Please help me?
Hello, I have been feeling unwell for over three years and it's been very painful.
I have consulted traditional Chinese medicine, psychiatry, and internal medicine, but there has been no improvement.
I don't understand why nothing has worked.
Could you please provide me with some methods to improve my condition? Thank you.
I have been diagnosed with thalassemia and somatoform depression.
I am receiving treatment for depression, but there has been no progress.
My greatest suffering is that I have very little energy every day and feel groggy all day long.
When I wake up from sleep, I feel very dizzy and a bit of pain, and it takes a lot of effort to fully wake up.
After that, I gradually feel better, but I still feel tired.
In the evenings, I tend to feel more energetic.
Regarding my mental health, I sometimes feel very depressed and at times suddenly feel lonely, especially after going out with friends.
I also get easily anxious.
My biggest issue is that I get so nervous when talking to people that I can't speak.
These are my symptoms.
kenny, 20~29 year old female. Ask Date: 2003/08/05
Dr. Tang Jieru reply Cardiology
Kenny: Your issue is more related to psychiatry and not related to oceanic anemia.
Psychiatric problems cannot be resolved in just one visit; I recommend finding a trusted physician for ongoing follow-up.
I believe it can be resolved.
Best wishes!
Reply Date: 2003/08/05
More Info
Hello, thank you for reaching out and sharing your experiences. It sounds like you have been going through a very challenging time with both Mediterranean anemia and depression. I want to acknowledge the pain and frustration you are feeling, and I hope to provide some insights that may help you find relief.
Understanding Mediterranean Anemia and Depression
Mediterranean anemia, also known as thalassemia, is a genetic blood disorder that affects hemoglobin production. This can lead to symptoms such as fatigue, weakness, and a general feeling of malaise due to the reduced oxygen-carrying capacity of your blood. On the other hand, depression can exacerbate feelings of fatigue and hopelessness, creating a cycle that can be difficult to break.
Managing Symptoms of Mediterranean Anemia
1. Regular Monitoring and Treatment: It's crucial to have regular check-ups with a hematologist who specializes in blood disorders. They can monitor your hemoglobin levels and overall health. Depending on the severity of your anemia, treatments may include blood transfusions or iron chelation therapy to manage iron overload from frequent transfusions.
2. Dietary Considerations: A balanced diet rich in vitamins and minerals can help support your overall health. Focus on foods high in iron (like leafy greens, legumes, and lean meats), vitamin B12, and folate, which are essential for red blood cell production. However, consult with a nutritionist or your doctor before making significant dietary changes, especially since some foods can interfere with iron absorption.
3. Hydration and Rest: Staying well-hydrated and ensuring you get adequate rest can help manage fatigue. Aim for a consistent sleep schedule and consider relaxation techniques, such as meditation or gentle yoga, to improve your sleep quality.
Addressing Depression Symptoms
1. Therapeutic Approaches: Since you mentioned seeing a psychiatrist, it might be beneficial to explore different therapeutic options. Cognitive Behavioral Therapy (CBT) is effective for many individuals with depression and anxiety. It helps in identifying negative thought patterns and replacing them with healthier ones.
2. Medication Review: If you feel that your current antidepressant treatment is not effective, it’s essential to discuss this with your psychiatrist. Sometimes, it may take time to find the right medication or combination of medications that work for you. Be open about your symptoms and any side effects you may be experiencing.
3. Social Support: Feeling isolated can worsen depression. Try to maintain connections with friends and family, even if it feels challenging. Engaging in social activities, even in small doses, can help alleviate feelings of loneliness. Consider joining support groups where you can share your experiences with others who understand what you're going through.
4. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety and improve your overall mood. These techniques can be particularly useful when you feel overwhelmed or anxious in social situations.
5. Physical Activity: Regular physical activity can significantly improve mood and energy levels. Even light exercise, such as walking or stretching, can be beneficial. Aim for at least 30 minutes of moderate exercise most days of the week, but listen to your body and adjust as needed.
Conclusion
It’s important to remember that managing both Mediterranean anemia and depression is a journey that requires patience and persistence. You are not alone in this, and there are resources and support systems available to help you. Please continue to communicate openly with your healthcare providers about your symptoms and concerns, and don’t hesitate to seek additional opinions if you feel your current treatment isn’t working. Your health and well-being are paramount, and with the right support and strategies, improvement is possible.
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