I have extreme headaches now im lashong out at people

Patient : I have extreme headaches now im lashong out at people nothing takes heafachres away im afraid to sleep ive bern forgeting who people are
Doctor :   Welcome to Ask The Doctor. We are here for your help. I have read your query in detail and i understand your concern. You seem to be suffering from Anxiety with headache that could be Migraine or most probably tension headache. It would have been great help for me, if you would have explained the pattern of headache as the pattern only helps in deciding that the headache is Migraine type or Tension Type. So, let me brief about the pattern of both the headaches that may help you in judging your type. The Migraine headaches are usually on one side of head, have classical throbbing, nausea and vomiting, irritability are commonly associated. The person prefers to stay calm alone in dark that is has problems with light and sounds. The Tension Headaches usually present with heaviness in head , band like sensation over the head and are mostly associated with sleep disturbances. Drugs like Flunarizine, Propanolol, Amitryptilline are used in treatment of Migraine. Tension Headaches are treated with anti depressants like Tricyclic antidepressant Amitriptyline Or SSRI like Escitalopram. I hope it helps. Stay Healthy

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