Case Study 6

Patient 6: CHRONIC STRESS, DEPRESSION AND ANXIETY.

Female,
Age 35.

This is a real patient history. Their identification details have been removed to maintain the patient’s privacy.

Presented with already made diagnosis of pyloruria, on high dose of zinc and SAM–e for years but very stressed, depressed and anxious
Worried about her anxiety, depression and tiredness
Runs her own business
Mother of two daughters, both have got behavioural problems
Lives with her husband (separated from previous husband as he was very abusive)
Childhood was not very troublesome except for father’s depression and alcoholism and mentally ill. Abusive brother who eventually became a psychotic.
Mum suffers from anxiety throughout her life.
Patient reported feeling unwell, drained, depressed, and poor gut health. (Her mum was also told that she has got polyuria but found to have methylation issues.)
Patient has been on a number of supplements when she presented to me.
Tentative diagnoses of ADHD, Depression, Anxiety, Dyslexia, Pyloruria
Allergies – None
Never smoked
Alcohol only once in 2 – 3 months

Family History
- Mother, Father, Brother, Maternal Uncle – Depression and Anxiety
- Brother – Psychosis
Physical Exam
- Looks Anxious. And bit agitated, pressurised speech
- BMI – 36.55
- Otherwise normal looking
More about Life
- Mum and dad separated
- Step-dad died and the mum and patient tried to resuscitate him which was very traumatic.
- Brother was very physically abusive to the patient (He suffered from ADHD, Asperger’s Autism, Oppositional Defiance Disorder and Dyslexia)

Assessment
- Fatigue Questionnaire
  - Total Score – 70
  - Responded Positive to 18/20 main fatigue questions
- Yeast symptom Questionnaire
  - Score – 268
- Dysbiosis Questionnaire
  - Score – 66
- Mental Health Screening Questionnaire
  - Features of moderate to severe depression
  - Symptoms of severe anxiety
  - Beck’s Depression Scale Score – 31
  - Beck’s Anxiety Scale Score – 29
  - Brain Health Questionnaire
    - High scores for many of the brain areas
  - Severe serotonin deficiency symptoms
  - Severe dopamine deficiency symptoms
- Hormone Assessment Questionnaire
  - Oestrogen Dominant Symptoms
- Toxin Score – 148
- Gene Screening Questionnaire
  - MTHFR, Slow COMT, Fast COMT, Slow MAOA, Fast MAOA
    - Positive Symptoms for above SNPs (these are for screening purposes only and may not represent actual SNP defects)