A
male
age
36-40,
anonymous
writes:Do you ever wake up feeling angry or miserable?This morning, like many mornings, I woke up in a sort of "I just don't care" sort of mood. Also, there's this sort of... tight feeling in my chest, which worries me. What is this??I got probably just over 7 hours sleep, so it's not like I was ridiculously late. I have a lot of stuff going on at the minute, most of which regards sorting out university which starts very soon. Also, it hasn't been long since I was in a short-term relationship. And even though the relationship was short term, I find myself missing my partner. She had to move away, and we both decided a LD relationship wouldn't be good for either of us.Is there any way to avoid waking up feeling this way, please tell me. I can't stand waking up feeling as horrible as I do.
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male
reader, Nanook  +, writes (21 October 2008):
I disagree with previous advice, don't go to a GP, go to a reputable psychiatrist. A GP will prescribe the SSRI of the week and send you on your way. They're not adequately trained to deal with depression and anxiety.
While chemical treatment, whether it's prescription drugs, may help with depression and anxiety, more helpful are:
Proper exercise, sleep, meditation, diet, and socialization. One theory regarding anxiety, is that actually what you are experiencing is asphyxiation fears relating to hyper-sensitivity to carbon dioxide build-up in the blood stream. The fact that you are noticing this most intensely when you wake up (when respiration has been reduced) fits with this.
Exercise helps, one theory is that it builds a tolerance to carbon dioxide, but it does so many other good things, but it also increases metabolic efficiency overall. Anything that helps cardio-vascular health helps the brain.
It used to be thought that the brain only powered itself with glucose, but it has recently been demonstrated that lactic acid, produced by muscles when their workload exceeds the bodies ability to provide oxygen and they go into an anaerobic energy production mode, also acts as a fuel for the brain.
If you think you've got something physical going on, then by all means see a GP, but if you've got depression, try these things and if it's serious or these don't resolve it, then see a qualified psychiatrist.
I've lost good friends to suicide and from an external viewpoint it seemed particularly tragic because the issues were transient. If you're even remotely thinking about it, get help, don't let that feeling linger.
A
female
reader, hlskitten +, writes (20 September 2008):
 Sounds like stress and anxiety maybe. Have a look on 'no more panic' web site. Chest pain is quite common with anxiety.
C xxxx
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A
female
reader, anonymous, writes (20 September 2008): I think it is stress! But as my partner points out, the flip side of stress and fear is excitement. Maybe you are scared of going to uni, but aren't you even a bit excited by the idea too? Do you like your course? Are you looking forward to exploring a new town? making new friends? Being free?!Otherwise, it is obviously sad about your relationship; did you make the right decision? Picture yourself in the future, is it with someone new? You can always change course/decisions later. Don't worry about feeling miserable, because sometimes it is normal, even though we are told we should be happy all the time. But remember, you're not trapped and you can change your circumstances if you want to. Best of luck, and well done on uni xxxx
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