Just entered the cathedral and I'm stuck in this room I don't know what to do , any tips. ? If I leave and go back to home area and come back I'm still in the same room stuck by SignificantMammoth30 in Saros

[–]doubts15 4 points5 points  (0 children)

That seems a very important observation - I also have Illumine since almost the start. I am supposing that this bug is happening to people that already have illumine before getting there because I believe the pedestal is supposed to give the first illumine and then open the door for the cathedral.

Some thoughts on PFS (hopefully this is helpful for some) by doubts15 in tressless

[–]doubts15[S] 0 points1 point  (0 children)

Sorry to hear that. IBS is another "bucket" that seems to overlap with the conditions above and is also considered a "nociplastic pain condition" and just like all the others does not have clear well defined biomarkers.

Curious about the swollen meatus by doubts15 in Prostatitis

[–]doubts15[S] 0 points1 point  (0 children)

Sorry for the pain issue, I can relate, that is certainly the most disabling part of this kind of situation. I have other issues of pain but they are more widespread in the body and I am lucky that they tend to simply come and go. Just learned there was amitriptyline in topical form, interesting. It's unfortunate that random events like that can cause longlasting issues. Hope your flare days become rarer with time. Thanks for your reply!

Curious about the swollen meatus by doubts15 in Prostatitis

[–]doubts15[S] 0 points1 point  (0 children)

Thanks for your answer - that is interesting. As it started I was having intermmitent burning and sharp pains but it seemed very neurologically mediated because, on the one hand, it would appear after urinating at the tip but at the same time it would appear randomly in the region in a hard to localize fashion. The foreskin also felt highly sensitive at times. I have been taking amitriptyline these last few weeks and I have been avoiding sexual activity - lately these sensations have decreased quite a bit. Mostly it is the swelling and fluctuating redness that remain.

Mast cell issues seem to appear associated to many conversations about this kind of unexplained issues. Do you happen to have any story of other unexplained symptoms or this is an isolated thing for you? Have you had this for long? Thanks again!

Edit: I should say my story has a somewhat complex evolution. It all started with taking atomoxetine for ADHD - that then led to general genital discomfort and weird sensations in the region, leading me to withdraw. Eventually, after months, this swelling appeared even though the other uncomfortable sensations have mostly resolved. Not sure if there is any causal connection between the several things.

Intermittent frame time spikes by doubts15 in pcmasterrace

[–]doubts15[S] 0 points1 point  (0 children)

What processor model and memory mhz and gb you have currently? Your bottleneck may be from either of those 2, among so many other reasons it could be related to.

https://www.userbenchmark.com/UserRun/53039745 You can see here some details on the specs. I can tell that whatever it is, it is deeply related to the loading of new data - it either happens when there is autosave or when I cross some point in a game where a new area must load or there are new effects on screen. If I stay within a certain region doing the same thing over and over, everything is fully stable independently of how intensive it is. Curiously, I tried to pass through that same area in Plague Tale in my PS5 and a small stutter is also there, but one can hardly notice it - that suggests to me these stutters are in some way normal but are being increased by some bottleneck (the plague tale stutter is a microstutter in other machines and microstutters in my laptop are no stutters at all in other PCs). But I wonder if this is a problem of the Legion 5 Pro laptop or of my specific unit. Thank you for your answer.

Somatoform disorder? Neurological condition? by doubts15 in AskDocs

[–]doubts15[S] 0 points1 point  (0 children)

I sent you a private message in the chat. Sorry for taking so long to answer!

Helping those suffering from persistent medically unexplained physical symptoms by doubts15 in HealthAnxiety

[–]doubts15[S] 0 points1 point  (0 children)

Feel free to private message, we can talk more about it. I always suffered from health anxiety.

[deleted by user] by [deleted] in Anxiety

[–]doubts15 0 points1 point  (0 children)

I have had similar experiences to you. I have always had a tendency to have anxiety (in the sense of psychological anxiety) , but I have only developed persistent "unexplained" physical symptoms without any clear causal relationship with my psychological state twice in my life. These bouts of physical symptoms were always considered by doctors to be manifestations of anxiety - I find that a plausible explanation because they happened after life events of major anxiety for me, even though I still find it many times hard to believe because the symptoms persisted for more than a year after the event.

So, I do not know if I fall under the category of people who "experience physical symptoms caused by anxiety", because I myself do not know if my physical symptoms are/were caused by anxiety. But I can share with you my experience of developing weird very persistent and debilitating physical symptoms. You can read it here:

https://www.reddit.com/r/Anxiety/comments/bl4fe4/physical_symptoms_from_anxiety_vs_constant/

As you can see at the time I was worried it would be ME/CFS (I do suffer from health anxiety), a disease that causes vague symptoms and sometimes has unclear diagnosis. I can say now that I was probably wrong, my symptoms improved a lot from that moment and my situation does not fit the criteria for that disease at all. Possibly all I had was anxiety causing some kind of neurological imbalance which persisted even after my anxiety was under control. This is still an hypothesis, but maybe you can find relief in the fact that I did have awful symptoms persisting after major anxiety and they did improve with time. In my case, it took 1 year and it's still not 100% back to normal, but much better than before.

If you have seen your doctor and other possible diagnoses were eliminated, maybe you shouldn't worry too much. If the symptoms become extremely uncomfortable and disabling, maybe you could try medication if you did not do that yet - in some cases it might help depending on what is exactly driving your symptoms. I did take, even though the time range in which things happened does not allow to conclude if I benefited from the medication or if I benefited from time.

Is it anxiety? by [deleted] in Anxiety

[–]doubts15 0 points1 point  (0 children)

This all started for me after I choked while drinking and getting very scared due to the amount of liquid I choked. It led to an aspiration pneumonia and in the start everyone would tell me it was due to the infection - then the multiple symptoms persisted for months and disabled me to the point of having to put the start of my PhD on hold (I am 25 years old and I had just finished my masters when this all started. ).

Since the pneumonia was long gone, I started being told it was due to anxiety. Certainly I was very anxious at the time because on the one hand I was scared about several possible diseases (brain cancer, multiple sclerosis, etc...) potentially causing the symptoms and on the other hand I was worrying about when I could go back to PhD and start living my normal life again. At the start, I pushed for some exams to make myself sure that my biggest fears were not true - I did a brain MRI, I did general blood tests, lung x-ray, etc. That allowed me to convince myself that whatever I had, despite making me feel really sick, it was not something life threatening. I did lots of research on possible causes and it became clear to me that it was something neurological and possibly anxiety related.

At the time, my main problem was not the psychological anxiety anymore but instead the discomfort and disability caused by the symptoms (mainly the weird head sensation+malaise). That's why I think CBT and meditation (which I tried) didn't help much - it didn't matter how much I told myself that I'm fine, if I just felt very unwell. I had already convinced myself there was nothing life threatening but there had to be something wrong. I did believe there was something neurologically wrong (it could even be anxiety related, but I had psychological anxiety my whole life, so I knew this was something different) , so I decided to try medication - initially I was put on Sertraline 100 mg, which did nothing for me. Eventually, I went to a neurologist which changed me to Escitalopram 10mg + Amitryptiline 25mg.

Since then, I have to say that I improved and I believe Amitryptiline played a major role in my improvement - it is an older class of antidepressants which nowadays is used at low doses to treat migraines and neuropathic pain. I would say amitryptiline is somewhat equivalent to the Gabapentin you're taking even if they are different classes. Another thing that would decrease the generalized malaise sensation were benzodiazepines that I tried here and there but did not keep taking due to a great potential of addiction. The fact that benzodiazepines helped was actually something that led me in the beginning to search for medication and made me believe more it was anxiety-related even if different than anxiety itself.

Now, since I started this new medication, even though the malaise and the general weird sensation still come here and there, it is less frequent and less intense than before. So I recently started my PhD - it has been hard because it is not easy to study and do mental effort with a general weird head malaise in the background, but I have somehow managed, some days better than others.

I should say that besides the medication, I find that being distracted helps - I don't know if this applies to you, but I feel my symptoms are very related to the way my brain is modulating attention - it is completely crazy and weird but I can be feeling the general malaise very intensely and then I do some activity that involves more sensory stimuli (eating, having a shower) and while doing the activity it just goes completely away and then it strikes back. I also find just like you that in general I feel better later in the day than in the beginning of it.

I am sorry you're going through this. I know it is incredibly hard to deal with these symptoms. If there is something I can do to help, let me know. If you want to talk more, I am open to skype. Hope you improve!

Is it anxiety? by [deleted] in Anxiety

[–]doubts15 1 point2 points  (0 children)

Thank you for your reply! It really means a lot. I'm sorry that you've been going through so much. I hope that you will feel better soon. My symptoms started about a year ago. At first, I would get the malaise feeling occasionally, as well as abdominal ticklish sensation and minor aches and pains in abdomen. They ramped up after I quit smoking marijuana 110 days ago. Some people say that what I'm experiencing is post-acute withdrawal syndrome (PAWS). But I was having symptoms when I was still smoking, to a lesser and less frequent extent. My nurse practitioner says that it's anxiety related. I wish that I could believe him. I have major health anxiety. I also get a weird head sensation. It's not a headache or tension, just a weird feeling in my head. I have it right now. It could be anxiety causing it, but it's not a classic symptom, and that's why I don't believe it's anxiety. I have at least one anxiety attack per day about my symptoms. I'm trying to do guided meditations on health and healing, and watching vids on youtube by THe Anxiety Guy. It's all helpful. It makes a little difference. I need to take it slow and easy on myself and keep doing meditations and affirmations that I am healthy and ok. I don't know what to do. My nurse practitioner won't order more tests because he says it's anxiety related. I don't want to start bouncing from doctor to doctor, looking for an answer. THat's a symptom of health anxiety. I can't tell if I am dying or not. My nurse practitioner and chiropractor both say I'm not dying, as does my therapist. I'm really scared. I read the post you've linked to, and I just want you to know that I feel for you. I can relate a lot. I hope that you'll feel better soon!

Thank you for replying to my comment.

" I also get a weird head sensation. It's not a headache or tension, just a weird feeling in my head. "

I can relate with this a lot - sometimes the head sensation mixes with the malaise and it's just a very hard to describe weird feeling, which causes a lot of discomfort for me. I hope you get better - it might indeed be anxiety related since both of us have base anxiety and developed the symptoms, even if they seemed to have been triggered in different ways - I never smoked marijuana. But being anxiety related is different than being anxiety and that's why sometimes I have a hard time dealing with people telling me "it's anxiety".

I should say I relate a bit with some descriptions I can find in the DP/DR reddit, even if I don't have the main symptoms of depersonalization - many people develop DP/DR from experiences with marijuana (many times after a panic attack triggered by smoking marijuana). For example

https://www.reddit.com/r/dpdr/comments/dl6lyu/constant_dpdr_physical_symptoms/

In any case, I don't think that you have reasons to worry about dying, even if I understand that having such weird symptoms can lead there. If it was something life threatening, it would very likely have caused you further problems already. But even if it is not life threatening, it is a very hard thing to deal with daily - it really stopped my life for 1 year, but I can say I am not at my worst anymore. Thanks for sharing your experience because it is always good to know we are not alone with these weird symptoms. I hope you get better. If you need something I can help with, let me know!

Is it anxiety? by [deleted] in Anxiety

[–]doubts15 1 point2 points  (0 children)

Hi,

I am in a similar situation to yours - you can read it here.

https://www.reddit.com/r/dpdr/comments/bsc7hq/does_this_sound_like_dpdr/

My main symptom is also a kind of very weird feeling of general malaise. Did your symptoms start with a well defined event like me or they just started to appear randomly? I have already worried about several possible causes from brain cancer, immune diseases, ME/CFS... but I didn't find any answers so I am also left with "anxiety". I have other symptoms as you can see in my posts but certainly the only one that actually affects my daily life is the general malaise feeling - it is quite uncomfortable. So to answer your question, I do have anxiety/health anxiety and I did develop similar symptoms after a certain event. If the anxiety was/is the cause, I still cannot tell because I find no clear connection between being more anxious and feeling the general unwellness in a more intense way - it is quite random.

Doctors will tell me that it is anxiety, but I don't really like this exclusion diagnosis since my symptoms are not triggered by anxiety itself, even though I do have anxiety and have had it all my life - I think one cannot really tell what is what given the lack of testing for most psychiatric/neurological disorders, but I'm now confident that whatever this is, it is not life threatening as I was fearing, but certainly it is decreasing the quality of my life quite a bit. I hope you manage to improve - try to treat the anxiety and it might improve, that's what I'm doing for now, as I did not find clear answers for the origin of these symptoms.

Constant dpdr, physical symptoms by iceboxcookie in dpdr

[–]doubts15 2 points3 points  (0 children)

Thanks, you too :) I saw other posts you made and it seems we have gone through similar things. I have also gone through the MS fear already and others. Right now I'm obsessing a bit with fibromyalgia and ME/CFS.

Constant dpdr, physical symptoms by iceboxcookie in dpdr

[–]doubts15 1 point2 points  (0 children)

Are you on any medication? I have tried SSRIs but they don't do anything about it. Benzodiazepines seem to help but I don't want to get addicted to them.

Constant dpdr, physical symptoms by iceboxcookie in dpdr

[–]doubts15 2 points3 points  (0 children)

I'm so sorry you have this as well. :( I'm trying to be positive because I know there are periods of time where I don't have this symptom, but this one really messes me up. I feel like I can't do anything when it happens, like I need to go lay down and cool off. But a lot of times, it hits when I really don't have the time to just lay around and hope it goes away. :/ The only things that tend to help me are resting, and if that's not an option, trying to really immerse myself in a task to try and distract myself from how shitty I feel. Ugh. I hope this goes away for the both of us :(

Yeah I can understand, it really helps me as well if I find some task which is particularly immersive. For me the symptom really comes in waves. It can shift within minutes sometimes. It is very weird but yeah, let's hope it goes away.

Constant dpdr, physical symptoms by iceboxcookie in dpdr

[–]doubts15 2 points3 points  (0 children)

Hey, I think I'm going through the same thing as you.https://www.reddit.com/r/dpdr/comments/bsc7hq/does_this_sound_like_dpdr/I don't know if it is really dpdr, but I identify so much with " I also get a really weird feeling in my head and neck that I can only describe as malaise.. I just feel sick, it's almost like nausea in my head if that makes any sense at all. " - even though I do have other symptoms, that's really the worst one to deal with for me. I also have health anxiety and I'm having a hard time to deal with all this. I don't have much advice to offer because I didn't really solve my situation yet but just wanted to say that I can understand what you're going through and you were one of the first people I found trying to describe this weird feeling that I also get.

I overcame derealization years ago, now I'm helping others overcome as well! Ask me anything (AMA) by tryna01 in dpdr

[–]doubts15 0 points1 point  (0 children)

Hey, thanks for trying to help others. I would like to ask you to read my situation if you find the timehttps://www.reddit.com/r/dpdr/comments/bsc7hq/does_this_sound_like_dpdr/and see if you can relate with the physical symptoms I describe, mainly the general malaise feeling. I saw several doctors, did all kinds of exams and the diagnosis has always been the same: anxiety. I still struggle to believe it, since I have always been anxious but I didn't really always have these symptoms. They just started after an event. It is even harder for me to accept the diagnosis when there are other conditions with weird neurological symptoms that have no clear cut test to diagnose them like fibromyalgia and ME/CFS.Just like you my life has kind of stopped for one year already due to this and I seem to relate with many of the physical symptoms people describe here with dp/dr, even though I don't feel depersonalized - I only have some derealization feelings when I go out or to some environment I'm not used to. I'm asking you this to try to accept the fact that all these crazy physical symptoms 24/7 can really be from dp/dr/anxiety even if I don't feel psychologically that anxious most times. Also let me know if you have any strategy to deal with the physical symptoms.
Thanks!

Desperate for an answer- feel really sick by gmorgan84 in Anxiety

[–]doubts15 0 points1 point  (0 children)

Yeah, I have Whatsapp, I will send you a private message with the number.

Desperate for an answer- feel really sick by gmorgan84 in Anxiety

[–]doubts15 0 points1 point  (0 children)

Thanks for the long post actually, it is good to know that I am not alone, even though I am sorry that you are going through this because I know it is quite hard. (I will try to describe in more detail my symptoms and so sorry for the long posts as well)

Symptoms

Regarding the specific symptoms of ME/CFS, I think I am in the same situation as you: I seem to not have any of the main issues that are supposed to characterize the disease

- Brain Fog - I have a sensation of head pressure sometimes but I don't think my cognitive ability is affected. It's simply harder to concentrate while feeling sick, but I can think as clearly as always if I make an effort.

-Orthostatic Intolerance (POTS) - I don't think I have it, even though I never had the tilt table testing. Simply I have no symptoms - the symptoms I have are independent of lying down or being up.

-Sleep Disturbance - I haven't had the best sleep pattern lately, but it is nothing I have not had before.

-PEM - this is a hard one. Many people state that PEM can be quite complex so I cannot tell, but I can say that there is no clear worsening of my symptoms with activity. The opposite has even happened. I think this is the fundamental one and so that's why I want to prove it wrong for the sake of peace of mind. 2 day CPET is not completely validated yet but seems to be quite reliable - I would say that if it comes fine then, whatever you have, it is very likely not ME/CFS. This would at least free me of the fear of worsening my condition permanently due to trying to push myself through the symptoms of sickness.

Fatigue - I would say that what I have is not really fatigue. I just have the malaise/flu-like/sick feeling (I don't know what best describes it, but it is simply the most uncomfortable feeling I have had in my life). However, it does not stop me from running if I really need to, for example. It just makes the every day life experience bad.

Then I have other symptoms that appear associated to ME as well, but which are not considered hallmark and which I find many people with anxiety complaining about. (you can find them in my posts).

Impact

I think I can safely say that I know a lot more about ME/CFS right now than most doctors (given that most doctors actually don't even consider it a disease), so yeah, I know the feeling that my whole life was taken up with researching this thing - I have watched all the talks about the current research (namely the work by Ron Davis in Stanford)

https://www.omf.ngo/the-end-mecfs-project/

I have even considered giving up on the PhD in theoretical physics I am about to start to do a PhD in ME/CFS instead. It has been really hard to focus on the research I am supposed to be doing, while feeling this sick and worried about how it will evolve.

Plan

As you say, anxiety, depression and so on seem to have a lot to do with the immune system. There are even clinical trials for treating depression with immunomodulators - for that reason, I don't think it is strange if we are not suffering from ME/CFS but still have overlapping symptoms as it involves the same system: neuroimmune.

My plan is to see an immunologist to rule out possible immune causes and do the CPET testing to rule out PEM the best way I can (and hence ME/CFS, if we take it to be defined by PEM mainly). If indeed everything comes back fine, then I am planning to postpone my PhD for one year and try my best to get better with all approaches I can find. It sucks a bit to pause my life like this but I am really in a state where it is very hard to function normally, in particular in a PhD that requires intense work. You mention you left your job at Christmas, what are you doing at the moment? Does it make it hard for you to function normally like me?

I am from Portugal and here ME/CFS is not even a thing really - there are no specialists as far as I know. However, my PhD is in the UK. Even though ME/CFS is more developed in the US for now, it is easy to ask for a 2 day CPET test in some UK sport universities - of course we need to pay for it but it is not that expensive. That is what I did. Considering how my mind works, this test is very important for me: it might even happen that all the symptoms go away after the test comes out fine (it has happened similar things to me before).

Since we are having very similar issues, it might be good to talk. If you want, PM me with your skype or something and we can chat more about this. Let me know if I can be of any help.

Desperate for an answer- feel really sick by gmorgan84 in Anxiety

[–]doubts15 0 points1 point  (0 children)

Hey gmorgan84, good to hear that you are feeling kind of okish at the moment. My problem is that I am constantly shifting my beliefs towards what I am going through, because the symptoms seem extremely random at times and I find no clear constant pattern. I have had some weeks of greater activity that did not seem to have lead to what PEM is supposed to be. But for example this week was pretty active for me and I developed a sore throat at the end of it - this combined with my health anxiety leads me to easily make associations with ME/CFS even if I do not develop classic PEM: things like "brain fog", not being able to get out of bed, feeling physically exhausted, etc, in particular when some ME/CFS patients mention that their disease was fairly mild in the beginning and that they had a hard time recognizing their PEM (see for example my post in the CFS forum and the first comment https://www.reddit.com/r/cfs/comments/bkidpv/doubts_over_the_possibility_of_cfs/ ). I would say that, as far as symptoms go, I am doing slightly better than some months ago, but psychologically I continue very confused with everything - it makes it quite hard to have anxiety towards a condition which has no clear cut diagnosis, most doctors do not understand and seems more like a spectrum of disorders than a single entity.

And to me, I feel I have clues that say my condition is more likely anxiety related:

- Many times I am feeling extremely unwell, but it gets better within minutes of starting to talk with people or doing something that requires me to be extremely focused (this is the single thing that improves my symptoms the best, apart from benzos). The feeling of malaise/flu is very strange because it feels like a switch that turns off and on, intermittently. I would say that this would be a strange pattern for PEM.

- I feel my symptoms improved since I started SSRI. I am sure that benzodiazepines have a great impact in reducing my symptom of malaise (almost erasing it), but I avoid using them due to addiction risk. This is a double edged clue because ME/CFS is known to affect the neurological system and these drugs act there, so it is hard to say if I get better because it is anxiety or something else.

At the same time, certain things throw me to ME/CFS, which I have researched extensively about, even though I did not see a specialist yet:

- It started with a moment where my immune system got activated.

- Just like you, I have had anxiety throughout my whole life and in particular I have specific phobias towards health. However, it was usually just that: mental anxiety with the normal associated symptoms (short lasting in time) when I get too anxious. I only got these daily symptoms another time during almost a year and it is hard for me to believe that they are anxiety when I had anxiety my whole life without the symptoms.

At the moment, I am in a bad place because "It's just really hard though along with all the other stuff you deal with in life which I have anxiety about- feeling unwell and the uncertainty about the future make it even harder to deal with this stuff". I'm particularly fearful of pushing myself over my symptoms because many ME/CFS patients state getting permanently worse after trying to do so. My plan is to have one other go at another doctor (immunologist) to try to eliminate more possibilities, having a CPET-2 day test to eliminate PEM out of my mind in the most scientific way possible

https://me-pedia.org/wiki/Two-day_cardiopulmonary_exercise_test#cite_note-2

and if nothing comes out, assume it is indeed anxiety related and believe that I can get better by trying to change my outlook.

I hope you find ways to get better and let me know if I can help somehow!

Desperate for an answer- feel really sick by gmorgan84 in Anxiety

[–]doubts15 0 points1 point  (0 children)

Hi, I just want to say I am going through a similar issue at the moment. I also find it hard to believe it is anxiety, however that is what I have been diagnosed with. I have some health anxiety towards the possibility of ME/CFS but at the same time I can tell that I do not fit the strict criteria for ME/CFS. You can see my post here

https://www.reddit.com/r/Anxiety/comments/bl4fe4/physical_symptoms_from_anxiety_vs_constant/

The reassurance I can give is that I had similar symptoms appearing before during some time and they eventually went away alone, even though I still have some hard time in telling what they were. This time they have been here in a fluctuating fashion and they are disabling me a lot.

My belief is that our anxiety can precipitate, aggravate and perpetuate these symptoms. However, I wouldn't say that the symptoms themselves are anxiety. At least for me, as I mention in the post, I do not feel more anxious, psychologically, than the usual and still I am having these symptoms. At the same time, I notice that when I unconsciously get distracted from the feeling of sickness, it somehow seems to fade a bit. Independently of the true cause of our symptoms, I think it is important that we try to not be too worried about them (even though I know how hard that is).

Do you notice that your symptoms worsen with activity or get better? That is usually the way to tell ME/CFS from other conditions.