February 2, 2021
I am diabetic person for 16 years now. Since 1 year my sugar levels are fluctuating a lot. I lost my wife to Covid in August. She was also diabetic. Now I am worried that I will die soon. I have got tested for Covid multiple times but it is negative. I cannot sleep. I feel much tensed. My heart beats very fast and at times I feel I cannot breathe. I have got tested by multiple doctors. They are saying it is anxiety. What to do?
Dear Mr Paul,
Please accept my condolences regarding your wife’s demise. We are all under tremendous stress due to this pandemic. Getting over concerned about illness however is not the solution to the problem. You have been tested to be normal. So do not worry. My suggestion is to visit a psychiatrist and initiate treatment for what seems like hypochondriasis. Maintain a healthy lifestyle. Follow a diabetic diet. Exercise regularly. Stay away from substances of abuse. Connect with your other family members. Religious coping helps in many individuals. Most importantly don’t lose hope. Take care.
I am a 17-year-old girl with headache. I get it on both sides of my head. It’s a tightening sensation. It is more in the evening. I do not get sleep at night. Even when I sleep I get nightmares. I don’t feel like going to college and can’t concentrate with the mask on. What should I do doctor?
Your symptoms are suggestive of tension headache. Relaxation exercise and biofeedback techniques help to relieve those. Sleep hygiene can be taught to improve sleep quality. A psychologist may be consulted in mild cases. Mask is a safety measure and you cannot do away with it now. However whenever you can, get some fresh air and take in deep breaths. Practice breathing exercises. Please consult a psychiatrist for Medication for tension headache if it is severe.
I pull my hair. It started after my brother died 5 years ago. Earlier it used to be only rarely when I was tensed. Now it is there more frequently and whenever I am alone I end up pulling a lot of hair. I have developed bald patches. I am thinking of buying a wig. I googled the problem. It’s trichotillomania. Can you suggest some measures that I can try to overcome it myself?
Trichotillomania comes under habit and impulse control disorders. Behaviour therapy consists of habit reversal strategies such as learning relaxation exercise, recognising triggers of hair pulling, maintaining a diary of such behaviour and rewarding good behaviour. It’s better taught by a professional. Also if there is any underlying depression or unresolved grief due to brother’s demise it has to be addressed. My suggestion is to consult a psychiatrist.