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What Causes Difficulty In Keeping Job, Poor Sleep And Lack Of Concentration?
Question: i need somebody tell me, i cannot keep job ,panic attacks ,hear music at night and can't sleep[fear] ,can't concentrate, chronic pain in right shoulder and hand,feel like people out to get me, no help.........
Brief Answer:
Some times in depression with psychotic symptoms similar symptoms seen
Detailed Answer:
Hello thanks for asking from HCM for your health related queries
I can understand your concern. The symptoms like difficulty in keeping job, panic attacks, poor sleep due to fear, lack of concentration, feeling that people out to get you etc need proper evaluation. Such symptoms could occur in some depressive disorder but the complaints of hearing music at night, feelings that people out to get you need evaluation in detail.
I'd like to know more details about your symptoms.
Do you hear the music like sounds in night time only or they are present in day time also? Are these music like sound coming from out side or from your inside? Does anyone else also hear the same music in your home?
Are your feelings that people out to get you are firm? Why would they come to get you?
Please provide the details in follow up question so that I can proceed further.
Some times in depression with psychotic symptoms individuals might present with similar symptoms. You are taking Trazodon and Paroxetine and these drugs will take care of sleep as well as depressive symptoms. In my opinion addition of some low dose antipsychotic like Olanzapine or Amisulpiride would help to reduce your symptoms of fear. These medicines will reduce the fear and will help in better functioning. You can discuss with your psychiatrist for these medicines.
Please don't remain distressed due to these symptoms. A lot of individuals suffer from similar symptoms but with medicines there is total improvement in most of them.
Thanks, Hope this helps you. Please don't hesitate to ask again for more doubts.
Take care
Some times in depression with psychotic symptoms similar symptoms seen
Detailed Answer:
Hello thanks for asking from HCM for your health related queries
I can understand your concern. The symptoms like difficulty in keeping job, panic attacks, poor sleep due to fear, lack of concentration, feeling that people out to get you etc need proper evaluation. Such symptoms could occur in some depressive disorder but the complaints of hearing music at night, feelings that people out to get you need evaluation in detail.
I'd like to know more details about your symptoms.
Do you hear the music like sounds in night time only or they are present in day time also? Are these music like sound coming from out side or from your inside? Does anyone else also hear the same music in your home?
Are your feelings that people out to get you are firm? Why would they come to get you?
Please provide the details in follow up question so that I can proceed further.
Some times in depression with psychotic symptoms individuals might present with similar symptoms. You are taking Trazodon and Paroxetine and these drugs will take care of sleep as well as depressive symptoms. In my opinion addition of some low dose antipsychotic like Olanzapine or Amisulpiride would help to reduce your symptoms of fear. These medicines will reduce the fear and will help in better functioning. You can discuss with your psychiatrist for these medicines.
Please don't remain distressed due to these symptoms. A lot of individuals suffer from similar symptoms but with medicines there is total improvement in most of them.
Thanks, Hope this helps you. Please don't hesitate to ask again for more doubts.
Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
the music is in the house,no one hears it, it starts and the people start talking there was a man and woman in my kitchen the other night he kept pointing at me I've been having a hard time sorting out what's real and in my head.I'm not on any medicine now. . my shoulder hurts all day, right arm ,hand is numb I can't concentrate, vision focus is tough,.....
Brief Answer:
Hearing voices may occur in hallucinations
Detailed Answer:
Hello again and thanks for asking a follow up
The symptoms like hearing voices which others can't hear could be occurring due to hallucinations and this should be evaluated properly. This might occur in psychosis or in severe depression with psychotic symptoms. As all these symptoms are causing loss of focus and impairment in day to day functioning so I'd advise you to consult your psychiatrist as early as possible. As mentioned in my last answer Amisulpiride or Olanzapine can help to reduce the symptoms and you will fell better. As currently you aren't taking medicines and this can worsen your symptoms. Please start taking medicines again and don't ignore your symptoms. Once the symptoms improve then you can take consultation for pain shoulder.
Thanks. Hope this helps you, if you have more doubts you can ask again.
Hearing voices may occur in hallucinations
Detailed Answer:
Hello again and thanks for asking a follow up
The symptoms like hearing voices which others can't hear could be occurring due to hallucinations and this should be evaluated properly. This might occur in psychosis or in severe depression with psychotic symptoms. As all these symptoms are causing loss of focus and impairment in day to day functioning so I'd advise you to consult your psychiatrist as early as possible. As mentioned in my last answer Amisulpiride or Olanzapine can help to reduce the symptoms and you will fell better. As currently you aren't taking medicines and this can worsen your symptoms. Please start taking medicines again and don't ignore your symptoms. Once the symptoms improve then you can take consultation for pain shoulder.
Thanks. Hope this helps you, if you have more doubts you can ask again.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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