Physical Symptoms



Headaches/migraines: Yes - headaches and migraines

Vision disturbances: Not really

Sinus issues (congestion, runny nose, etc.): Sometirmes

Toothaches: Yes

Gum issues (nerve pain, bleeding): Yes - nerve pain

Facial numbness: Sometimes. ‘This always freaks me out.

Adult acne: No, unless it's PMS time

Difficulty swallowing: No

Ringing in ears/pain: Not really

TMJ: No

Neck & shoulder stiffness/tension: Yes

Numbness in left arm/right arm/both: Yes - both

Numbness in hands (all over/mostly middle finger?)
No

Hands trembling: Yes

Fingernail issues (splitting/cracking, ridges): Yes

Chest discomfort (sharp pain, dull ache, pressure, inability to take deep breath): sometimes hard to breathe.

Heart - racing, palpitations, skipped beats/hard thumps: Sometimes.

Back pain (upper. middle, lower): Yes - lower and shoulder pain.

Rib pain (left/right/both sides): It’s happened a few times.

Breast discomfort (pain, sensitivity, burning sensations): No

Underarm issues (lumps, sensitivity): I don’t check because it freaks me out.

Stomach issues (sharp pain, dull ache, indigestion, acid reflux, gas, nausea): Yes - all the time.
Abdominal issues (pain - left side, right side, middle, random): Occasionally
Intestinal issues (diarrhea, constipation, flat stools, consistently discolored stools, appearance of blood): Yes - esp if I’m stressed
Frequent urination: Yes. All the time.

Legs - muscular weakness, frequent twitching, "jelly legs": Yes - jelly legs

Feet/toes - numbness, pain: No

Joint pain/stiffness/inflammation: Yes in shoulder area.

Skin issues (itching, "bugs crawling under skin" feeling, eczema, psoriasis): No

Overall "traveling" random muscle aches & pains: Yes

Overall weakness: No

Feeling like you're about to faint: Occasionally

Inner feeling of shakiness/giddiness: Yes inner shakiness

Feeling as though a weight is being pressed down on your head: No

Random body parts feeling heated/burning sensations: Yes - face gets hot.

Feeling warm/hot all over (when it isn't warm/hot): Yes

Feeling chilled (when it isn't cold): Yes.



Psychological Symptoms



Chronic worrying: Yes all the time. It’s constant

Feeling like you're going to go crazy: Yes

Sense of impending doom / "days are numbered": Yes a lot

Chronic fatigue: Not usually

Overall feeling of being "off": sometimes

Feeling clumsy:no

Depression - no longer interested in hobbies, getting out of the house, etc.: Yes I have depression and am on treatment
Irritable / impatient: Yes

Self-absorption (needing to be alone / difficulty feeling affection for others / shying away from the outside world): Yes, happens a lot.

Afraid to be alone / clingy: not usually

Agoraphobia or other phobias: I have HA. That’s def a phobia.

OCD (checking & rechecking locked doors, iron, stove): Yes all the time

Insomnia: yes yes yes


Finally, how old are you? 45
How old do you feel?: Mentally, 35 Physically, 55



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