Hi there. Thank you for your question. I will be helping you out with your queries
Has there been any major stressor in your life recently or any major life event?
Have you had your thyroid function checked?
end of university/final exams
Was that very stressful?
Has citalopram helped any?
a tiny bit but still not sleeping/no appetite
I am currently having complan milkshakes for nutrition etc
Are you on any other medications?
Did the doctor do any tests?
I am taking a gastro resistant medication for nausea
they did a test for diabetes but no blood test
do you feel sometimes that your heart rate becomes really fast or you feel heart palpitations?
I think that in addition to the medications you will will require counselling as well.
You need to be consulting a psychologist as well.
Who are you following up with? A psychiatrist or your GP?
A GP will the doctor have to refer me?
I think that you need to be referred to a psychiatrist first.
Yes a GP should refer you.
I am very hopeful that you will have your problem sovled.
You may require a change in your medication if this increased dose does not work in the next week or two.
is there anything I can do about sleep?
the doctor can't prescribe sleeping tablets
One of the things that you can do is that you can try exercising before going to sleep.
That will tire you and that way you may sleep well.
Other than that over-the-counter antihistamines like benadryl may help you sleep.
But the main thing is that you need to consult a psychiatirst.
ok I will give it a try
no thank you
Chronic tophaceous gout?
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