### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Age 27 yearsHeight; 59 inchesWeight 65 kgsCourse business studiesMild asthmaI came to Germany three months ago and have had a number of bad experiences with racism, people undermining one in class and this is affecting my ability to concentrate and study for the pro gramme.I have a bachelors degree and did this simultaneously together with accounting exams under pressure and I managed pretty successfully. I have fatigue and it takes me hours to read a chapter, im very worried as exams are coming up and my mind feels burdened, I eat pasta, vegetables, rice and at times dailyIm trying to harden up and not take personal attacks seriously, but these thoughts keep coming back, my self esteem has drastically reduced and my heart alos feels quite heavy when I go to sleep. Please help

### output:

Hello, All symptoms are stress related, and the cause is already known to you. Don't worry this is manageable. If possible, you can go for counselling sessions with some councillor in university itself and discuss these issues. OR you may seek help from a psychiatrist and enter into therapy sessions. If both of these are not possible, please do relaxation exercises- Panama or other breathing exercises regularly three times a day, for 10-15 minutes...this will not only relax you but also help in focussing your mind to the task at hand. Try to avoid junk food altogether, also stop taking alcohol even if you take it just once a week. Still, if there are enough problems and there is difficulty in proceeding with counselling/therapy due to any reason, you can start Escitalopram 5-10 mg, along with something for sleeping at night, like collided 5 mg. After a week or 10 days- collided can be stopped but continue with Escitalopram. This will help you a lot in getting better and response will come in few days... So, please don't waste your precious study time in taking stress or suffering, meet a psychiatrist and start meds. You will definitely get better and come out with flying colors. Moreover, once your course will finish, I hope the stress will lessen, and you may not need to continue the meds for long time. Wish you good luck!