Symptoms
Symptoms that deserve medical and psychiatric context.
Depression, anxiety, brain fog, fatigue, insomnia, ADHD-like symptoms, irritability, low motivation, and stress intolerance can have psychiatric, medical, sleep, medication, and psychological contributors.
Review frame
How symptoms enter the review
Inputs
- Labs
- PHQ-9 and GAD-7
- Insomnia screen
- Medication and supplement list
- Sleep, caffeine, alcohol, and substance pattern
- Symptom timeline
- Top goals
Output
- Symptom and timeline summary
- Lab-pattern read in psychiatric context
- Medication, supplement, sleep, and substance review
- Psychiatric-medical differential
- Named pathway for care or monitoring
Not this
- Not emergency care
- Not a diagnosis from labs
- Not a medication or supplement change by website
- Not a replacement for primary care, psychiatry, or therapy
- Not proof that biology explains every symptom
Symptom pages
Start with the symptom. Then widen the differential.
Brain fog
Brain fog is not a diagnosis. It is a cognitive complaint that can reflect sleep disruption, depression, anxiety, medications, iron, B12, thyroid, glucose patterns, inflammation, or neurological causes.
Fatigue
Fatigue can be psychiatric, medical, sleep-related, medication-related, psychological, or mixed. Calling it depression too early can miss the pattern.
Anxiety and panic
Anxiety can be primary psychiatric illness. It can also be amplified by thyroid status, stimulants, caffeine, sleep loss, hormones, glucose swings, substances, or medication effects.
Depression
Depression deserves serious psychiatric care. It also deserves a medical differential when symptoms are persistent, atypical, treatment-resistant, or medically patterned.
Insomnia
Insomnia can drive mood, anxiety, attention, appetite, metabolic risk, and medication response. It should not sit in the margin of the psychiatric note.
ADHD-like symptoms
Poor focus can be ADHD. It can also be sleep apnea, iron deficiency, anxiety, depression, medication effects, thyroid changes, substance use, or chronic sleep debt.
Low motivation
Low motivation can be depression, burnout, sleep debt, metabolic strain, endocrine change, medication burden, or a mismatch between diagnosis and biology.
Irritability
Irritability can reflect mood disorder, anxiety, sleep loss, stimulant effects, alcohol, hormones, glucose swings, trauma patterns, or medical stress on the system.
Stress intolerance
Stress intolerance is often treated as personality or coping. Sometimes it is sleep, endocrine, medication, metabolic, psychiatric, or all of the above.
Common questions
Questions people ask before they start.
Can symptoms diagnose the problem?
No. Symptoms can change what belongs in the differential. A responsible review still requires clinical history, symptoms, timing, medication context, risk review, and the appropriate clinician relationship.
What does the review actually give me?
A written psychiatric-medical synthesis: what appears more likely, what remains possible, what seems less likely, what needs another clinician, and what should be monitored or left alone.
Is this emergency care?
No. If symptoms are acute, dangerous, rapidly worsening, or involve possible self-harm, psychosis, mania, delirium, withdrawal, chest pain, neurologic symptoms, or medical instability, use emergency or urgent care.