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.
Initial Presentation
- 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)
- MTHFR, Slow COMT, Fast COMT, Slow MAOA, Fast MAOA
- Fatigue Questionnaire
Review 03/09/19
- Yeast symptom Score – 225
- Dysbiosis Score – 65
- Toxin Score – 125
- Fatigue Score – 121
Review – 20/01/20
- Patient feels much better
- Depression and anxiety symptoms are very much reduced
- More energetic
- Gut symptoms are hugely improved
- Above protocol will be continued until next review
- Lost to follow up due to COVID-19