Hi doctor, ive been speaking to a doctor on here. Im really struggling with how im feeling and would just like a chat if thats ok. I just feel so strange within myself like im not in my body. Im convinced im going to die. Please help
This is Dr. David
I am here to help you.
I am happy to chat with you.
Hi yes please id appreciate that
Can you try and help me feel better?
we are here to help answer medical questions.
I am not sure I can help you feel better
we can't do psychotherapy for clients over the internet.
if you have bad depression symptoms and you are feeling like you are going to die, you need to see a doctor or a psychiatrist face to face to get therapy and treatment like with an antidepression medication treatment.
just talking online may not be enough.
I understand i just want to try and put my mind at ease
what questions do you have for me?
I am waiting for my doctors to open as they have been closed over the festive period. I am currently on sertraline and have been for a year. The symptom i have is i feel like in not in my body like im just not there properly. Just feel so not myself. What do you think this is?
why are you taking the sertraline?
do you have a history of excessive anxiety?
what dose are you on for sertraline?
I did have about a year ago and ive been fine for nearly a year now. It just feels different this time
I was on 100 but doctor reduced it to 50 about a month ago coz id been well for so long
your feelings that you are not in your body could be from your anxiety disorder causing them.
or it could be from your doctor lowering your dose of sertraline from 100 to 50 a month ago.
your anxiety symptoms could slowly get worse again and you might need to go back up to 100mg dose if that was better working for you to control anxiety.
Could this symptom be related to anything physical?
no, most likely not.
they sound like psychological symptoms.
I just cant understand how i can feel so ill and not be. How can it feel so certain that im dying?
this sounds like your anxiety symptoms are not well treated at this point
and very well could be from you and your doctor lowering your sertraline dose 1 month ago.
if you didn't have these thoughts when you were on the 100mg dose of sertraline, you and your doctor might want to get your dose back up to 100mg to better control these thoughts and symptoms.
I didnt, it took a while when i first started taking them but ive been fine for ages and its just hit me out of nowhere
Can anxiety make you feel ill 24/7?
And this extreme?
bad anxiety disorder and symptoms can make you feel like you want to die.
and can make you feel not yourself
and can cause you to not think clearly and have brain fog.
Its so hard to explain the feeling thats what is so frustrating
Its like im sitting now on the sofa but i dont feel like im really here. Its like im slowly dying.
I'm sorry you are feeling so poorly.
I know your doctor's offices are closed.
but I would get you back up to the 100mg dose of sertraline if that helped before and you were doing well on it.
I dont want to die im terrified its happening to me
How long do you think it will take once im back to 100
it will take 1-4 weeks for you to feel better once you increase your dose up.
Do you think im going to die?
no, you are not going to die.
this is your anxiety symptoms out of control.
Can you promise me that? Why cant i just feel better. Why does it linger on?
yes, I can promise you that you won't die.
it lingers on because you have a bad anxiety disorder.
that needs stronger treatment.
Would there be more symptoms if i was dying?
yes, you would have other symptoms if you were really dying.
Im also pregnant which is worrying me. I feel like im not in control
Ive had blood tests done a couple of months back with me being pregnant. Would these have shown up anything if there was a serious problem?
Do you understand my symptoms? Its so hard for me to describe thats what makes it so hard
yes, I understand them.
they are from your anxiety disorder out of control.
because you lowered your dose of sertraline down to 50mg 1 month ago.
you need to talk to your doctor about increasing your dose back up to 100mg.
Yeh im going to ring first thing tomorrow. Its just so hard to get an appointment
When i try to describe how im feeling ppl just look at me like im stupid
don't worry about that.
talk to your doctor and your doctor will understand.
I find it so hard to believe its not physical i feel unable to do anything and just feel like im not gona get through the day
yes are bad anxiety psychological symptoms which can cause real physical type symptoms sometimes.
the mind does control the body.
Does it, What can i do in the meantime to get through each day?
you can talk to your doctor about medications like hydroxyzine or buspirone which can help decrease anixety
and can be used during pregnancy along with your sertraline.
Do you think ill be ok?
yes, you will be ok.
once your sertraline dose is increased back up to 100mg.
Not to be rude but can i check are you a real doctor and can you 100% say this is my anxiety?
yes, you can check
I am a real doctor in the USA.
I can say for 100% sure this is your anxiety disorder causing you to feel this way.
Ok i just want to be able to get through each day. Until i see the doctor how can i not worry
it is hard to not worry when you have bad anxiety disorder which is not controlled.
I just cant concentrate on anything and i dont feel connected to anyone or anything
that is from your anxiety disorder
when you increase your dose of sertraline up to 100mg you will feel better
How can i convince myself im not dying. I feel like im nearly dead
it will be hard to convince yourself when your anxiety symptoms are out of control
and when you are not thinking clearly from your anxiety disorder.
you need more treatment for your anxiety and until then, you most likely will continue to feel the way you are feeling now.
we have chatted online for more than an hour now.
and it doesn't seem like you feel any better.
Why does this happen? Its so hard and one minute i was fine the next i wasnt
this is from neurotransmitters in your brain.
we don't know why some people have bad anxiety disorder and other people don't
Can this not be fixed? There must be a way rather than someone going through this over and over again
anxiety disorder can be treated.
you are on treatment now.
it is just not enough for you.
you need more dose of your medication.
I wish the doctor had never reduced it
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Yes i will no problem. Just finally im definitely not going to die?
I promise you definitely will not die.
Im sitting in the living room with people now but its just like im not really here. Its like i look at people but cant see properly or communicate. Will i survive the night?
I just feel so disorientated like im not really here.
I just cant understand this
I feel so strange and out of it.
Is there no way this could be a physical illness?
I know you are a doctor but how do you know?
Im sorry to doubt you i really am.
Its just so hard to believe when i feel so terrible.
I just want to be able to believe it.
Have you got any tips to calm me down?
I dont want to die im so scared.
I feel sick is this normal with anxiety?
If i was going to die what symptoms would i have? Xx
Why cant i believe that.. i really feel like i am. I just cant settle. Everything around me looks weird
Have you treated anyone else like me who feels the same way? With same symptoms?
I feel so alone
They are so so bad.
Just feel so not here and weird. Its the worst ive ever felt
I feel like i cant function or think straight
Ive always thought of anxiety as an attack and then you feel ok. But its 24/7 i feel like this
Is that usual with this is it?
It would be more manageable if it just came in stages. Not constantly feeling weird and not with it
Yeh im going to speak to doctor about that tomorrow. Just worried i wont survive till then
I really hope so
Spoke to doctors and cant get appointment till friday. Sertraline increased to 100mg. Do u think ill be ok till i can go to doctors?
Do you Think the sertraline will start working. Im still feeling really scared.
Im at work now trying to get on with it. I just feel.so strange and not myself
I really hope so i cant stop thinking somethings going to happen to me because of how strange and not there i feel
I just want to believe that its anxiety thats all. It would be so much easier if i could
Ive been to gp. Says it us anxiety and im not going to die but i cant believe it
Dr im scared. The out of it feeling is horrendous. Its like im half unconscious. What is going on?