<s>[INST] I am 53 years old, female, and have led a too-sedentary life for several years due to injuries from a car accident. I have been getting back in shape a little and now I am worried about some feelings I have just recently as this week. I feel tired, havent slept well, feel depressed, almost weepy. Two nights ago I was ironing and got an intense sharp pain right at my right temple that lasted for a minute or two. I finally sat down and took my blood pressure. It was something lilke 116/6? and my heart rate was 78 or so. I feel some tenderness in the same spot on my temple tonight, without touching it. I have been eating a lot,and feel like Im having an anxiety attack(physical chest symptoms) and for some reason I am worried about my heart. Any thoughts.  email> YYYY@YYYY [/INST] Hi. I understand your concern. Insomnia or sleeping difficulty and tiredness are the symptoms of depression. Depression can co morbid with anxiety feature or anxiety disorder. Treatment is must and early treatment will bring better recovery. Treatment only can possible after proper psychological evaluation. It can be treated with multi modalities of treatment like medicines, psychotherapy,counseling and ECT. Choice is depended upon symptomatic presentations and severity. Consult psychiatrists and get further help. Glad to help you further. Thank you. </s>