Rukhaya shaikh. Stress and depressiv!

Patient is a 28-year-old female with severe headache, neck stiffness, spine and low back pain, recurrent dizziness, sensitivity to light and noise, nausea, pain while swallowing, difficulty moving the neck, disturbed sleep, repetitive thoughts, emotional distress, crying spells, difficulty understanding conversations, and anxiety/stress. Consulted Neurologist on 05 Jun 2026 and diagnosed with migraine. Treated with Provanol SR 40, Atreep 10, Topaz 25 and Spinfree with only partial relief. Later consulted MD Medicine on 10 Jun 2026. Blood tests showed Hb 10.5 g/dL, MCV 77, Potassium 3.19, Calcium 8.81; sugar and sodium normal. Temporary improvement after treatment. Orthopedic consultation on 21 Jun 2026 showed no rigidity; eye examination was normal. Follow-up with Neurologist on 22 Jun 2026. Currently, pain worsens after physical activity or lifting weight, radiating from the neck to the back, lower back and legs, with tingling, leg tremors and dizziness. Anxiety, stress and depressiv