Brief Answer:
Must rule out ORGANIC causes first

Detailed Answer:
Good evening and good luck to you in Marines Soldier! I am a neurologist at the VA Hospital in XXXXXXX OH so I treat a lot of your comrades and yes ANXIETY is a big underlying cause of a lot of problems to be sure. However, your symptoms of 4 months duration must be first evaluated in the context of some organic process FIRST before anybody can conclude that psychological stressors are the most likely cause.

Therefore, I would recommend you seek out a neurologist to perform a good examination on you. They will document any other problems that you may or may not be aware of and then, decide on what type of workup is called for....One things I would consider would be an MRI of the brain with gadolinium contrast. Blood work would also be indicated and I would send out for:

1. Vit. B12
2. Vit. D, D2, and D3
3. Folate
4. ESR, CRP (inflammatory markers)
5. FT4, TSH (thyroid hormones)
6. CBC with a differential
7. Basic electrolytes
8. Random glucose, HbA1C

If you have been under a lot of stress then, I would look for someone who can teach you techniques of relaxation using breathing maneuvers, biofeedback, and even acupuncture which can help a lot of people. You will put a lot of these techniques to very good use in the military when you need to be able to separate yourself for a bit of a time out due to stress or anxiety.

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This query has utilized a total of 15 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.

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