instruction: hi doctor I am 25 years old one night when I tried to go off to sleep I had racing thoughts that I had no control over I did not hear any voices just thoughts I could not track them or process them I was really scared as a result this phenomenon has been happening whenever I try to go off to sleep or wake up from sleep now very recently I moved abroad I felt extremely depressed and stressed about this I started having sleep problems all of a sudden being a hypochondriac I thought this must be something fatal this led me to be stressed anxious and depressed I have been searching on the internet obsessively for five months and I came across schizophrenia I was terrified ever since then I started searching for schizophrenia obsessively and my symptoms worsened I thought I started to hear voices after reading about them but actually at most they are silent thoughts that occasionally mock me I have random words pop into my mind at odd occasions after reading about paranoias I seem to be developing them too I get scared or threatened by people for no reason I am more concerned about the fact that why am I getting scared of people rather than actually scared of them I feel extremely detached from reality like I am just going through the motions I am extremely tired and sleepy throughout the day my appetite has declined completely I cannot do anything I visited four doctors and all told me that I have extreme anxiety and depression can anxiety and depression cause these symptoms can being a hypochondriac lead to this when I talk to a friend on the phone I have an engaging conversation laugh and cheer up and then I think should I feel threatened by him am I losing control I speak fluently and I go about my activities fine most of the symptoms that I have developed have been after I got to know about the symptoms on the internet and obsessed over them I constantly cry about what has happened to my life and why did this happen to me so what is happening to me moreover these symptoms come and go in 10 days
output: hi I read your query with keen interest and understand your concerns first of all I must assure you that there is no evidence of disease called schizophrenia in your case schizophrenia is often presented with different kind of prodromal symptoms and they do not match to your current symptoms having said this the symptoms are more indicative of anxiety disorder with added obsessive and compulsive behavior this is more likely as you are already suffering with hypochondriasis which is again a disorder from same spectrum of psychiatric disorders like obsessive compulsive disorder I also like to inform you that stress anxiety and depression can present with symptoms mentioned in the query and there is no doubt about that for your clarification worsening of symptoms and spontaneous remission of symptoms are indicative of obsession rather than psychosis such as schizophrenia in my opinion it is time for you to engage in therapeutic process rather than moving from one doctor to another as constant approach will bring out the positive outcomes for further information consult a psychiatrist online