Fibromyalgia – when can a neurologist make an initial diagnosis? |

The past year has been difficult for every individual, regardless of whether he was fighting the virus or someone close to him. The amount of stress to which the majority of the population was exposed is not common, so the organism copes with it in various, sometimes extreme ways. The percentage of people who sought the help of psychotherapists and psychiatrists in 2020 is many times higher than in 2019. A large percentage of them sought help because of the symptoms that can be associated with depression. Although the treatment of depression begins with a psychiatrist, the symptoms of this insidious disease can often motivate the doctor to refer the patient to a neurologist, in order to exclude organic causes (so-called “triggers”). In this regard, the neurologist can conclude with great certainty whether the depression is caused by some imbalance of the organism, as well as determine the specific type of depression that needs to be treated.

Depression Treatment – When Can A Neurologist Help?

Depression is, in addition to heart disease and obesity, the most common health problem of the 21st century. In addition to the usual symptoms, such as sadness and lethargy, depression is also manifested through digestive problems, fatigue, exhaustion, changes in appetite and insomnia. What makes depression different mood swings which are not considered pathological is the duration and intensity. Depression is a long-term condition that drains life energy and over time disrupts the patient’s complete psychophysical condition. The neurologist will suggest treatment for depression with psychotherapy and medication after an examination that shows impaired motor and brain functions. In addition, he will usually determine whether it is seasonal, organic, endogenous (biological), the so-called major and or general depression or psychotic depression. In accordance with that diagnosis, the psychiatrist can adjust the therapy and alleviate the symptoms. This process is much easier with an increasing number of private neurological clinics where the examination can be done quickly.

Fibromyalgia – insidious syndrome and its treatment

Depression treatment is a process that can last from one month to 5 years. However, a neurologist can often misdiagnose a patient’s symptoms as depression, when in fact it is a fairly common syndrome. Namely, fibromialgija is a syndrome of chronic pain in the musculoskeletal system, similar to muscle inflammation, and is accompanied by fatigue, decreased cognitive abilities and sleep disorders. It is therefore understandable that a neurologist sometimes overlooks these symptoms and focuses on excluding depression as the underlying disease. In order for fibromyalgia to be diagnosed, it is necessary for the symptoms to last for more than 3 months continuously, to be present every day, for the patient to complain of “restless legs” and pain that does not allow him to fall into a healthy night’s sleep. This syndrome can also be manifested through irritated intestines, migraines, inflammation of the bladder and, characteristically, pain in the jaw joints. In this case, the neurologist will prescribe muscle relaxants, but also refer to a psychiatrist, so that the patient can include antidepressants in the therapy, which will have a positive effect on attention deficit and concentration during the day. Like treating depression, treating fibromyalgia requires finding the cause, which can be inherited, but also a reaction to trauma or long-term stress. In addition to certain medications, the neurologist will recommend physical activity, proper nutrition, but also additional education of the patient in both conditions, in order to fully understand the condition and approach it as curable and normal.


Source: Portal o ekonomiji by www.economy.rs.

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