Suggest Treatment For Anxiety And Negative Thoughts In A Person

Posted on Sat, 4 Apr 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 4 Apr 2015 Answered on

Thu, 23 Apr 2015 Last reviewed on

Question : Hi!

I'm 33 yo female and kinda feeling anxious for the past 4 months, just generally about the future and these negative thoughts don't go and they keep on running and I can't stop. I was never like this before but only manifested when I was on Dianne 35 for a little over a year which I stopped two months ago. Could this be due to this BC? I'm quite a worrier sometimes so I thought this put me at risk of being greatly anxious from BC. Please take note that I can still do normal work and other activities in my life. It's just the uneasiness of this negative running thoughts. But I believe I have improved when I stopped taking Diane 35.
To add to the above, I feel like I am going crazy because I cant stop thinking about these negative thoughts which make me more anxious.. Do I need treatment or I just need to take it easy since it's only been two months since I have stopped from Dianne 35? My doctor advised Dianne 35 due to severe acne over a year ago but I was not told that I can only take it for a short period of time.

Answered by Dr. Muhammad Ahmad (1 hour later)

Brief Answer:
I would like you to provide me with some info

Detailed Answer:
Hi,

Welcome to Health Care Magic.

I am Dr.Muhammad Ahmad, I have read your question in detail, I understand your concern and will try to help you in the best possible way.

In order to help you better , I would like you to give me some more information,

I will here by ask you some questions to fill up the information gap.

1 ) After how much time of starting D-35 did you get anxiety?

2) Did it start gradually or suddenly?

3) Have you been taking any other meds as well?

4 ) Any stressful events lately?

5) Did you face any suspected hormonal issues after leaving the pill? like wait changes .. disturbed periods etc?

6) Do you sleep well?

7) Are you otherwise active in daily life matters?

Waiting for your input.

Regards.

Dr.Muhammad Ahmad.

M.B.B.S ( Licensed Family practitioner)

Resident M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Muhammad Ahmad (17 minutes later)

1 ) After how much time of starting D-35 did you get anxiety? On my 7th month, I stopped taking it (for reason that I don't have the pack available)- then after my period I continued using it last September. Last December I started feeling blue and I became too emotional and anxious. Then I stopped end of January, which I have seen some difference that I wasn't too emotional, but that stigma of feeling blue left me anxious until now as it's a new feeling to me, I am normally a happy person. But I must admit that I a worrier so I got worried why I felt that way.

2) Did it start gradually or suddenly? I think gradually. It started with becoming very emotional and irritable the whole time I was on D-35, and then started feeling blue last Dec and it didn't help that I am a worrier so it aggravated it. Now everytime I think about what I felt last dec and XXXXXXX it worries me that Im going to go through it again so I am worried.

3) Have you been taking any other meds as well? Just Multi Vit and Vit B complex

4 ) Any stressful events lately? none

5) Did you face any suspected hormonal issues after leaving the pill? like wait changes .. disturbed periods etc? maybe few days delayed period.

6) Do you sleep well? I get occasional sleepless nights last Dec and XXXXXXX But now I got back to normal sleep except for occasional worries during the day.

7) Are you otherwise active in daily life matters? Yes active in jogging, and gym work out. And I have social events most of the time. Which I like very much bec it distracts me.

How long will the hormone effects of D-35 go away?

Answered by Dr. Muhammad Ahmad (8 hours later)

Brief Answer:
Things are expected to get better in a couple o months

Detailed Answer:
Hi,

Thanks for writing back,

I have read your reply closely and now I will try to sum up what is possibly happening with you.

If you read about D-35 (Cuproterone acetate) side effects it is clearly mentions that

"CPA has been associated with the incidence of depression, which can reportedly occur in up to 30% of patients."

REFERENCE: XXXXXXX XXXXXXX (2007). Transsexual and Other Disorders of Gender Identity: A Practical Guide to Management. Radcliffe Publishing. p. 174. ISBN 978-1-85775-719-4.

And it is also clearly mentioned that one SHOULD NOT just stop taking the pill altogether, it should be weaned off , by reducing the dose gradually over some time.

According to your history there is every possibility that your symptoms are because of D-35 specially because you gave a gap between doses and then stopped taking it without weaning off.

what ever happened that has happened and can't be changed now your present condition tells me that some how you are not currently in hormonal distress.

Though i can not run labs on you but still there is little evidence of you having hormonal disturbance.

I think your are showing improving trend and things will get better with time.

You yourself must have been feeling gradual improvement.

I believe all you should do is to keep calm keep yourself busy and try to box out your anxieties , won't suggest taking any meds for now.

Things are expected to improve but may take a couple of months more before you feel real improvement.

Keep a close look on yourself for irregularity of periods and hair production on body or things like that , just in case you notice anything wrong get to your doctor.

If you don't improve in a couple of months then get to your doctor they might wanna check you for hormonal disturbances , but for now give it some time to settle , hopefully it will get better with time.

I Hope this answers your question, if your have more queries feel free to ask, otherwise close the discussion and rate it. Wish you the best of health.

Regards,

Dr.Muhammad Ahmad.

M.B.B.S.

Resident M.D.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar