Another whats wrong with me thread
Another whats wrong with me thread
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dazwalsh

Original Poster:

6,112 posts

170 months

Thursday 19th November 2015
quotequote all
Hi guys, was wondering if anyone could shed any light on my current set of symptoms.

I am 30, usually fit and healthy, non smoker and drink now and again but would peg that at less than once a month i go out with friends

For the last 6 months or so ive noticed my patience levels deteriorate somewhat, to the point where today i almost knocked a radiator clean off the wall with a rubber mallet because it wasnt working. An outburst over what appeared to be a stuck valve, yet I woulnbt normally be outraged like that, had to go calm down for a bit.

This has been building though, has led to pathetic arguments with the mrs which i have reacted badly to, and even my kids (1 and 3years) seeing what i can only describe as the angry side of me. I havent and would never lay a finger on them for the record.

A couple of other things which may be affecting me, a big tax bill due january that im struggling to meet, and a workload thats fairly hefty at the minute. Some mornings i struggle to motivate myself to get on with a days work too. My diet i would describe as st at the moment.

Also a few hours ago had an argument with the mrs about how ive been lately which just made me worse but upon leaving the room to calm down i had a slight pain in the chest which lingered for about 15 minutes. Its gone now and im back to my normal self but should i be worrying about that?

Is it stress, depression or something else like anger issues? Ive been to see a GP and they did blood tests which all came back fine. I now need to ring up again and see if they will refer me to someone who could help. Is it worth doing? Ive very rarely needed any help at all from the gp so unsure of how it all works.

I can usually snap myself out of these things but recently the down in the dumps periods has lasted a few days at a time. Time to get it sorted i reckon. Any tips from anyone going through similar?

Thanks for reading, and you will be delighted to know the radiator started to heat up after i gave it a good beating smile it was in danger of being flung out onto the street.


QuickQuack

2,803 posts

130 months

Thursday 19th November 2015
quotequote all
Psych and GP isn't my usual territory but this sounds like depression. It isn't always easy to recognise depression, particularly in men, and it can lead to somatic symptoms which are not related to the underlying depression in an identifiable way. It can present with a variety of complaints at the extremes of normal behaviour such as anger/short temper or apathy, weight loss or weight gain, sleepiness or insomnia among others. The other big issue is the totally undeserved stigma attached to depression and mental health issues which make it even more difficult, again particularly for men, to recognise that they have a problem and seek help.

I could ask you a load of questions on here but given the above, and the environment of PH, the answers may not be as accurate as in the privacy of your own home or with your GP. However, I would recommend that you have a look at the PHQ-9 questionnaire which is available online from many sources (e.g. http://www.actionondepression.org/information/depr... It is a very sensitive (i.e. identifies most people with the disorder) and specific (most people with positive results do have the disorder) screening tool commonly used in primary care for identifying patients with depression. If you have a score above 5, you are likely to have mild depression which may not need specific intervention but your GP could suggest coping strategies. If you have a score above 10, you should definitely see your GP as there's a 90% chance that you could have what would be classified as major depression. If you have a score above 15 or 20, you really must see your GP. Depending on what's been going on in your life over the past few months, it could be simple reactive depression but it may not be. Remedies range from online cognitive behavioural therapy sessions to antidepressants or counselling.

The pain in your chest (which is my area) is also most likely to be due to anxiety or depression. At the age of 30, your chances of having ischaemic heart disease is vanishingly small unless you have a very bad family history, or have been smoking 40 a day since the age of 10, have diabetes or have been doing a lot of crack cocaine. A number of hormones are released by the body at times of stress which makes the person feel "on edge," an evolutionary advantage when you need to keep your wits about to be ready to fight or flee from danger but hugely stressful on the body. If you do experience an event such as an argument with your wife that suddenly pushes up your levels of stress, loads these hormones, mainly catecholamines, are released in an instant which have the effect of making you feel hot, clammy, breathing deeply, that feeling of tightness in your chest or the butterflies in the tummy others do (plus others). Nobody can guarantee that you don't have an underlying cardiac condition, but I would be willing to put a very large bet that you don't and I wouldn't worry about it or investigate it further (unless you fulfill the conditions above re smoking, family history, cocaine etc.!) before evaluating your mental state and sorting that out.

If your PHQ-9 is normal, do let me know and I'll ponder about other possibilities.

dazwalsh

Original Poster:

6,112 posts

170 months

Friday 20th November 2015
quotequote all
Very informative post and thank you for taking the time to write it. I hadnt even clicked that depression and anger could be linked but it now makes sense.

It seemed a bit simplistic the form and i was looking for page 2 but ideal i suppose as a snapshot of my thoughts.

I got 5 in total, 1 point for the first 5 questions then nothing for the rest with the final question as somewhat difficult.

I will have a good flick through the various coping strategies to get me back to sleep (2:30am) but just typing it out helped a great deal more than i thought it would.

Also browsed for my next btl wreck so hopefully getting stuck into something i enjoy doing will be just what i needed too.

You have put my mind at ease regarding the chest pain, it was as exactly as you described, thank you again. Will report back over next few days as to how things are going.

Regards

Darren


Edited by dazwalsh on Friday 20th November 02:42