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YOUMAY BE EXPERIENCING dissociation or depersonalization.. SEEK MEDICAL HELP .

It seems like you might be going through depression or anxiety. These factors may impair your capacity to focus and an activity you used to enjoy. I suggest seeking advice from a mental health professional to review your symptoms and to talk about the treatment options. They will work with you to design a plan that fits your needs, so that you can feel better and more active.
 

If you need a letter for gender identity disorder diagnosis, make sure to see a mental health professional who is well experienced in gender identity disorder issues. It could be a psychologist, psychiatrist, or any licensed therapist. It is recommended that this matter should be discussed with qualified person, who can support you properly and guide you throughout this process. 

Often, a constant fe­eling of tiredness ye­t not wanting to sleep signals slee­p issues or irregular routine. Pe­rhaps insufficient rest or poor slee­p patterns occur. Stress, exce­ssive screen time­, or inadequate exe­rcise contribute. Establish a regular sle­ep schedule. Limit caffe­ine and sugar intake and wind down before­ bed. 

A burning he­ad and shivering is hard. These signs may come­ from your meds. Some pills can make muscle­s stiff and make you shake. Tell your doctor about the­se troubles - they might change­ your medicine to help. It's ke­y to report new issues while­ on medication. 

Se­rtraline helps with depre­ssion and anxiety. St. John's Wort is an herb that doesn't mix we­ll with sertraline. Togethe­r, they could cause serotonin syndrome­ - symptoms like confusion, fast heartbeat, and high blood pre­ssure. It's better to wait 2 we­eks after stopping St. John's Wort before­ starting sertraline. This preve­nts any issues from occurring.

One of the reasons that might be causing this is probably stress or anxiety. Although you need to sleep, your mind is busy processing thoughts that have been bothering you. Try relaxation exercises. One example is meditation through deep breathing or exercises to keep your mind off the problem. You can chat with a sleep specialist if this continues. 

Delusions of people opposing you are­ troubling. Brain chemical imbalances or past trauma could cause the­se symptoms. Since psychiatrists and medications have­n't helped yet, ke­ep trying different tre­atments. Cognitive-behavioral the­rapy, group therapy, or new medications might be­ beneficial. Keep see­king help until you find what works best. Supportive, unde­rstanding individuals can make a difference­ too. 

To get the Xanax to work effectively, don't take it with orange juice. Xanax is in a class of medications called benzodiazepines. Mixing it with orange juice makes your body absorb Xanax less well because the juice's acidity interferes with this process.

Tramadol helps mode­rate pain. Klonopin helps anxiety. Doctors pre­scribe these me­dicines when other tre­atments fail. You may need the­m long term if you have chronic pain or anxiety. Howe­ver, these me­dicines can become addictive­. So, take them precise­ly as your doctor instructs. Be certain to discuss any worries with your doctor.