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Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 4298
Experience:  Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
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WhAt are the following symptomatic of:ears buzzing; not sleeping

Customer Question

WhAt are the following symptomatic of:ears buzzing; not sleeping well or not feeling rested after a night sleep; feeling fatigued, feeling unable to concentrate too long or work long hours; decreased desire to work or do things liked to do in the past; feeling a general sense of laing well being; having fuzzy dreams; jumping at even small noises.
Submitted: 9 months ago.
Category: Mental Health
Expert:  Dr. Z replied 9 months ago.

Dr. Z :

Hello I believe I can help you with your concern

Dr. Z :

I am so sorry that you have been experiencing these symptoms, I can imagine how this must be distressing for you

Dr. Z :

Since it seems like you have ruled out most physical causes for your symptoms, it appears the cause of your symptoms are psychological in nature. The most typical psychological cause for your symptoms may be a mix of anxiety and depression. The physical symptoms you described can be attributed to depression and anxiety.

Dr. Z :

Here are some links that describe the physical symptoms of anxiety and depression in more detail for you.

Dr. Z :

The predominant non-medication techniques for these symptoms would be Cognitive Behavioral Therapy (CBT). I can teach you some of the techniques of CBT and recommend a couple good CBT books, but I think for your severity you may want to consider a therapist's help. CBT has a premise that your symptoms are caused by negative thoughts, so if we change your thought process to be more positive and objective as well, then your symptoms will lessen

Dr. Z :

So this link may help you, it contains a technique I use with patients called a thought record. It will help you keep track of any negative thoughts you have. You put the negative thought on paper, the emotion accompanying, the evidence to support it, and the evidence against it. Then I want you to come up with an alternative thought for the situation (more objective and plausible). This will help you change your way of thinking to be able to think more positive and not automatically go to a negative type of thinking.

Dr. Z :

In addition, these two worksheets are very good at helping lessen anticipatory anxiety and helping you focus on the big picture and the objective/positive thoughts and outcomes.

Dr. Z :

Also individuals with these symptoms of depression and anxiety also have a poor coping mechanism, so this worksheet will help you develop a better coping strategy to manage your symptoms better.

Dr. Z :

This is a link for something called Progressive Muscle Relaxation that can help you create a long term calm by using muscle tension and release techniques; it can help manage your anxiety and depression better and is very similar to a style of meditation.

Dr. Z :

In addition, these books can be very helpful as well.

Dr. Z :

Now for the supplements, the St. Johns Wort is very effective, also Omega-3, Glutamate, and Valerian root can be added to improve your mood and lessen your anxiety/depression.

Dr. Z :

For medication, the use of an SSRI antidepressant, I would recommend Escitalopram at 10-20mg or Sertraline at 150-200mg, in combination with the use of benzodiazepine (e.g Ativan, Xanax, and Klonopin) are effective in managing anxiety and depressive symptoms.

Dr. Z :

I see that you are offline right now, but when you get back online I would be very interested in continuing this discussion with you and talking about anything further you would like to share regarding your concern, so if you respond in the chat box I will be able to get back to you as soon as possible.

JACUSTOMER-8p3hjn3k- :

Can't read your answer from the top. only see the last two lines

Dr. Z :

Really? I am sorry, it must be a technical glitch that can happen. Let me switch to a different format so that you can see everything okay

JACUSTOMER-8p3hjn3k- :

please email me at XXXXX@XXXXXX.XXX

JACUSTOMER-8p3hjn3k- :

I can't see your answers.

Dr. Z :

I actually do not have access to you email, that is something that the administrators do not allow the experts to have, so your email was blacked out from my view. I am going to switch formats for you.

JACUSTOMER-8p3hjn3k- :

Your chat window is not visible from internet on my blackberry phone

JACUSTOMER-8p3hjn3k- :

I just wrote you many messages saying that read your answers and if you could write to my eail at XXXXX@XXXXXX.XXX;I did not see any of your replies; your window is hidden.

Expert:  Dr. Z replied 9 months ago.
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

What happens now?

If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.
Expert:  Dr. Z replied 9 months ago.
*Sorry we were having technical difficulties earlier, so here is what I wrote for you in the chat and you can respond at anytime.


Hello I believe I can help you with your concern

I am so sorry that you have been experiencing these symptoms, I can imagine how this must be distressing for you

Since it seems like you have ruled out most physical causes for your symptoms, it appears the cause of your symptoms are psychological in nature. The most typical psychological cause for your symptoms may be a mix of anxiety and depression. The physical symptoms you described can be attributed to depression and anxiety.

Here are some links that describe the physical symptoms of anxiety and depression in more detail for you.

DANGEROUS URL REMOVED/anxiety/symptoms/physical

DANGEROUS URL REMOVED/depression/physical-symptoms

The predominant non-medication techniques for these symptoms would be Cognitive Behavioral Therapy (CBT). I can teach you some of the techniques of CBT and recommend a couple good CBT books, but I think for your severity you may want to consider a therapist's help. CBT has a premise that your symptoms are caused by negative thoughts, so if we change your thought process to be more positive and objective as well, then your symptoms will lessen

So this link may help you, it contains a technique I use with patients called a thought record. It will help you keep track of any negative thoughts you have. You put the negative thought on paper, the emotion accompanying, the evidence to support it, and the evidence against it. Then I want you to come up with an alternative thought for the situation (more objective and plausible). This will help you change your way of thinking to be able to think more positive and not automatically go to a negative type of thinking.

http//www.psychologytools.org/assets/files/Worksheets/CBT_Thought_Record.pdf

In addition, these two worksheets are very good at helping lessen anticipatory anxiety and helping you focus on the big picture and the objective/positive thoughts and outcomes.

http//media.psychologytools.org/Worksheets/English/Decatastrophising.pdf





http//media.psychologytools.org/Worksheets/English/What_If.pdf

Also individuals with these symptoms of depression and anxiety also have a poor coping mechanism, so this worksheet will help you develop a better coping strategy to manage your symptoms better.

http//media.psychologytools.org/Worksheets/English/TRAP_TRAC.pdf

This is a link for something called Progressive Muscle Relaxation that can help you create a long term calm by using muscle tension and release techniques; it can help manage your anxiety and depression better and is very similar to a style of meditation.

http//prtl.uhcl.edu/portal/page/portal/COS/Self_Help_and_Handouts/Files_and_Documents/Progressive%20Muscle%20Relaxation.pdf

In addition, these books can be very helpful as well.

http//www.amazon.co.uk/The-Anxiety-Worry-Workbook-Behavioral/dp/160623918X/ref=sr_1_1?ie=UTF8&qid=1379385482&sr=8-1&keywords=Cognitive+Behavioral+Therapy+anxiety+and+worry+workbook

http//www.amazon.co.uk/Cognitive-Behavioral-Workbook-Anxiety-Step-/dp/1572245727/ref=sr_1_3?ie=UTF8&qid=1379385555&sr=8-3&keywords=Cognitive+Behavioral+Therapy+workbook

http//www.amazon.co.uk/Cognitive-Behavioral-Workbook-Depression-Edition/dp/1608823806/ref=pd_sim_b_2

Now for the supplements, the St. Johns Wort is very effective, also Omega-3, Glutamate, and Valerian root can be added to improve your mood and lessen your anxiety/depression.

For medication, the use of an SSRI antidepressant, I would recommend Escitalopram at 10-20mg or Sertraline at 150-200mg, in combination with the use of benzodiazepine (e.g Ativan, Xanax, and Klonopin) are effective in managing anxiety and depressive symptoms.
Expert:  Dr. Z replied 9 months ago.
Sorry the links for the physical symptoms of anxiety and depression did not work in the original post I just made. Here are the corrected links for the section where I said. "Here are some links that describe the physical symptoms of anxiety and depression in more detail for you."

http://www.calmclinic.com/anxiety/symptoms/physical

http://www.webmd.com/depression/physical-symptoms
Expert:  Dr. Z replied 9 months ago.
I understand that the chat window was not available on a blackberry phone, but this Q&A format should be available to you, so if you would like you can respond here and we can talk back and forth about your concern. If you have any questions or concerns, please feel free to contact me at anytime, and I will be sure to get back to you as soon as possible.

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