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Published on December 08, 2015

Holiday Blues or Something More?

Holiday BluesWhat can you do when someone you care about has the holiday blues? And how can you tell if it might be more than a case of the blues?  Nadeem Akhtar, MD, Psychiatrist at Cone Health Behavioral Health at MedCenter Kernersville provides some information on spotting mental health issues.

Holiday Blues or Something More?

Answers to submitted questions.

I have fibromyalgia, CFS, IBS, spastic colon, OCD, peripheral neuropathy, positional vertigo, and have been dizzy for almost a year and have numbness in certain areas on my face and head. I have had an echo cardiogram, carotid sonograms, MRI, spinal tap, lots of blood taken, and a PT who specializes in vertigo problems does the Eply maneuvers on me. Nothing has helped. Neurologist and internist don't know what is wrong with me. I take Pristiq for my antidepressant. I know that I need help desperately. Thank you.

Wow- I am sorry you are having such a difficult time with your health. My understanding is that your primary complaint is that of dizziness and some numbness. You don't mention any other symptoms. You certainly show good insight into a possible psychiatric cause as the source of your dizziness.

As is often the case, one question can lead to more, to either rule in or out a problem. It sounds as though you have been through some pretty extensive work ups, but with no clear cut cause or satisfactory treatment for your dizziness.

Ask your provider if he or she feels that a psychiatric referral is needed, since many common causes seem to have been ruled out. If so, Cone Health Behavioral Health is a good place to start.

I am dealing with a terminal illness with my precious lab mix dog. He is undergoing chemo treatment and I feel depressed and cry at the drop of a hat. This has gone on for several weeks. Do I need meds?

I am so sorry for your beloved pet's declining health. They are very much our family members and the loss of a beloved pet can be devastating. While chemo can be stressful for both the patient and their loved ones, it is unclear whether the chemo is being given for a goal of remission, or for easing the burden of pain.

You are reacting to the stress of the situation as well as the possible loss of a beloved pet. Speak with your vet to make sure you have a clear understanding of what is happening to your pet and what is the likely outcome. There are no silly questions! Chemo is expensive, so it is unlikely that the decision to pursue this route was made without consideration of the risks and benefits. Having your vet provide you with regular updates may help to alleviate some of your fears and anxiety.

If you feel that there may be something else that is triggering your tears, or you just don't feel that you are coping well, you are welcome to call us at Cone Health Behavioral Health at MedCenter Kernersville at 336-993-6120 or any of our other behavioral health locations.