Hello Welcome to HCM
She is 20 years old and have depressive symptoms, spasms and pain in multiple sites of body, migrating pains, headache,
joint pains, stomach pain, hot flushes and abdominal complaints like nausea. She has stopped to take medicines and condition has worsened.
After reading the available history most likely she is having Somatic symptoms. These symptoms may be the part of depression itself or can be due to
Somatoform Pain Disorder. In this disorder individuals have pains in multiple sites of body and on investigations all come normal. Visit her psychiatrist again for treatment.
Many drugs like Duloxetine,
Milnacipran etc can be used. Duloxetine is an anti-depressant with very good effects in pain symptoms. Supplements like Pregabalin can be added to relieve her anxiety and pain symptoms.
Apart from this
cognitive therapy will help her in improving the cognitive distortions.
Consult a psychiatrist for detailed prescription.
Hope this helps you, thanks