Physical symptoms of depression / anxiety

Posted by jmobe @jmobe, Feb 13, 2019

When I am extremely depressed, sometimes my words slur when speaking and manual dexterity is clumsy or shakey. Has this happened to anyone else?

@jmobe Welcome to Mayo Connect! I wonder that the shaking and all that you experience may be a reaction of the adrenaline and energy that being depressed can create. Remember if you can take deep calming breaths, get some exercise, journal, eat healthy, and work through each episode, it will really help. Do you know the source of the anxiety, that you can minimize it?
Ginger

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@jmobe – I'd also like to welcome you. It sounds as if you are having some pretty upsetting symptoms. Anxiety can cause lots of symptoms. And so can the medicines that treat it. Will you tell me more about yourself and your anxiety? Are you on any medications? Have you been in therapy?

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@jmobe I believe that most of us with anxiety and depression can identify with the symptoms you are experiencing. It is scary. Lots of support here.

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@jmobe

Yes, when I had depression and anxiety I often felt like my brain wasn't working clearly. When that happened I felt overwhelmed and had trouble talking, thinking, and doing things that required fine dexterity. The more I had these physical symptoms the more stressed and anxious I felt.

At one point I took Ativan (lorazepam) to help during those times, but it made me slow down too much. It was hard to work in that situation. Eventually I asked my doctor for an antidepressant and he started me on Citalopram, 20 mg for 6 months and then 40 mg. I feel like it saved my life. It completely changed my mind, literally. I can now do things I never could before without the fear and anxiety that always came with adventures.

If you decide to talk with your physician about antidepressants, please ask him/her to do a DNA test to determine which medications will work best for you. That way you can avoid going through experiments to find the right one for you. I have been taking Citalopram for 6+ years now and it still works for me. I went through 20 years of talk therapy before deciding to take the medication. I learned a lot in talk therapy, but never could relieve my anxiety and depression. I'm past all that now and quite happy with my life.

Please share with us how old you are and if you take any medications. Learning more about you will help us help you. This is a wonderful online community.

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@gailb

@jmobe

Yes, when I had depression and anxiety I often felt like my brain wasn't working clearly. When that happened I felt overwhelmed and had trouble talking, thinking, and doing things that required fine dexterity. The more I had these physical symptoms the more stressed and anxious I felt.

At one point I took Ativan (lorazepam) to help during those times, but it made me slow down too much. It was hard to work in that situation. Eventually I asked my doctor for an antidepressant and he started me on Citalopram, 20 mg for 6 months and then 40 mg. I feel like it saved my life. It completely changed my mind, literally. I can now do things I never could before without the fear and anxiety that always came with adventures.

If you decide to talk with your physician about antidepressants, please ask him/her to do a DNA test to determine which medications will work best for you. That way you can avoid going through experiments to find the right one for you. I have been taking Citalopram for 6+ years now and it still works for me. I went through 20 years of talk therapy before deciding to take the medication. I learned a lot in talk therapy, but never could relieve my anxiety and depression. I'm past all that now and quite happy with my life.

Please share with us how old you are and if you take any medications. Learning more about you will help us help you. This is a wonderful online community.

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Thank you Gail! So much great info & appreciate you sharing your personal experience. Makes me feel hopeful. I’m a 59 yr old woman who has suffered since I was 12. Diagnosed when I was 24. Have had great and also a few bad doctors. Always been strong advocate for myself. Always follow dr’s direction & consider their words. My mother suffered all her life too. For so many years I’ve sat on the side line wanting to fully participate in life but couldn’t. It’s so hard to fake that your happy & doing great. Exhausting. I recently came to the sharp realization that this is my life. Pretending. The tide of depression has been high since July. Working w drs, meds, therapy. Feels different this time. Can you explain more about How DNA test works to help please. Again thank you so much!

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@gingerw

@jmobe Welcome to Mayo Connect! I wonder that the shaking and all that you experience may be a reaction of the adrenaline and energy that being depressed can create. Remember if you can take deep calming breaths, get some exercise, journal, eat healthy, and work through each episode, it will really help. Do you know the source of the anxiety, that you can minimize it?
Ginger

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Thank you for the your encouragement! I’ve never participated in a forum. 59 year old woman dx when I was 24. Depression has been very high since last July. Working on finding the best drugs for me. Have doctor & family support. A lucky girl that way. I never

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I never heard of Adrenalin related depression/anxiety. I’m interested in learning more about that. Thanks so much!

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@jmobe

I never heard of Adrenalin related depression/anxiety. I’m interested in learning more about that. Thanks so much!

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@jmobe Depression can be real sneaky, as it sometimes creeps up on us. At times it is only in looking backwards that we can see where we are. We get anxious about all manners of things, and may spiral even further. I
Like others have commented, it is important to keep conversation with your doctor's, don't leave anything out, and trust your pharmacist! We're here for you. None of us are medical Dr's, we can relate our experiences and what worked [or didn't] for us.
Ginger

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@merpreb

@jmobe – I'd also like to welcome you. It sounds as if you are having some pretty upsetting symptoms. Anxiety can cause lots of symptoms. And so can the medicines that treat it. Will you tell me more about yourself and your anxiety? Are you on any medications? Have you been in therapy?

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Thank you merry for your reply. I just did big info of myself to @gailb I recently went through the slurred speech third time in my life. Last time was 24 years ago during a bigger depression. My psychiatrist told me it has nothing to do with depression or the new med Abilify. I just can’t believe that! I can totally relate to how the people who are so depressed that they are dispondent or can barely speak. To me it just makes sense that if a person is unable to speak due to depression, why couldn’t slurred speech be related.

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@gingerw

@jmobe Depression can be real sneaky, as it sometimes creeps up on us. At times it is only in looking backwards that we can see where we are. We get anxious about all manners of things, and may spiral even further. I
Like others have commented, it is important to keep conversation with your doctor's, don't leave anything out, and trust your pharmacist! We're here for you. None of us are medical Dr's, we can relate our experiences and what worked [or didn't] for us.
Ginger

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technically its our bodies biochemical reaction to a flight or fright situation .whereby our body reacts in a defense of you .
By releasing increasing adrenaline hormone which acts on the blood pressure nodule inside your right ventricle and also on your kidneys to contract and to increase blood pressure and to put you in a defensive posture .next the hormone from adrenal gland is Epinephrine and it floods your brain tissue targeting the amygdala .amygdala is responsible for levels of depression and anxieties and this hormone increase the levels of anxieties and clinical depression

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@jmobe

Thank you merry for your reply. I just did big info of myself to @gailb I recently went through the slurred speech third time in my life. Last time was 24 years ago during a bigger depression. My psychiatrist told me it has nothing to do with depression or the new med Abilify. I just can’t believe that! I can totally relate to how the people who are so depressed that they are dispondent or can barely speak. To me it just makes sense that if a person is unable to speak due to depression, why couldn’t slurred speech be related.

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@jmobe– I think, for your own peace of mind, that you should go to your PCP and get some blood work done. During a bad bout of depression myself and migraines I made an appointment with my neurologist for some whacky symptoms that I had never had. Thankfully she was bright and thought outside of the box and ordered tests that helped save my life. I don't know, if at this time, you can be certain that your slurred speech is caused by depression, although it could be. Follow through on this. If your psychiatrist is correct then you need to find the cause. Please keep me up dated. Some other people have had this and it might be a valuable answer to some.

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@jmobe I found that a lot of my problems were caused by medications and found the psychiatrists were stuck in the mode of side effects and my diagnosis. They believed that I would be better off taking them than not. Also I had and still do have thyroid issues. I had the radioactive iodine over 40 years ago and my thyroid does nothing. I rely solely on medication for this.
There are so many possibilities when it comes to causes for anxiety and depression.
As @merpreb has mentioned in her comment. Don’t give up. Merry has been through a lot and a wealth of knowledge.
We know ourselves the best. I know I keep plugging away and progress can be slow and I tend to be easily discouraged and be
compliant. I have started listening to those little bells and starting to realize I am not always what I have been told.

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Hello @jmobe

I appreciate your sharing your concerns about your slurred speech and manual dexterity problems. These symptoms can be very disturbing, can't they?

Like the others have said I do hope that you make an appointment with a doctor who can check you out for other health problems that might be causing this. Everyone does react differently to medications and they might be the cause of your problems. Often if we have a history of anxiety or depression all of our symptoms and problems are seen as part of the mental health issue which is certainly not always the case.

If however, after testing and med changes you still have these intermittent problems with dexterity, clumsiness and speech difficulties I might suggest that you get a referral to a neurologist. These can be signs of an early stage neurological problem as well. Have you ever seen a neurologist?

Neurological problems can also cause anxiety and depression because they originate in the brain/central nervous system. I've often heard of people with Parkinson's talk of "inner tremors" a sense of shakiness on the inside (but they don't have tremors of the hands or limbs). Many of these problems were labeled as "anxiety" etc. when they actually had a physical origin.

You are doing well to keep searching and being your own advocate. Keep with it. Will you update me and let me know how you are doing with this process?

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@jmobe

Thank you merry for your reply. I just did big info of myself to @gailb I recently went through the slurred speech third time in my life. Last time was 24 years ago during a bigger depression. My psychiatrist told me it has nothing to do with depression or the new med Abilify. I just can’t believe that! I can totally relate to how the people who are so depressed that they are dispondent or can barely speak. To me it just makes sense that if a person is unable to speak due to depression, why couldn’t slurred speech be related.

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@jmobe Hi I'm sorry to butt in here but just wanted to say advocate for yourself ,you know your body better then anyone so if you feel something is wrong and your Dr. wont listen to you go for a 2nd opinion maybe a new Dr. will see something your other one doesn't and even in life if we talk to someone for years sometimes they think they know you better then you do . Take care of yourself

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@jmobe

Thank you for sharing your situation and history further with us. There are many good suggestions in the responses of others here. In particular the recommendations of Teresa and Merry are important to follow through on in my opinion.

The fact that this time of slurred speech feels different than the other times is an indication that you need to check out the cause beyond being depressed and anxious. Checking with a neurologist is important as your symptoms may indicate other causes.

Here is a link to Mayo Clinic explanation of DNA drug testing to help in determining the best medication for your metabolism.
https://mayoclinic.org/tests-procedures/cyp450-test/about/pac-20393711
I recommend reading this excellent information to better understand how the test may be helpful for you. Also, contact a neurologist at the same time. Please remember that I am not a medical professional, so sharing my experiences and recommendations are the best I can do. I hope you find answers soon.

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