- Loss of energy, a decreased level of activity and fitness
- Loss of libido, infertility, low sex drive, impotence
- Lack of self-esteem/confidence (body image issues) due to altered body image/physical changes/imbalance of hormones
- Feelings of loss of control
- Depression**/mood swings
- restlessness, agitation
- memory affected
- sleep patterns affected
- "Something is wrong with me"
- History of being treated for other stress/mood related disorders. Doctors tend to imply to patients that they suffer from psychological disorders rather than physical disorders.
- strain on relationships
- unmarried? divorced? - could this be an underlying reason?
- family/relatives - unable to cope with the change in personality/mood swings etc.
- snide or unkind comments from family/relatives/co-workers/friends regarding inability to lose weight/other physical changes or mood changes
- strain on employment
- unable to carry out normal duties due to depressive personality
- unable to cope with stresses
- "Uncertainty is worse than reality" - therefore important for patient to learn all about the condition to reduce uncertainty and perhaps aid in alleviating depression
- Cortisol replacement:
- worries regarding the ups and downs of cortisol replacement
- financial issues: able to pay for drugs? insurance?
- forgetting to take medication daily?
- stress!
- Surgery:
- distress regarding the procedures/risks
- Managing depression*:
- moderate alcohol/caffeine intake
- have hormone levels checked
- anti-depressants?
- talk with others (cognitive behaviour therapy/mindful meditation/support group)
- adequate sleep (reduced alcohol and caffeine intake helps)
- proper diet and exercise routine - even after surgery, may take a while for body to go back to 'normal'
- stressful life? change it! Or change reaction to stresses
http://www.pituitary.org.uk/content/view/69/80/
http://www.pituitary.org.uk/content/view/278/157/
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