In a particular site near right lower back there is feeling of insect crawling, which appear in some day and again disappear. Today I visit a skin doctor he say it may be dur to stress, so he recommended amitriptyline, but according to patient no stress, or depression present. What can be the causes.
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Many, many times stress is not in the total awareness of the individual. Sometimes it is endogenous and at other times and for other people it can be exogenous. Meet with a counselor and do some talk therapy to identify pertinent issues that might not be in your awareness. The counselor will help you identify these symptoms and help you to deal with them too. The stress that you feel is not dependent on the stressor: it is entirely dependent on your perception of stress. Change your perception, there is no stress: it?s like looking at a glass half full or half empty. Life is difficult no doubt, as a general rule, but what we do adds to the stress in our response. We add to the stress of life instead of reducing it or learning to deal with it. Many of us follow a policy of avoidance. We cannot do that all of our lives. So the first thing to do is to change your perception. For example, look at it as a challenge that you would like to meet with a positive outlook. See everything as a gift from god to perform as though you are doing it for him. God never gives us work to do beyond our capacity. Build a good constitution mentally, emotionally and physically to combat stress. Eat healthily, sleep well, and exercise regularly. Talk about your emotions regularly to a good friend every day. Learn stress management techniques, which is all about expressing your feelings in appropriate ways. Do yoga and meditation. Pray every day to god to give you the strength, and offer your work as a prayer to him ? you will give your best and you will feel so satisfied when you do it well. At work (if you are employed that is) you must learn to delegate much or some of your work to subordinates. If you do not trust, you will find it difficult to delegate. You need to examine if your work is too stressful for various reasons. It is the one place you will be spending the greatest part of your awake life, more than even with your family! this being the case any stress there can take a severe toll: the stress in the work is mostly related to relationships. We are always into relationships and you need to find a very amicable way to interact with people. You cannot avoid people all your life: no man is an island! if it is people related, you will need to examine whether you are the cause or others the cause. If it has to do with workload, then you will need to discuss that with your colleagues first and if they think you are justified, then you will have to take it to the immediate boss. If it is injustice in the work spot, you will need to discuss it with the hr department. If you feel that you are doing more than you can manage or are qualified for, again you can consult the hr department. If you are emotionally distraught, then there may be some work for you to do with a counselor. This is where stress is mostly felt. When you do not express feelings you will land up with stress. Check what feelings you are not dealing with and then tackle that to find relief which is a permanent solution. To resolve it you need to deal with the unexpressed feelings which may have become a habit from childhood. Meet with a counselor and that person will help you process your feelings and find ways to express them once and for all and give you permanent relief. You will see an immediate change for the better.
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Formication, essentially a tactile hallucination, is an abnormal skin sensation similar to that of insects crawling over or within the skin. From the latin formicare meaning to creep like an ant, (not to be confused with fornication!), formication was described in 1890: "a variety of itching, often encountered in the eczema of elderly people. It is described as exactly like the crawling of myriads of animals over the skin. Formication is a specific form of the general set of abnormal skin sensations known as paresthesias and tactile hallucinations. It is associated with several disorders: a physical or psychological side effect of�substance abuse, diabetic neuropathy, diseases of the spinal cord and peripheral nerves, and extreme�alcohol withdrawal�with�delirium�tre this illusion or hallucination that ants or other insects are creeping on or under the skin is a common side effect of large-scale use of�cocaine, amphetamines ("amphetamites"), or crystal meth (also known by street names such as "ice, "glass, "chalk, "crank, "meth mites, or "coke bugs.) formication is also a side effect of many prescription�drugs�(see below). People suffering from formication, particularly if they are delirious or intoxicated, may pick and scratch themselves to such an extent that they trigger self-induced bleeding and excoriations of the skin on areas easy to reach: the face, scalp, neck, thighs, and forearms. This-self-mutilation�often leads to gouged out pits and ulcers. Patients often seek numerous opinions from medical doctors, exterminators, and entomologists, and then often complain about the incompetence of the advice received while treating the specialist with hostility and suspicion. The false sensation of bugs crawling on or within the skin was first reported in chronic cocaine users in 1889. Patients with drug-induced formication often have an associated fixed delusion of parasitosis: a form of�psychosis�in which sufferers hold a delusional�belief�they are infested with parasites and claim to have seen "bugs" or "worms" crawling under or out of their skin. Some have even used common household scissors to cut out the imagined wor delusions of parasitosis that are not related to drug abuse are more common among middle-aged and elderly women. Patients with this disorder may be fully functional, but nevertheless have a false belief that they are infested with parasites. They may profess to have the parasites in a collection of material (typically pieces of skin, scabs, hair, lint, dried blood, living organisms such as flies or ants, and other debris) and request that it be studied under a microscope or sent to a laboratory for identification. This clinical presentation is called the "matchbox sign" because patients have often used a matchbox to collect the material. Now small plastic bags are ommonly used for this purpose. Delusional parasitosis may be a shared illness, in which some of the patient's close contacts also believe they too are infested. When two family members are involved, usually husband and wife or parent and child, the delusion is known as folie � deux ("a madness shared by two"). The psychological film bug (2007) portrays a folie � deux involving a man and woman who believe they are infested with government-implanted, nano-technological insects. Reassuring patients that no parasitosis exists can be difficult because they typically refuse to believe that their disease is functional rather than organic. Although results of objective laboratory tests may satisfy the doctor, patients frequently deny negative test results. Referral for�psychiatric�therapy�must be approached with delicacy in patients with delusional parasitosis.�management�of drug-induced formication obviously involves abandoning the offending drug. Drugs that have been reported to cause formication are�adderall, cocaine, crystal meth,�methamphetamine, ecstacy, mdma, keppra, lunesta, ritalin, tridyl, wellbutrin, and zyban.
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