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Date of last update: 8/24/2017.

Forum Name: Psychiatric Topics

Question: Constant Body Fatigue - Anti-Social Attitude

 Zanlee - Thu Mar 27, 2008 10:12 pm


I am a 24 year old man and attend an large university. I have been struggling with issues since adolescences and have never pursued professional medical help in the past until recently concerning psychological symptoms.

My symptoms are:

Constant Body Fatigue
Anti-Social Attitude
Trouble Falling Sleeping
Trouble Waking Up
Fear of letting people down
Not Being Good Enough
Trouble Concentrating
Falling Asleep in Classes
Losing things everyday
Bad short term memory
Racing thoughts
Jumping from one "project" to another
Extremely forgetful
Lack of sex drive
Lack of verbal communication
Mildly paranoid
Falling asleep while reading
Lack of interest in previous activities
Lack of excitement
Random spurts of uncontrollable actions
Leg shakes
Daily uneventfulness feelings
Physical inadequacy

I pursued help for the first time about a month and a half ago at my university medical clinic and have talked to a psychologist on a weekly basis up until a week ago when she referred me to a psychiatrist to pursue medication. Since that referral I have yet to go back. I have neither heard a diagnosis or anything related to what my problem(s) is.

So my questions are:

Given my symptoms, what would you diagnosis be if had had been talking with you over the course of six weeks?
If I pursue medication, what do you believe would most likely be prescribed?

(Note: I had gotten the impression that they were only (or mostly) concerned with depression. They had not mentioned any other than this disorder.)

Given that I am receiving med. attention from a university, do you believe there is a bias in what is being prescribed?

Thank you,

 raereeser - Fri Mar 28, 2008 6:00 pm

I am no doctor but it sounds like you could have some type of mood or bipolar disorder. You should read up on it. I did and I am now getting help. Best of luck and wishes to you.

Take Care
 Dr. E. Seigle - Mon Mar 31, 2008 6:38 pm

Hi Zanlee,

Your feelings, thoughts and symptoms suggest the possibility of one of or a combination of more than one of the following disorders: depression, bipolar disorder and attention deficit disorder with or without hyperactivity (ADHD). You might want to get in touch with your evaluating psychiatrist and, when asking about the diagnosis, you can ask about these specifically- why they were or weren't diagnosed. Distinguishing between a manic or hypomanic phase of a bipolar disorder and ADHD can be tricky. I don't know about any bias existing with regard to university-based evaluations.

Good luck, I'm glad you started to look for help; don't be afraid to ask questions.

Sincerely, Eliot Seigle, MD

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