Can experienced Dr help difficult mental case?

Hello,
I am sincerely troubled and hope someone who has knowledge of a vast number of remedies is willing to help.

1.Age,sex,weight
43, female, single, 71kg, 1.69cm

2. Main complaints.
Depression
Feel do not fit in,
Have no roots,
Do not feel normal,
Lack of energy
Insomnia
Over sensitive (also pain , odours, light etc.)
Insecure
Feel inferior
social isolation
over self-conscious
Feel judged, observed or followed (sometimes)
shy


b)What do you feel?
Hopeless to recover

d) Condition when complaint is reduced
- sleep and rest
- fresh/warm dry weather.
- hot showering
- eating
- change position

e) Condition when complaint is increased
-sun, perspiration, stuffy room
- cold damp weather
- hungry and sleepy.


f) Any other complaint.
A scan of the liver and pancreas showed enlargement.

h)Treatment method adopted and its result.
Taking antidepressants, benzo and have psychotherapist. Help little.


3. History of diseases in family.
Heart disease, schizophrenia, diabetes, tuberculosis, OCD.

4. Personal History.
a)About childhood.
I was born in Africa but parents are European. We moved to 3 countries. It was difficult getting used to new cultures and making friends
As for complaints in childhood, I had German measles (itchy red spots, right?), tendency of ankles to sprain, and I used to wake up in early morning with stomach-ache because I had not urinated during night. A peculiarity is that I never get high fevers but a tendency to colds during cold season.

b)Academic performance.
Results were satisfactory but had to work hard to obtain them. I hated schooling because of low self-confidence/esteem. My heart would beat really hard when the teacher called out my name. I was afraid of making a fool of myself. I did not want to attract attention to myself; I blushed.

c)Any major incidents in life and the effect of it on life.
A love disappointment and then a work experience caused onset of depression in 2000. I was frequently tired and was not performing well. My supervisor reported me to the headquarters. When she gave me the news I was speechless. I then realized I was depressed.

d)How you are satisfied with your sex life, friends, family members, company etc.
I am single and unmarried. Relationship with family could be a lot better; I am disappointed by their poor support

5. Habits/Addiction.
Smoking tobacco

6. How is your Appetite and Thirst.
Appetite=good, (sometimes I need food to comfort me). Thirst= little. Normal during hot weather.

7. Likes and Dislikes.
I prefer salty food on the whole but I also like pastries, chocolate and cream.
I enjoy fish and meat (I love it smoked and dried) and fried food. I like food and drink to be hot (coffee) or cold. I prefer hot in winter and cold in summer. I cannot live without coffee.


8. Bowel movements.
Formed (not same shape), never diarrhoea, constipated so stool once every 7/10 days and feel better afterwards.

9.Urine
Maybe 3 times a day, normal colour, quite scanty.

b)Any discomfort
Stomach ache if I do not go after impulse is felt. Odour is quite strong in morning but not overly.

11. For Females. Menses
They started at 15 years of age. They arrive every 18 to 25 days.

b)Duration of menses.
Spotting 2 days before, 4 days (stops on 3rd day) on 4th day hardly any discharge

c)Nature of flow
Rather scanty, leuchorrhea (stains underwear yellow) after end of period. I feel worse more than a week before it is due. All my mental and physical symptoms are exaggerated. Depression is worse before, better on onset.

12. Sleep.
a)The quality of sleep
Insomnia, change of position (sleep mostly on left side), waking early. Cover all body, never head (no cover not even close),
Common dreams: losing my way and going from room to room or being ignored by people

13. Sweat
a)How much, what parts, staining, Odour.
sweat in cold and in hot weather, mainly head/face, armpits, back and feet. Some odour armpits (acrid) and feet.

14. Weather
a) I get headache in heat and in cold weather when humid. Sensitive to weather changes; it seems body cannot adapt. Dislike cold wind drafts, feels it goes through to bones. Cannot stand stuffy rooms, need fresh air.

15. Mental Status
a)The quality of the patient's life in relationship to loved ones, family, friends and colleagues.
I used to like being with people but I am a person who likes to be alone too. Now I limit my social life to my job. I often stay in my room all day..

c) Memory, ability to concentrate/comprehend.
Poor memory and concentration/comprehension.

d)Are you fearful of anything?
Fear of people, suffocation and remaining alone.

f)Are you impatient?
Yes, because I am judgemental of others and dislike waiting. I also have high expectations of people and myself.

g)Are you doubtful or suspicious?
Doubtful I will heal, sometimes suspicious of sincerity of people I know. If they are nice to me, I think that they feel pity for me and that makes me angry.

h)Are you hurt easily (emotionally) how do you react?
Yes, often (more so before period). Sometimes I do not say anything, other times I confront that person. Often I do not know if I am right in an argument.

i)Does your pride get hurt easily?
Somewhat. I do not like to be walked over.

k)Do you like to share your problems?
I avoid because I dislike burdening people with my problems because they are always the same.
.
l)Effect of consolation.
Better if person is sincere and cares for me.

m) Do you ever become suicidal when? How.
Yes, before menses.

u)How does failure appear to you?
It affects me badly because my level of self-esteem depends on what happens in my life.

v)Are there any matters that you deeply dislike?
Injustice, disrespect, dishonesty, and selfishness.

w)What activities you deeply like? How does it affect your mood?
Sleeping, watching tv, eating, travelling (in the past). Feel relaxed, no worries

x)Are you affectionate? How does others sorrow affect you?
No. I am self-centred and apathetic. Do not miss family even if I live alone.

y)Any present fears in your life or future?
I will not feel at ease with myself and others, not be balanced.

z)Any present life or future life desires?
I want to love and accept myself. I want to have lots of energy and be interested in people and activities etc. I hope to meet someone special. I hope to travel again, visit some far away countries.

16.Describe your face and tongue
As for tongue it has crack down middle, it is pale pink with a bit of white coating and teeth marks.
As for face, eyes are sunken, bluish/purple ecchymosis, some moles and acne.
[message edited by ipslon on Fri, 27 Nov 2015 22:43:57 UTC]