You report anxiety, depression, health anxiety, cardiophobia, digestive discomfort, headaches, dizziness, and muscle pain.
You’ve ruled out major medical issues through blood work, scans, and heart/abdominal reports. That’s important because psychosomatic disorders in the DSM (now referred to as Somatic Symptom and Related Disorders) are only diagnosed when medical causes are excluded or insufficient and when distress is primarily driven by psychological processes.. Depression (loss of drive, concentration, avoidance of work).
Anxiety (health anxiety, cardiophobia, generalized worrying).
Somatic symptoms (digestive issues, muscle pain, dizziness).
Possible escapist/magical thinking (celebrity/millionaire beliefs).
So rather than one neat label, it looks like you may be experiencing Major Depressive Disorder with anxious distress + Somatic Symptom Disorder/Illness Anxiety Disorder. The magical thinking piece could be depressive escape or could need further evaluation for psychotic features.
Next Steps
Seek a full psychiatric evaluation. Don’t just rely on Google or self-diagnosis. A psychiatrist can tease apart if there’s a mood disorder with psychotic features or just severe anxiety-depression with somatic focus.
Therapy is crucial. Specifically:
CBT for health anxiety and avoidance behaviors.
Behavioral activation for depression (structured small steps back into writing, work, and life).
Grounding and mindfulness for when magical thinking or dissociation creeps in.
Medication may be necessary. If your concentration, mood, and physical symptoms are this impaired, antidepressants or anti-anxiety meds can make therapy more effective. If psychotic features are confirmed, antipsychotics may be added.
Health Tips
Your physical symptoms (muscle pain, dizziness, digestive upset) are tied to your anxiety.
4–7–8 breathing (inhale 4, hold 7, exhale 8). Do 3 rounds when panic rises.
Do JPMR, tense each muscle group for 5 seconds, release, start from feet up to face. This reduces the “always on edge” body state
stop googling symptoms, stop re-reading reports. Choose one trusted doctor and stick to their reassurance.