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    Is this anxiety?
    An_251217 posted:
    Good afternoon:[br>
    First off, I'm a 30 year old male, who is healthy and active (exercise 4+ times per week), works full-time and is in graduate school part-time. I'll start off by saying that I don't "feel" stressed. I've visited my family physician several times within the past six months for a number of issues, and have also had a few tests. Specifically, I frequently experience bouts of nausea (never vomiting), dizziness, foggy headedness (e.g., difficult concentrating, mind feels blank), difficulty focusing my eyes, feelings of adrenaline in my stomach (butterflies), tinnitus and trembling. I should point out that I'm able to sleep, and when I wake up in the morning, these symptoms seem to start within about 15-20 minutes of waking up. I also get these weird feelings, usually after eating, where I feel like my muscles want to tighten up. During this time, I feel as though my speech is impacted, and I can't speak clearly.
    [br>I've had the following tests:[br>- Blood work (Everything OK)[br>- EKG (Everything normal)[br>- Blood pressure ( 107/68 )[br>- Gastroscopy/Colonoscopy (Nothing abnormal) (This was done because physician seemed most concerned about the nausea)[br>[br>After these tests, my doctor has decided that my problem is anxiety, and has referred me to a psychiatrist (I have an appointment scheduled, but it's not for another month). I asked if it could be neurological, and he said the symptoms are not consistent with a neurological condition. Should I trust my doctor's opinion, or should I seek a second opinion? Does anybody have experience with similar symptoms? Is this how anxiety feels? I have a hard time believing that I can suddenly have these symptoms of panic/anxiety after never experiencing them before.[br>[br>Thanks,[br>Tom
    Reid Wilson, PhD responded:
    Hey, Tom, thanks for writing. From what you have shared, it is really hard to tell if these issues have a psychological cause or not. The question is: where do you go next? I would recommend that you find someone in your community who is a specialist in the anxiety disorders, whether they are a counselor, social worker, psychologist or psychiatrist. (I would not go to a generalist if I have an option to see a specialist.) They can do a diagnostic interview to get a clear sense with you about what's going on. If I were that person, I would be seeking details about a few very general pieces of information. Are you worried, whether about a bunch of small things or one or two big things? If you aren't aware of being actively worried, have you had any significant events related to any kind of loss, or are you facing any kind of decisions that will involve loss or separation? In other words, is there a chance there are some things stirring up inside you that have not surfaced sufficiently enough into your conscious awareness. I'm not talking about analyzing your childhood or your complete life experiences; I'm talking about current dilemmas, major decisions, or separations/losses. If everything comes up zero, I'd be taking a second look at the physical.

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