Hello,
The symptoms you’re describing- persistent fatigue, difficulty initiating basic tasks, sleep disturbances, feeling drained by social interaction, memory lapses, anxiety in the evenings, and the impact of unresolved childhood trauma- are all strongly suggestive of stress-related exhaustion, anxiety spectrum disorders, or trauma-related emotional dysregulation.
Even when your
thyroid and CBC are normal, these symptoms can occur due to psychological overload. When the mind is under prolonged stress, the body feels it as heaviness, tiredness, low motivation, and “mental fog.”
These patterns are real, valid, and treatable with the right support.
Next Steps
1. Consult a psychiatrist or clinical psychologist for a detailed assessment.
Conditions such as generalized anxiety disorder, depressive fatigue, trauma-related stress, or burnout can present exactly like this.
2. Therapy is extremely helpful in your case—especially
a. Trauma-focused therapy
b. CBT (Cognitive Behavioural Therapy)
c. DBT skills for emotional regulation
Therapy helps reduce the emotional burden that is draining your energy.
3. A medication may help, depending on the severity:
Low-dose antidepressants (SSRIs/SNRIs) can improve fatigue, motivation, anxiety, and sleep.
They also help stabilize the nervous system affected by past trauma.
However, medication decisions should be made after an in-person evaluation.
4. Additional tests you can consider, just to rule out other contributors:
a.
Vitamin B12
b.
Vitamin D
c. Iron studies
d.
HbA1c
These deficiencies are common and can worsen fatigue and mental fog.
5. If symptoms are affecting your daily functioning significantly (difficulty doing basic tasks, prolonged fatigue), early intervention is better than waiting.
Health Tips
- Maintain a fixed sleep-wake schedule.
- Avoid pushing yourself too hard; energy gradually returns once the underlying stress is treated.
- Limit caffeine close to evening.
- Avoid alcohol or substance use as coping strategies.