Physical and psychological distress - #21337

Dear Doctor, I am writing to provide a detailed description of my current health status. For several months now, I have been experiencing significant physical and psychological distress, with no clearly identified cause to date. For several months, I have been suffering from intense and persistent fatigue that is present from the moment I wake up. I constantly feel as though I never recover, even after a full night’s sleep. My sleep is insufficient and highly fragmented: I have difficulty falling asleep and staying asleep, and waking up is extremely difficult. I wake up already exhausted. Physically, I feel a sensation of bodily heaviness, general weakness, and constant depletion. I also experience palpitations, especially during periods of stress or increased fatigue. On a digestive level, I have frequent bloating and constipation, as well as an excessive appetite that is often difficult to regulate. My diet is irregular and unbalanced, with a high consumption of coffee in an attempt to compensate for the fatigue. Cognitively, I sometimes experience difficulty concentrating, a sense of "brain fog," and a decline in my usual abilities. Psychologically and emotionally, I feel stressed, anxious, sad, and irritable. I have lost my motivation, feel overwhelmed, and find it very difficult to mobilize my energy, even when I have time to rest. I experienced a major emotional shock about a year ago, along with an unresolved conflict, and I feel as though my body has been "giving out" ever since, for no apparent reason. These difficulties have a real impact on my daily life: I take much less care of myself than before (hygiene, self-care), I tend to isolate myself socially, and I sometimes feel as though I am no longer functioning normally. I should specify that these symptoms have lasted for several months; they fluctuate at times but are generally persistent, and they significantly impair my quality of life. I am seeking a medical opinion to understand the origin of this condition and to explore potential physical causes (chronic fatigue, deficiencies, hormonal imbalances, etc.) and/or psychological factors, so that I may receive appropriate support. Thank you in advance for your attention.