have seen a number of cooking programs and if you were to see what people did with the food, etc you probably wouldn't be in a huge hurry to eat out again.

It can taste better when someone else cooks it.  I have issues with some of my fathers cooking though.  he drenches his stuff in fats or oils.  In the weekend when we were working he came back and made us some egg sandwiches.  My sandwich looked yellow but not from egg yolk (there was only white in my sandwich) but from butter.  I was so grossed out.  It was disgusting.  I had to feed mine to the dog.  Dog enjoyed it.

Stress?  I feel grumpy as hell at the moment.  I was just saying to my mum that I thought I may have burnt my eye in the weekend because it appears to have blisters on it.  Anyway, mum was asking me if I was seeing my doctor next week.  NO!  Well what's happening about the review.  Like she gives a damn.  I feel pretty p***ed.  I would use the word angry but I don't feel it translates all that well to how I feel.

Have you tried slowing your breathing or taking some deeper breaths?  I sometimes find that helpful.

The antidepressant that you stopped taking?  What did your doctor say about the stress and anxiety?  Should you even be taking 5 HTP with the antidepressant?  ??

I expect that there is possibly a psychological cause.

Is that driving daily?  I kind of got lost several posts ago because I thought that you were still living at home.  ??  Maybe I missed something.

A reward chart sounds good.  Years ago I bought some stars and stickers with well done, good, excellent, etc written on them.  The plan was to use them to help motivate me.  They are still sitting at the bottom of my draw.  It's a good idea though.  If it's something that you're motivated to do it can also provide more incentive and more momentum.

I don't think that we should ever dis that which works for kids.  It worked for us once why not again?
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Avatar universal
   Thanks. That is kind of you to say. My eating habits are pretty bad lately too. Nothing sounds good to eat because I have no appetite. I have a bad habit of drinking coffee all day. I have to force myself to eat something. The only time food is exciting is when we go out to eat and the food presentation is very nice. If I had a lot of money I would eat out at nice restaurants  everyday. I have no motivation to cook for myself, my boyfriend doesn't really like good whole food, he likes processed box food. The food just taste better if someone else makes it. I like my moms food when I am at home too.
  How has your stress been lately? My stress has been very high for the past couple days. I wake up feeling stressed and anxious. My breathing feeling shallow and I feel nervous. I am not sure what brought it on. Maybe my boyfriends testosterone and I have been taking 5htp or has my antidepressant stopped working?  or is it that I am dreading driving back and fourth two hours from my boyfriends house to parents?
  I am thinking about making a reward chart to monitor good behaviors and bad and the consequences. Kind of like a child's chart. Maybe that can help motivation and to see progress.
Helpful - 0
Avatar universal
My diet has been a bit rubbish again lately.  I go through periods where it is OK.  I don't consider it has ever been particularly healthy though.  I'm either too restrictive or too something.
One elderly neighbor once offered me this like 1 cm size chocolate in the shape of a bunny for Easter.  I refused it.  I was then so stressed by my behavior I went to the shop and consumed truckloads of empty calories.  Crazy (and extremely rude and rejecting).

One year when I was running I wasn't eating very much and come competition day everything seemed black.  I also felt like I might have a seizure due to the sun shining through the tree tops.

Since surgery nearly two years ago I've chucked on 20 kg's.  It's been quite depressing.  And worse for me, I haven't been all that motivated to do anything about it.  The enormity of it just seems to have overwhelmed me.  I feel pretty grossed out by it but I think for the most part I am living in denial.

People say that meal planning can be helpful.  I get lost in all the planning sometimes.  I can write massive lists but overlook what I was trying to achieve in the first place.

I did try weight watchers last year due to a health scare (which did motivate me for a while).  I lost 12 kg in 8 weeks but kind of became a bit derailed and put the weight back on.

Nothing seems good, healthy?  Maybe you could just start by bringing healthier food choices into the house.  Low fat products vs high fat.  Fruit and veg.  Just small changes over time.
Maybe you could set yourself a goal of preparing healthy meals for yourself and your bf.

Could you be stressing due to your doctors appointment?  Or maybe some other event?  I have been stressing because I am due to see the dentist next week.  I have damaged a lot of my teeth due to excessive brushing due to anxiety.  I find that devastating as my teeth are something that I am very particular about.

I made a decision not to see my GP or anyone else from the mhs.  To me it has just been causing havoc with my mood and has been leaving me feeling extremely distressed.  I think I am also more likely to do things for myself once away from the illusion of possible help.

I think we both could benefit from stress management and relaxation skills.  That surely would lower cortisol levels.  I sometimes feel that my adrenals must be burnt out.  Too much stress definitely isn't very healthy.
My last T use to do work with cardiac rehab patients.  She said I really needed to lower my anxiety levels.  I'm sure all this stress is a bad omen for the future.

Better is often what we do originally.  If doing all those art projects makes you feel better for now I would probably advise you to keep doing them.  Maybe once you feel more in control you can take the time to learn where all the stress is coming from and what it means.  There will come a time when you will want to look at it.

Good luck with everything.  Your doctor's appointment, etc.  I hope today will be less stressful for you.

Not sure if you noticed but the doctor responded to your other post.  I agree with him.  You do communicate well.  And I enjoy reading what you have to say.
Helpful - 0
Avatar universal
Your diet seems fairly healthy and delicious, a lot better than mine. You seem to eat a variety of different foods. I have that same problem with trying to figure out what to eat, it is so confusing  and I always feel overwhelmed too. I am home alone all day at my boyfriends house and nothing in the kitchen seems good. I have no motivation to cook when I am alone. So I seem to mostly eat energy bars and take vitamins. I don't think my diet is very good at all. For some reason today I feel very stressed out, basically for no reason at all. It is all internal stress. My mind is so unorganized, I am doing all these different art projects, I am very indecisive, the house is a mess, I don't feel like cleaning it, I need to eat but don't know what to prepare. I have always wondered if I have a cortisol problem.  I am so stressed right now and my thoughts are racing I can barely think of what to write. I will try to think of something better to write later.
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Avatar universal
Sorry I overlooked your comment earlier.

Regarding the stress I would monitor it or chart it and if it varies then consider it stress.  My symptoms have improved so from that I conclude that they are stress-related.

As a predictor I don't find the time frame as useful.  Not unless there is a clear distinction.  Sometimes I can look at what is going on in my life and see that stress is contributing but sometimes it is not all that obvious to me.

I don't disclose my age.  It is something that I am extremely sensitive about.
My diet at the moment consists of whatever I can be bothered cooking.  And whatever is in the house or garden.
Usually I would have cereal, fruit and yogurt for breakfast.  A sandwich for lunch.  I like melted cheese sandwiches so I chuck a small piece of cheese with some onion on top in the microwave.  Stop it occasionally and pour off the fat.  Then chuck that in a sandwich with lettuce, tomato, carrot or whatever.  For dinner I would generally have grilled fish, a baked potato and a variety of colored vegetables.  I would probably have a low-fat dessert.  (Plus my 20+ cups of caffeinated tea a day.)

At the moment I have periods of excess appetite to periods of no appetite.  I have been binging badly and go through everything in the house.  Dried fruit, canned fruit, butter, sugar, (usually as cakes or biscuits), noodles, canned spaghetti, canned smoked fish fillets, toast, more butter, yogurt, carrots, celery, muffins, scones, pavlova, lemon meringue pie, homemade pizza, homemade potato wedges, steak sometimes, eggs sometimes, chicken sometimes, berocca sometimes.  Orange juice sometimes.  Nuts sometimes, avocado sometimes.
If I go to town I can buy: biscuits, lollies, chips, rice crackers, chocolate, cream donuts, ice cream, more dried fruit.

Lately I've been craving healthy meals but haven't been able to get my head around making them.  I don't even think it is that I am so disorganized but that I feel so overwhelmed.  Maybe they are the same.  To me, making healthy meals and getting the right portion sizes is very overwhelming.  I don't feel that other family members offer much support.

Usually I run.  I should be training for a half marathon now (was going to do a marathon in April) but ... (any number of my current excuses).

I think the obvious answer is that the stress is intrinsic.  If I perceived things differently then I wouldn't be perceiving them as stressful or beyond my ability to cope.

What does Dr whitecat advise?

Anyway, I spoke to my GP today.  His advice was to tighten my muscles and then relax them.  That was helpful.  He charged me full price for that consult.  Not that I care but he has generally just been charging me for follow-ups.  He said he'd ring me if he heard anything from the mhs.
He asked about racing thoughts and for once asked if I had any questions.  Is there any point in asking questions that he doesn't have answers too??

He thought my old T's Skype option might have been a good one.  Are you kidding?  What was the review for?

I don't want to talk to anyone.  I hate everything and everyone.  Myself included.  May as well just add narcissistic and spoilt to my list of problems.
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Avatar universal
I get the impression that I may be wildly misinterpreting comments.  Sorry!
I usually find Wikipedia very good but I think this time Psychlopedia was more helpful.  Psychlopedia better listed the consequences of deficits of DLPFC (in relationships, mood, memory, decision making, etc).

A few months!  I think I need to go find that Jon Kabat-Zinn CD and try some regular PMR.
I'm sure that's pretty much what it felt like.  I was convinced that I was definitely going to be locked up, with the key permanently thrown away.  It was very frightening.  I wouldn't wish that on anyone.  I'm just glad it was relatively short-lived (and reversible).

I already feel better.  Not great but better.

I don't feel as connected or as attached as I once did.  She was a good T though so I expect that those defenses would be able to be worked through.  I don't think that this would be the best option for me at this time.
I think that the residential option could be the better option.  I think that that is different again and I have nothing with which to compare it (a good thing).  I feel defensive about any new input and what lays ahead is definitely going to be challenging for me.  Assuming that there is going to be some sort of support.  A piece of paper with words on it doesn't necessarily guarantee anything.  Is wrong for me to think that it resembles hope.

I think that visits are extremely important.

I have spoken to some people from the States who have said that they have had to travel extensively for some health appointments (sometimes in appalling conditions and on atrocious roads).  Limiting this stress on the individual can only help the relationship.
I had to drive for seven hours (in gale forces winds and rain) for my review.  I was exhausted and became distracted and 20 minutes from home ended up getting a speeding ticket.   :(
I think that some mental health issues also make travelling long distances regularly dangerous.

I think that every situation needs to be taken on its on merits.  As a doctor you also need to do what feels comfortable and safe for you and your patient.

It feels more like a trench in all honesty.  I think I just manage to crawl a small way out before the next crisis hits.

I have my doctor's visit today.  It will be interesting to see if any treatment recommendations have been discussed.
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Avatar universal
I have wondered about that quite often too. I have felt a lot of the same symptoms you have mentioned.  I am wondering what your age is and what kind of diet you have? and do you exercise?  Is most of your stress internal or external?
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1308134 tn?1295187619
MEDICAL PROFESSIONAL
Hmmmm.... I was not clear. What I was talking about was not damage to the DLPFC but rather a process that shuts down activity temporarily. Kind of like a dimmer switch in your home.
I have been through processes pretty similar to what you describe with patients in my practice who completely recover cognitively in a couple of months. And probably worse than what you are experiencing because I swear it looked like sudden onset severe dementia. The point being that this will almost certainly reverse itself too.
Skype psychotherapy can be effective... especially if you still feel a connection with this woman. However there is something about the in person visit that is hard to completely duplicate. I have had a "rule" in my practice not to do Skype alone, but only in those far away who nevertheless can see me at least every six months.... not sure that that "rule" is right for every situation... and I do think that seeing her by Skype might be a good way of getting out of this rut...
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Avatar universal
Thank you for not making me feel like a complete idiot for asking the question.

Weeks to months feel like an eternity to me.  Is interesting that others may perceive that time period as being fairly rapid.  Hours is probably what I would term fast.  Is interesting how warped my sense of time has become.

I'm not sure the time frames allay any fears.  I'm pretty sure someone could have risk factors and then present with a condition.  ?Last year my GP said that while he was grocery shopping a gentleman had a heart attack and was unable to be resuscitated.
Would I even know if I were sick or needed help?

I'm still alive so I guess I'm OK.  My grandmother had a sore back and thought that she would be OK but then died of a heart attack.

It can be hard with chronic stress to distinguish between real and perceived.
Why does this feel as though it is all contradicting itself?

I'm not communicating my thoughts very clearly.

I get what you mean about it being biologically mediated (I think).  When my GP was saying that everything was stress-related I viewed that as everything having its origins in stress.  I guess we're talking about disease processes.  Even on a cellular level something will be stressed.
I have trouble comprehending things on a micro level.  I don't think I've ever really thought about things or even thought to question them until more recent therapy.  Even now I don't always feel the need too.  I guess that is mindfulness acceptance.  ?Or naivety.

I have read previously that cortisol can cause irreversible brain damage.  

A Wikipedia search said that damage to the DLPFC can result in dysexecutive syndrome.  This syndrome could easily overlap with bpd (in my opinion).

Dopamine has an important role in DLPFC.  ??  This just reminded me that I did have high prolactin levels (but I think they were normal when my GP checked them again for the breast symptoms).  ??

This is exhausting and I am so slow.

I think I'm just anxious (although subjectively I feel relaxed).  Yesterday I was a bit accident prone and then I fell down the stairs in the evening.  There have been times when I have been uncoordinated but I put this down to lorazepam.  I've just started having panic attacks again too.

My T from several years ago sent me an e-mail this morning saying that if nothing eventuated from the review that we should consider Skype therapy sessions.  She said that support is absolutely long overdue.  (This was in response to me sending her a copy of the review.)

I was thinking of asking my doctor about crisis respite.  I just wish it didn't make things worse.  

I went for a 7.5 km walk today.  I think I've missed the exercise.  I don't think I've been breathing properly either.  That's a couple of things for me to work on.

Sorry for rambling on.  If I haven't put you to sleep, thank you for listening.
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