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

### input:
I don t know what is wrong. I have major depressive disorder , anxiety, fibromyalga, along with these symptoms, nausea, most often have heartburn , night sweats , headaches, muscle pain, fatigue , neck and back pain, extreme stress, unintentional weight loss , no appetite. I had an MRI which would explain the back pain. I give my permission to consult with the Doctors below, the results can be acquired through Fraser Health Authority Peach Arch Hospital in Surrey BC, Canada. Fax # 1-604-535-4535. My name: Charlotte Ann Flintoft, Ordering MRI, Dr.Lampbrecht, AlbertusJ. I was admitted Feb 8,2013. Family Dr. Adrian Hughes at Lake shore Medical Centre. phone # 1-250-764-8878 or fax 1-250-764-0889. I am a 64 year old female. Thank you, Sherry (Charlotte Ann) Flintoft

### output:

Hello You have mentioned the diagnosis of disorders in you as Depressive disorder, Anxiety along with Fibromyalgia. You have history of night sweats, headaches, muscle pain, fatigue, neck pains, stress, weight loss, poor appetite etc. For your reassurance I would like to tell you that these problems can be treated easily. Various medicines like Fluoxetine, Sertraline, Escitalopram, Milnacipran, Duloxetine etc. are used in such type of disorders. They will correct depressive symptoms as well as Anxiety symptoms. As per my clinical experience Duloxetine will be very useful in your case as it will cover pain symptoms and fibromyalgia also. Cognitive therapy is also useful. Please visit a good Psychiatrist for opinion. Thanks