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Suggest Treatment For Blurry Vision, Light Sensitivity And Spinal And Cervical Stynosis
Question: I have been having some anger issues lately along with blurry vision at times[allergies]. also light sensitivity[low b12] I have been off from effoxor 75mg for 3 monthes. Now I am not sleeping any more than 3 or 4 hrs at night. My other issues are spinal and cervical stynosis, and anxiety over wifes illness with MS with her memory and incotentience. We are on fixed income. I retired early to take care of my wife. i'm trying hard but get easily frustrated. Do you have any ideas on how Ican help myself so I can be a better husband and caregiver?
Brief Answer:
Read below.
Detailed Answer:
I read your question carefully and I understand your concern. Anxiety is a common issue affecting many people and considering the stress related to your life situation with your wife and chronic spinal pain, it is not to be surprised you are experiencing such problems.
Vitamin B12 deficiency can also cause neurological symptoms including behavior changes, but you say to already be under treatment for that.
Anxiety can be managed through psychotherapy or pharmacological therapy either alone or combined.
Psychotherapy uses combination of cognitive therapy which helps you understand how exaggerated emotional responses happen with behavioral therapy which helps you cope with anxiety provoking situations through relaxation techniques
However often psychotherapy alone is not enough and medication is necessary, usually with antidepressants which also are very good anti-anxiety medication. Among the different alternatives Effexor which you have been using is a valid option. It is not clear why you interrupted it. It is a drug with relatively few side effects and can be taken for a long time. So if there was no strong reason to interrupt it and you were feeling better before I suggest you start it again. There are also other options like SSRI class (escitalopram), tricyclic antidepressants (amitriptyline - the most cost efficient if that is an issue).
I hope to have been of help.
Read below.
Detailed Answer:
I read your question carefully and I understand your concern. Anxiety is a common issue affecting many people and considering the stress related to your life situation with your wife and chronic spinal pain, it is not to be surprised you are experiencing such problems.
Vitamin B12 deficiency can also cause neurological symptoms including behavior changes, but you say to already be under treatment for that.
Anxiety can be managed through psychotherapy or pharmacological therapy either alone or combined.
Psychotherapy uses combination of cognitive therapy which helps you understand how exaggerated emotional responses happen with behavioral therapy which helps you cope with anxiety provoking situations through relaxation techniques
However often psychotherapy alone is not enough and medication is necessary, usually with antidepressants which also are very good anti-anxiety medication. Among the different alternatives Effexor which you have been using is a valid option. It is not clear why you interrupted it. It is a drug with relatively few side effects and can be taken for a long time. So if there was no strong reason to interrupt it and you were feeling better before I suggest you start it again. There are also other options like SSRI class (escitalopram), tricyclic antidepressants (amitriptyline - the most cost efficient if that is an issue).
I hope to have been of help.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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