Duck syndrome

Duck syndrome, also referred to as the Stanford duck syndrome or ugly duckling syndrome, is not formally recognized as a mental illness but refers to a phenomenon that has primarily been described in college students.

Specifically, it is thought to afflict students who are overly invested in looking like they have it all together, and like a duck, appear to be calm and placid on a superficial level but are paddling frantically to “stay above water” in terms of meeting the academic, social, and community demands of getting a college education or beyond.

Duck syndrome seems to be one way that depression, anxiety, or the initial stages of many mental illnesses can appear (manifest), usually in reaction to stress.

Due to the known potentially devastating consequences of depression or anxiety, duck syndrome should be taken quite seriously and aggressively treated.

Duck syndrome, while not a mental health diagnosis, describes college and graduate students who appear calm, but are having extreme difficulty keeping up with the demands of life.

There are no formal diagnostic criteria for duck syndrome, the underlying depression, anxiety, and any other mental health problem would be assessed. Without treatment, patients with duck syndrome, like those who suffer from depression and anxiety, are at risk of developing medical problems, other mental health issues, disability, and early death.

Stress Management

Manifestations of excess or poorly managed stress can be extremely varied. While many patients report that stress induces headaches, sleep disturbances, feelings of anxiety or tension, anger, or concentration problems, others may complain of depression, lack of interest in food, increased appetite, or any number of other symptoms. In severe situations, one can experience overwhelming stress to the point of so-called “burnout,” with loss of interest in normal activities.

Risk factors

Specific risk factors for duck syndrome are thought to include living away from family for the first time, tendency to be demanding and highly competitive, placing high value on perfection, and parents who are overly protective of children, limited physical activity, disappointment, resilience, challenges, attention-deficit hyperactivity disorder (ADHD) etc. Parenting style and relationship, abnormal levels of neurotransmitters in the brain, a smaller size of some areas of the brain, and increased activity in other parts of the brain.

Girls and women are more likely to be given a diagnosis of depression and many anxiety disorders compared to males.

As with the previously described contributors to the development of duck syndrome, psychological contributors to depression and anxiety include perfectionism, low self-esteem, negative body image, being excessively self-critical, and often feeling helpless when dealing with negative events. Risk factors like trauma, being the victim of verbal, physical, or sexual abuse; exposure to domestic violence, the death of a loved one, school problems, being bullied, poverty, exposure to community violence, social isolation, parental conflicts, divorce, and other causes of family disruptions.

Symptoms

Due to the informality of this diagnosis, there are no formal diagnostic criteria associated with duck syndrome. However, symptoms that have often been described include appearing placid on a superficial level while frantically yet covertly failing in one’s attempts to keep up with the real or imagined excessive demands.

Other often-described symptoms associated with duck syndrome include feeling that everyone else is doing, feeling, or being well compared to oneself, or that others are scrutinizing or perhaps even designing the situation to test their performance.

How is duck syndrome diagnosed?

Since duck syndrome is not a formal diagnosis, it is the underlying depression, anxiety, and any other mental health problem that would be assessed.

Depression or anxiety are associated with a number of other mental health conditions, like attention-deficit hyperactivity disorder (ADHD), bipolar disorder, posttraumatic stress disorder (PTSD), and thought disorders like schizophrenia, so the evaluator will likely screen for signs and symptoms of manic depression (bipolar disorder), a history of trauma, and other mental-health symptoms.

The depression or anxiety that is usually associated with duck syndrome also may be associated with a number of medical problems, or it can be a side effect of various allopathic medications, exposure to drugs, or other toxic substances.

Therefore, routine laboratory tests are often done during the initial assessment to rule out other causes of symptoms.

As part of the evaluation, the sufferer may be asked a series of questions from a standardized symptom survey or self-test to help determine the risk of suicide.

Allopathic treatment for Duck syndrome

In allopathic drugs, there is not any treatment for any kind of psychological disease, disorder or abnormality accepts those of tranquilizers, opioids and sedatives for the rest of life, said Dr. Qaisar Ahmed MD, DHMS, Isl. Jurisprudence.

Treatment for duck syndrome may include alleviating any medical condition that causes or worsens the associated depression, anxiety, or other mental illness.

For example, a person who is found to have largely fluctuating blood sugar levels might receive medication to keep their blood sugar levels stable.
Other aspects of treatment may include supportive therapy, like lifestyle and behavioral changes, psychotherapy, and possibly medication for moderate to severe emotional symptoms.
If symptoms are severe enough that treatment with medication is appropriate, the individual will likely improve faster, more robustly, and for longer when medication is combined with psychotherapy.

Psychotherapy

Psychotherapy (“talk therapy”) is a kind of mental health counseling that entails working with a trained therapist to figure out ways to solve problems and cope with depression.

It can be a powerfully effective intervention, even resulting in positive biochemical changes in the brain.
Two major kinds of psychotherapy are commonly used to treat depression, anxiety, and other mental health conditions and are therefore likely an effective intervention for duck syndrome: interpersonal psychotherapy and cognitive-behavioral therapy.
In general, these forms of treatment take weeks to months to complete and have a goal of alleviating depressive or anxiety symptoms. More intensive psychotherapy may be needed for longer when treating very severe mental-health symptoms.

Interpersonal therapy (IPT)

This form of psychotherapy seeks to alleviate depressive, or anxiety symptoms helping the sufferer develop more effective skills for coping with their emotions and relationships. IPT uses two strategies to achieve those goals:

Educating the person about the nature of their emotional symptoms: The therapist will reassure the sufferer that stress is a common phenomenon and that most people tend to improve with treatment.
Defining problems (such low self-confidence or relationship problems): Once problems are defined, the therapist can help the individual set realistic goals for solving these problems and work with him or her using different treatment techniques to reach these goals.

Cognitive behavioral therapy (CBT)

This approach to psychotherapy can help decrease the depression or anxiety that often presents as duck syndrome and the likelihood it will come back by helping a duck syndrome sufferer change his or her way of thinking about certain issues. In CBT, the therapist uses three techniques to achieve these goals.

Didactic component: This phase helps to establish positive expectations for treatment and promote the person’s investment in the treatment process.
Cognitive component: This encourages understanding the thoughts and assumptions that play a role in the individual’s behaviors, especially those that may predispose the sufferer to be depressed, anxious, or otherwise stressed.
Behavioral component: This uses behavior-modification techniques to teach the duck syndrome sufferer healthier, more effective ways of coping with problems.

Allopathic Medication

The most commonly used group of allopathic antidepressant/antianxiety medications prescribed is the selective serotonin reuptake inhibitors (SSRIs). SSRI medications influence the levels of serotonin in the brain.

Other antidepressant/antianxiety medications work differently than the commonly used SSRIs, the following medications might be prescribed when SSRIs have not worked:

bupropion,
venlafaxine,
duloxetine, or
desvenlafaxine.

Other antidepressant/antianxiety medications that are sometimes considered when others are ineffective for example amitriptyline, imipramine, or maprotiline.

P.S: All these drugs require intensive medical monitoring because they are causing severe side effects. Patients of depression or ongoing symptoms can improve their well-being with therapies such as Homeopathy, acupuncture, massage, hypnosis and biofeedback.

Types of allopathic antidepressants

There are several types (classes) of allopathic antidepressants, for example:

Selective serotonin reuptake inhibitors (SSRIs)

These are the most common type of prescribed antidepressants for example:

Citalopram.
Escitalopram.
Fluoxetine.
Fluvoxamine.
Paroxetine.
Sertraline.
Vilazodone.

Serotonin/norepinephrine reuptake inhibitors (SNRIs)

for example:

Desvenlafaxine.
Duloxetine.
Levomilnacipran.
Milnacipran.
Venlafaxine.

Tricyclic antidepressants (TCAs)

TCAs are an older class of antidepressants often reserved for treatment-resistant depression and anxiety due to increased rates of side effects. These drugs such as:

Imipramine.
Nortriptyline.
Amitriptyline.
Doxepin.
Trimipramine,
desipramine.
Protriptyline.

They can be effective but tend to cause more-severe side effects. So, tricyclics generally aren’t prescribed unless you’ve tried an SSRI first without improvement.

Atypical antidepressants

These medications don’t fit neatly into any of the other antidepressant categories.

They include:

Bupropion.
Mirtazapine.
Nefazodone.
Trazodone
Vortioxetine.

Serotonin modulators

SDAMs include:

Brexpiprazole.
Cariprazine.
Aripiprazole.

SDAMs act as a partial agonist at 5-HT1A and dopamine D2 receptors at similar potency, and as an antagonist at 5-HT2A and noradrenaline alpha1B/2C receptors. This mechanism of action is unique from other atypical antipsychotic drugs.

Brexpiprazole (2-3mg) is indicated as adjunctive therapy for major depressive disorder (MDD). Aripiprazole and cariprazine are indicated for schizophrenia, acute treatment of manic and mixed episodes associated with bipolar I, and as an adjunct to MDD. Also, aripiprazole prompt-acting injection is indicated for agitation associated with schizophrenia or bipolar mania.

In clinical trials, brexpiprazole was added to existing antidepressant therapy in patients who had failed multiple trials of antidepressant therapy. Patients enrolled met DSM-IV-TR criteria for MDD.

Monoamine oxidase inhibitors (MAOIs)

These are the oldest antidepressants. They’re often reserved for treatment-resistant depression and anxiety. This is because taking an MAIO requires dietary modifications to avoid hypertensive reactions caused by interactions with the amino acid tyramine, which is present in high levels in some foods. MAOIs — such as tranylcypromine, phenelzine and isocarboxazid — may be prescribed, typically when other drugs haven’t worked, because they can have serious side effects.

Using MAOIs requires a strict diet because of dangerous (or even deadly) interactions with foods — such as certain cheeses, pickles and alcohol— and some allopathic medications and supplements.

Selegiline, a newer MAOI that sticks on the skin as a patch, may cause fewer side effects than other MAOIs do. These medications can’t be combined with SSRIs.

N-methyl-D-aspartate (NMDA) antagonists

They are commonly used as anesthetics for humans and animals; the state of anesthesia they induce is referred to as dissociative anesthesia.

Side effects of allopathic antidepressants

In general, common side effects of SSRIs include:

Sexual dysfunction (difficulty reaching orgasm).
Headache.
Sleep disturbances.
Weight changes.
Worsened anxiety.
Dizziness.
Gastrointestinal issues like nausea and vomiting.
Dry mouth (xerostomia).

Complicated side effects could be:

Risk of suicidal thoughts or behavior.
Serotonin syndrome.
Antidepressant discontinuation syndrome.

Antidepressant overdose or toxicity is common and can causes death. Always take your medication as prescribed.

Suicidal thoughts or behavior

Children, teens and adults under the age of 25 may experience an increase in suicidal thoughts or behavior when taking antidepressants, especially when they first start them or when they take a different dose.

Homeopathic Treatment of Duck syndrome

Homeopathy offers best, short and lifelong cure with few days of medication. There are many medicines in Homeopathy for anxiety, stress, depression, panic disorder and tension for example:

Aconitum Napellus

A state of fear, depression stress and anxiety, emotional and physical mental tension; anguish of mind and body. Physical and mental restlessness, fright. Acute, sudden, and violent invasion, with fever.

Does not want to be touched. Sudden and great sinking of strength. Complaints and tension caused by exposure to dry, cold weather, draught of cold air; intense, sudden anxiety, panic, or fear. Panic could be connected to past trauma. Symptoms of this type of panic include dry skin, dry mouth, and tachycardia (fast heartbeat).

Argentum Nitricum

Patient thinks his/her understanding will and must fail. Fearful and nervous; impulse to jump out of window. Faintish and tremulous. Melancholic; apprehensive of serious disease. Time passes slowly. Memory weak. Errors of perception. Impulsive; wants to do things in a hurry. Peculiar mental impulses. Fears and anxieties and hidden irrational motives for actions.

Emotional disturbances cause appearance of hemi cranial attacks. Sense of expansion. Brain-fag, with general debility and trembling. Headache from mental exertion. Vertigo, with buzzing in ears and with nervous affections. Aching in frontal eminence, with enlarged feeling in corresponding eye. Boring pain; better on tight bandaging and pressure. Itching of scalp. Hemi cranial bones feel as if separated.

Anxiety that is due to uncertainty like claustrophobia, hypochondria, fear of heights, or fear of everyday things. Uncertainty-based anxiety could be accompanied with digestive disturbance, like diarrhea, and sweets cravings.

Arsenicum Album

Great anguish and restlessness. Changes place continually. Depression stress and anxiety. Fears, of death, of being left alone. Great fear, with cold sweat. Thinks it useless to take medicine. Suicidal. Hallucinations of smell and sight. Despair drives him/her from place to place. Miserly, malicious, selfish, lacks courage. General sensibility increased. Sensitive to disorder and confusion.

Headaches relives by cold, other symptoms worse. Periodical burning pains, with restlessness; with cold skin. Hemicrania, with icy feeling of scalp and great weakness. Sensitive head in open air. Delirium tremens; cursing and raving; vicious. Head is in constant motion. Scalp itches intolerably; circular patches of bare spots; rough, dirty, sensitive, and covered with dry scales; nightly burning and itching; dandruff. Scalp very sensitive; cannot brush hair.

Borax

Depression stress and anxiety. Great anxiety, especially when riding in transport, from descending a mountain. Dread of downward motion; child has anxious countenance when laid in cot or carried downstairs. Easily frightened and startled with least noise. Before stool irritable, cheerful and happy after.

Fear of being infected by some contagious disease. Strong tendency to be frightened. Irritability. Disposition to be angry, with ill humor and passion. Becomes vehement and swears. Does not wish to do anything. Dread of labor.

Fits of vertigo, with fainting, with fullness in the head, especially when going upstairs, or to any elevation whatever. Headache, with shootings in the ears. Headache (all over, with trembling of the body), with nausea and inclination to vomit, mostly in the morning.

Fullness in the head, and pressure above the eyes. Aching and drawing pains in the forehead, and as far as the root of the nose and the nape of the neck, increased by writing, by reading, and by stooping. Successive drawing pains in the forehead, with nausea, and acute drawing pains in the eyes.

Shootings in the head, especially above the eyes and the temples. Congestion in the head, especially in the occiput, with pulsating pains. Sensibility of the teguments of the head too cold and to bad weather. Hair entangled, as in plica polonica; is rough and frowsy, splits; sticks together.

Calcarea Carbonica

Apprehensive; worse towards evening; fears loss of reason, misfortune, contagious diseases. Forgetful, confused, low-spirited. Anxiety with palpitation. Obstinacy: slight mental effort produces hot head. Averse to work or exertion. Depression stress and anxiety.

Sense of weight on top of head. Headache, with cold hands and feet. Vertigo on ascending, and when turning head. Headache from over lifting, from mental exertion, with nausea. Head feels hot and heavy, with pale face. Icy coldness in, and on the head, especially right side. Open fontanelles: head enlarged; much perspiration, wets the pillow. Itching of the scalp. Scratches head on waking.

Anxiety worsens when plans are changed, and they show difficulty in “going with the flow.”

Gelsemium

Desire to be quiet, to be left alone. Dullness, languor, listless. “Discerning are lethargies. ” Apathy regarding his/her illness. Absolute lack of fear. Delirious on falling to sleep. Emotional excitement, fear, etc, lead to bodily ailments. Bad effects from fright, fear, exciting news. Stage fright. Child starts and grasps the nurse and screams as if afraid of falling. Depression stress and anxiety.

Vertigo, heaviness of head; band-feeling around and occipital headache. Dull, heavy ache, with heaviness of eyelids; bruised sensation; better, compression and lying with head high.

Pain in temple, extending into ear and wing of nose, chin. Headache, with muscular soreness of neck and shoulders. Headache preceded by blindness; better, profuse urination. Scalp sore to touch. Delirious on falling asleep. Wants to have head raised on pillow.

Patients with this type of anxiety are often timid and shaky. They may experience agoraphobia, avoid crowds or public speaking, and be vulnerable to fainting. They often also desire solitude and avoid insistent pressure from other people.

Ignatia Amara

Changeable mood; introspective; silently brooding. Melancholic, sad, tearful. Not communicative. Sighing and sobbing. Aftershocks, grief, disappointment. Depression stress and anxiety.

Feels hollow, heavy; worse, stooping. Headache as if a nail were driven out through the side. Cramp-like pain over root of nose. Congestive headaches following anger or grief; worse, smoking or smelling tobacco, inclines head forward. Very sensitive and prone to mood swings, moving from laughter to tears.

Kali Arsenicosum

Scolding, morose, retired, quarrelsome, and discontented, jealous, indifferent to everything, scarcely answered questions addressed to her/him, or replied to them in a peevish tone; eyes had a fixed look, face looked frightened and anxious; feels better every third day. Nervous depression and great nervousness. Depression stress and anxiety.

Thought her/his head felt larger, headache in left parietal bone, as if it was sore and pressed upon by a hand; behaves like a crazy person. Constricted feeling in head, as if there was a wound on parietal bone which was being scratched; the place feels hot. Crusta lactea.

Hypochondria, excessive grooming, and even fear of heart attacks. People with health-based anxiety may have racing thoughts and difficulty sleeping. They may also fear of death or dying; prone to feeling cold and vulnerable to panic attacks.

Kalium Phosphoricum

Anxiety, nervous dread, lethargy, indisposition to meet people. Extreme lassitude and depression. Depression stress and anxiety. Very nervous, starts easily, irritable. Brain-fag; hysteria; night terrors. Somnambulance. Loss of memory. Slightest labor seems a heavy task. Great despondency about business. Shyness; disinclined to converse.

Occipital headache; better, after rising. Vertigo, from lying on standing up, from sitting, and when looking upward. Cerebral anemia. Headache of students, and those worn out by fatigue. Headaches are relieved by gentle motion. Headache, with weary, empty, gone feeling at stomach.

Morose, irritable; tearful; averse to be talked to; everything is too much; depression. Lethargy. Cannot recall names or words; mind sluggish but will act if aroused. Extreme lassitude and depression; apprehensive. Exhaustion after moderate mental effort. Flies into a passion and can hardly articulate; tongue feels thick. Restless. Nervous; starting. Perverted affections; cruel to husband; to baby. Indifferent and captious.

Giddy when out of doors but feels better when facing sun. Seasick without nausea. Occipital headache, lasting all night; frequent waking, woke with pains in occiput and loins, feels better lying on back, passed off after rising. Sensation of a band round forehead just above eyes.

Lycopodium Clavatum

Silent, melancholy, and peevish humor; despair of eternal salvation. Desponding, grieving mood. Sadness when hearing distant music. Anguish especially in epigastrium, with melancholy and disposition to weep especially after a fit of anger or on the approach/presence of another person(s). Sensitive disposition.

Dread of men; desires to be alone, or else aversion to solitude. Must laugh if anyone looks at her/him to say anything serious. Inclined to laugh and cry at same time. Irritability and susceptibility, with tears. Irascibility. Obstinacy. Estrangement and frenzy, which manifest themselves by envy, reproaches, arrogance, and overbearing conduct. Disposition to be very haughty when sick; mistrustful; does not understand anything one says to them; memory weak. Depression stress and anxiety.

Avaricious. Character, mild and submissive. Complete indifference. Aversion to speaking. Fatigue from intellectual exertion, and incapability of devotion to mental labor. Giddiness. Inability to express oneself correctly; misapplication of words and syllables. Confused speech. Confusion about everyday things, but rational talking on abstract subjects. Inability to remember what is read, stupefaction, dullness, fear speaking in public and have stage fright, they hide it well. They might cover it up with talking loudly or too frequently.

Phosphorus

Affections of the mind in general; amativeness; dizziness, nymphomania, melancholy and sadness, sometimes with violent weeping, or interrupted by fits of involuntary laughter. Laughs at serious things. Stupor, low, muttering delirium; loquacious. Thinks she/he is several pieces and cannot adjust the fragments. Stupor from which she/he could be aroused for a moment only to lapse back into a muttering lethargy, and forgetfulness. Depression stress and anxiety.

Great apathy; very sluggish; dislike to talk; answers slowly or not at all. Anguish and uneasiness, especially when alone, in stormy weather, principally in evening, with timorousness and fright. Anguish respecting the future; or respecting the issue of the disease. Susceptibility to fright. Fear in evening, fear of darkness; of specters; of things creeping out of corners.

Hypochondriacal sadness. Disgust to life. Apathy alternating with angry words and acts. Becomes easily vexed and angry, which makes him exceedingly vehement, from which she/he suffers afterwards. Any lively impression = heat, as if dipped in hot water. Great irascibility, anger, passion, and violence. Involuntary and spasmodic weeping and laughter. Misanthropy. Repugnance to labor. Shamelessness, approaching insanity. Great indifference to everything, and even to patient’s own family. Forgetfulness, especially in morning. Great flow of ill-assorted ideas.

Zoomantic condition; state of clairvoyance. Ecstasy. When anxious or vexed, their thoughts get scattered, and they have a difficult time focusing or getting things done. Their anxiety may be tied to a need for approval in social circles or from romantic partners.

Pulsatilla

persons very easily excited to tears, apt to burst into tears whenever spoken to, or when they attempt to speak, as in giving their symptoms. Covetous; mistrustful; absent-minded; low-spirited. Melancholy with sadness, tears, great uneasiness respecting one’s affairs or about the health; fear of death (tremulous anguish, as if death were near), care and grief.

Involuntary laughter and weeping. Great anguish and inquietude, mostly in precordial region, sometimes with inclination to commit suicide, palpitation of heart, heat, and necessity to loosen the dress, trembling of hands, and inclination to vomit. Depression stress and anxiety.

Fits of anxiety, with fear of death, or of an apoplectic attack, with buzzing in ears, shivering, and convulsive movements of fingers. Apprehension, anthropophobia, fear of ghosts at night or in evening, with an impulse to hide or to run away, mistrust and suspicion. Covetousness. Taciturn madness: with sullen, cold, and wandering air, sighs, often seated with the hands joined, but without uttering any complaint. Despair of eternal happiness, with continual praying. Discouragement, indecision, dread of occupation, and obstructed respiration. Disposition envious, discontented, and covetous, exhibiting itself in a wish to appropriate everything. Caprice, with desire at one time for one thing, at another time for something else, either being rejected as soon as obtained.

Hysterical laughter after meals. Hypochondriacal humor and moroseness, feels better to evening, often with repugnance to conversation, great sensitiveness, choleric disposition, cries, and weeping. Ill Humor, sometimes with a dread of labor, and disgust or contempt for everything. Inadvertence, precipitation, and absence of mind. Difficulty in expressing thoughts correctly when speaking, and tendency to omit letters when writing. Giddiness: patient neither knows where he is nor what he does. Great flow of very changeful ideas. Nocturnal raving; violent delirium and loss of consciousness. Frightful visions. Weakness of memory. Fixed ideas. Stupidity.

Silica Tera

Despondency, melancholy, and disposition to weep. Nostalgia. Anxiety and agitation; yielding, anxious mood. Taciturnity; concentration in self. Inquietude and ill humor on the least provocation, arising from excessive nervous debility. Scruples of conscience (about trifles). Restless and fidgety; great liability to be frightened, especially by least noise. Depression stress and anxiety.

Discouragement. Moroseness, ill humor, and despair, with intense weariness of life. Wishes to drown herself/himself. Disposition to fly into a rage, obstinacy, and great irritability. The child becomes obstinate and headstrong; cries when kindly spoken to. Excitement with easy orgasm of blood. Repugnance to labor. Apathy and indifference. Weakness of memory. Incapacity for reflection. Great distraction. Tendency to misapply words in speaking. Fixed ideas: the patient thinks only of pins, fears them, searches for them, and counts them carefully.

Patients who fear experiencing new things, talking in front of people, and getting a lot of attention. They tend to become workaholics to soothe their fears.

Stramonium

Young people who are sometimes hysterical, praying and singing devoutly, beseeching, entreating, & c. young women with suppressed menses may be affected in this manner, patients can’t bear solitude or darkness, if they are left alone or are in a dark room, the mental affections are very much by any sort of drink.

Paralysis of pharynx and esophagus. Contracting, tearing in throat; sensation as if a ball were lodged in throat. Twitching of pomum Adami, up and down movement as in swallowing. Spasm of esophagus. night terrors, nightmares, or dark thoughts while awake. Depression stress and anxiety. People with this type of anxiety are often scared of the dark or being alone and are especially scared by thoughts of monsters or mysterious figures. Their imaginations tend to worsen their anxiety.

Lilium Tigrinum

Tormented about her/his salvation. Consolation aggravates. Depression stress and anxiety. Profound depression of spirits. Constant inclination to weep. Anxious; fears some organic and incurable disease. Disposed to curse, strike, think obscene things. Aimless, hurried manner; must keep busy. Head hot, dull, heavy. Faint in warm room. Wild feeling in head.

Aurum Metalicum

Feeling of self-condemnation and utter worthlessness. Profound despondency, with increased blood pressure, with thorough disgust of life, and thoughts of suicide. Talks of committing suicide. Great fear of death. Peevish and vehement at least contradiction. Anthropophobia. Mental derangements. Depression stress and anxiety. Constant rapid questioning without waiting for reply. Cannot do things fast enough. Over Sensitiveness to noise, excitement, confusion.

Violent pain in head; worse at night, outward pressure. Roaring in head. Vertigo. Tearing through brain to forehead. Pain in bones extending to face. Congestion to head. Boils on scalp.

Staphysagria

Impetuous, violent outbursts of passion, hypochondriacal, sad. Very sensitive as to what others say about her/him. Dwells on sexual matters; prefers solitude. Peevish. Child cries for many things and refuses them when offered. Depression stress and anxiety. Stupefying headache; passes off with yawning. Brain feels squeezed. Sensation of a ball of lead in forehead. Itching eruption above and behind ears.

Oleander

Memory weak; slow perception. Melancholy, with obstinate constipation. Vertigo and diplopia, when looking down. Vertigo, when looking fixedly at an object, and on rising in bed. Pain in brain, as if head would burst. Numb feeling. Dull, unable to think. Indolence. Eruption on scalp. Humid, fetid spots behind ears and occiput, with red, rough, herpetic spots in front. Corrosive itching on forehead and edge of hair; worse, heat. Depression stress and anxiety.

Coffea Cruda

Gaiety, easy comprehension, irritability, excited; senses acute. Impressionable, especially to pleasurable impressions. Full of ideas, quick to act. Tossing about in anguish. Depression stress and anxiety. Tight pain, worse from noise, smell, narcotics. Seems as if brain were torn to pieces, as if nail were driven in head. Worse in open air. Sensitive hearing.

Nux Vomica

Very irritable, sensitive to all impressions. Ugly, malicious. Cannot bear noises, odors, light, etc. Does not want to be touched. Time passes too slowly. Even the least ailment affects her greatly. Disposed to reproach others. Sullen, fault-finding.

Depression stress and anxiety. Headache in occiput or over eyes, with vertigo; brain feels turning in a circle. Over sensitiveness. Vertigo, with momentary loss of consciousness. Intoxicated feeling; worse, morning, mental exertion, tobacco, alcohol, coffee, open air. Pressing pain on vertex, as if a nail driven in. Vertigo in morning and after dinner. Scalp sensitive. Frontal headache, with desire to press the head against something. Congestive headache, associated with hemorrhoids. Headache in the sunshine. Feels distended and sore within, after a debauch.

Natrum Muriaticum

Psychic causes of disease; ill effects of grief, fright, anger, etc. Depressed, particularly in chronic diseases. Consolation aggravates. Irritable; gets into a passion about trifles. Awkward, hasty. Wants to be alone to cry. Tears with laughter.

Throbs. Blinding headache. Aches as if a thousand little hammers were knocking on the brain, in the morning on awakening, after menstruation, from sunrise to sunset. Depression stress and anxiety. Feels too large; cold. Anemic headache of young girls; nervous, discouraged, broken down. Chronic headache, semi-lateral, congestive, from sunrise to sunset, with pale face, nausea, vomiting; periodical; from eye strain; menstrual. Before attack, numbness and tingling in lips, tongue and nose, relieved by sleep. Frontal sinus inflammation.

Amra Gresia

Dread of people, and desire to be alone. Cannot do anything in presence of others. Intensely shy, blushes easily. Music causes weeping. Despair, loathing of life. Fantastic illusions. Bashful. Loss of love of life. Restless, excited, very loquacious. Time passes slowly. Thinking, difficult in the morning with old people. Dwells upon unpleasant things. Depression stress and anxiety.

Slow comprehension. Vertigo, with weakness in head and stomach. Pressure on front part of head with mental depression. Tearing pain in upper half of brain. Senile dizziness. Rush of blood to head, when listening to music. Hearing impaired. Epistaxis, especially in the morning. Profuse bleeding from teeth. Hair falls out.

Natrum Carbonicum

Unable to think; difficult, slow comprehension. Mental weakness and depression; worries; very sensitive to noise; colds, change of weather. Anxious and restless during thunderstorm; worse from music. Marked gayety. Sensitive to presence of certain individuals. Depression stress and anxiety.

Aches from slightest mental exertion, worse from sun or working under light, Feels too large. Oversensitive of hearing. Headaches with return of hot weather. Vertigo from exposure to sun.

Sepia Officinalis

Indifferent to those loved best. Averse to occupation, to family. Irritable; easily offended. Dreads to be alone. Very sad. Weeps when telling symptoms. Miserly. Anxious toward evening; indolent.

Vertigo, with sensation of something rolling rounds in head. Prodromal symptoms of apoplexy. Stinging pain from within outward and upward mostly left, or in forehead, with nausea, vomiting; worse indoors and when lying on painful side. Depression stress and anxiety. Jerking of head backwards and forwards. Coldness of vertex. Headache in terrible shocks at menstrual nisus, with scanty flow. Hair falls out. Open fontanelles. Roots of hair sensitive. Pimples on forehead near hair.

Glonoinum

Recent German proving of Glonoine: very marked nerve disturbances. Great lassitude, no inclination to work; extreme irritability, easily excited by the slightest opposition, ending in congestive head symptoms, congestive headaches. Depression stress and anxiety.

Cannabis Indica

Exaltation of spirit, with excessive loquacity. Full of fun and mischief and laughs immoderately. Hallucinations and imaginations innumerable. Anguish, accompanied by great oppression: worse in the open air. Constant fear of becoming insane. Exaggeration of duration of time and extent of space; seconds seem ages, a few rods an immense distance.

Horror of darkness. Fear of approaching death. Inability to recall any thought or event, on account of different thoughts crowding on his brain. Sudden loss of speech; begins a sentence but cannot finish it. Stammering and stuttering. Exaltation of spirits, with excessive loquacity. Depression stress and anxiety. Very absent minded. Every few minutes he/she would lose him/herself, and then wake up, as it were, to those around him. Constantly theorizing. Clairvoyance. Delirium tremens; trembling; hallucinations; tendency to become furious; nausea; unquenchable thirst. Laughs at merest trifle. Sudden loss of memory.

Hepar Sulphuris Calcareum for Depression Stress and Anxiety

Vertigo on moving the head, as well as from the motion of a carriage, or in the evening, with nausea. Sense of swashing in the head. Vertigo, with loss of intellectual power, and obscuration of sight. Headache in the morning, excited by the slightest shock (feels better from every contusion). Headache at night, on moving the eyes; the forehead seems about to be torn asunder. Depression stress and anxiety.

Pressure in the head, semi-lateral, as from a plug or dull nail, at night and when waking in the morning; Pressure on the temples and on the vertex, with palpitation of the heart in the evening. Falling off of the hair, with very sore, painful pimples and large bald spots on the scalp; sensitiveness of the scalp to contact, with burning and itching in the morning after rising (after abuse of Mercury).

Cold sweat on the head. Cold, clammy perspiration, smelling sour, principally on the head and face, with aversion to be uncovered.

Oxytropis Lamberti

Marked action on nervous system. Restless. Desires to be alone. Disinclined to work or talk. Worse, thinking of symptoms. Mental depression. Vertigo. Trembling, sensation of emptiness. Walks backwards. Congestion of spine and paralysis. Pains come and go quickly. Sphincters relaxed. Staggering gait. Reflexes lost. Vertigo. Full, warm feeling about head. Feeling of intoxication, with loss of vision. Pain in maxillary bones and masseter muscles. Mouth and nose dry.

P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).

What is the prognosis for duck syndrome?

Since duck syndrome is often a manifestation of depression or anxiety, the outcomes for those conditions need to be considered. Depression can be chronic, in that 85% of people who have one episode of the disorder will have another one within 15 years of the first episode. People with depression or anxiety are at greater risk for developing other forms of mental illness, disability, or even death.