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

### input:
Hello, Im a 22 year old female medical student and I have been suffering from a decreased appetite for over six months, however I was able to force myself to eat until last month or so when I started feeling strongly repulsed by food all together, after eating I feel nausea and sometimes a gag-reflex and am compelled to throw up but I dont.  I have also been experiencing upset/nervous stomach related to my anxiety which has subsided somewhat after using beta-blockers I got prescribed from my attending doctor. I also have trouble relaxing and sleeping, Im always tired no matter how many hours I sleep, neither my mind nor my body is rested.  I have a family history of depression and generalized anxiety disorder on my fathers side. I have also suffered from panic attacks a couple of years ago along with what seemed at a time to be mild symptoms of depression. Im 164 cm and weighed 49 kg a couple of weeks ago, and Im worried about losing more weight or becoming anemic.

### output:

Hi, I can understand your concerns regarding your symptoms. Your current symptoms of decreased appetite, sleep disturbances, being stressed are highly suggestive of underlying depression and anxiety. In view of the fact that you have had panic symptoms and mild depressive symptoms in the past and have a positive family history of depression, you should seek a psychiatric consultation for complete evaluation and initiating treatment at the earliest. Earlier the treatment is started, better is the prognosis. Treatment with selective serotonin reuptake inhibitors like sertraline would be effective. In addition, you should start exercising daily. It will help you relax and feel better. You can also consider the option of cognitive behavior therapy which will consist of multiple sessions helping you relax and overcome your depression. I do hope that I was able to answer your query. Best wishes.