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What Causes Loss Of Focus And Hearing The Echo Of My Voice When Under Stress?
Question: Dear dr, for the past 3 weeks I've been feeling like I am going mad as if my head was going to explode. I cannot focus for long periods on the computer either as the bright light affects my eyes. When I speak I can hear the echo of my own voice. My work has been very stressful over the past few weeks that I've taken some time off work, which has not really worked. I'm afraid that I am seriously going mad and am worried. I went to my locus doctor but he said that I needed a holiday and never took me serious. I felt leaving his practice feeling very disheartened and upset. I do not suffer with depression or any mental issues.please advise.
Brief Answer:
Possible shift work disorder.
Detailed Answer:
Hi Mam,
I understand your concern.
You seem to have possible Shift work Disorder.
This can cause wide range of symptoms which you mentioned.
For this I advise,you take a prescribed sleep/wake scheduling.
See that you have an average sleep duration of 7 hrs over the next two weeks.
This will improve chronobiological time of brain activity of sleep.
Take time off for at least 2 weeks from here on since your symptoms are severe enough to warrant drug therapy.
Additionally I advise you to take Tab Clonazepam 0.5 mg once daily at bedtime for 3 weeks and Cap Melatonin Once daily at bedtime for 3 months.
This should improve both your mood and sleep pattern and reduce the symptoms.
Post your further queries if any,
Thank you.
Possible shift work disorder.
Detailed Answer:
Hi Mam,
I understand your concern.
You seem to have possible Shift work Disorder.
This can cause wide range of symptoms which you mentioned.
For this I advise,you take a prescribed sleep/wake scheduling.
See that you have an average sleep duration of 7 hrs over the next two weeks.
This will improve chronobiological time of brain activity of sleep.
Take time off for at least 2 weeks from here on since your symptoms are severe enough to warrant drug therapy.
Additionally I advise you to take Tab Clonazepam 0.5 mg once daily at bedtime for 3 weeks and Cap Melatonin Once daily at bedtime for 3 months.
This should improve both your mood and sleep pattern and reduce the symptoms.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear dr XXXXXXX
Thank you for your reply but I don't work shifts, I work 9-5pm, hence is this why you called my symptoms shift work disorder. Does this imply some mental health issue?
I would also add that my sleep pattern is good with an average of 8-10 hrs per night
Thank you for your reply but I don't work shifts, I work 9-5pm, hence is this why you called my symptoms shift work disorder. Does this imply some mental health issue?
I would also add that my sleep pattern is good with an average of 8-10 hrs per night
Brief Answer:
SWD is not a mental illness.
Detailed Answer:
Hi Mam,
I understand your concern.
SWD is not a mental illness.
Its an over exhaustion of brain functional activity.
SWD need not necessarily imply working over nights.
It usually indicates inadequate rest to the mental activity secondary to excess stress related to working environment,both physical and psychological.
Sleep pattern can be initially normal in few cases.
So I advise you to continue the prescribed medications.
Thank you.
SWD is not a mental illness.
Detailed Answer:
Hi Mam,
I understand your concern.
SWD is not a mental illness.
Its an over exhaustion of brain functional activity.
SWD need not necessarily imply working over nights.
It usually indicates inadequate rest to the mental activity secondary to excess stress related to working environment,both physical and psychological.
Sleep pattern can be initially normal in few cases.
So I advise you to continue the prescribed medications.
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
MRI better to CT scan.
Detailed Answer:
Hi Mam,
I advise you go for MRI if any,over CT scan.
MRI has excellent superiority over CT scan.
Your doctor is viewing your headache from a different perspective.
But at the end of the day,its always safe to have an investigation to rule out Organic brain lesion.
Please review with test reports for further help if any.
Thank you.
MRI better to CT scan.
Detailed Answer:
Hi Mam,
I advise you go for MRI if any,over CT scan.
MRI has excellent superiority over CT scan.
Your doctor is viewing your headache from a different perspective.
But at the end of the day,its always safe to have an investigation to rule out Organic brain lesion.
Please review with test reports for further help if any.
Thank you.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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