(1) emotional lability
(2) agitated depression
(3) irritability
(4) anxiety
(5) panic attacks
(6) mild paranoia
(7) impairment of learning and memory (especially short term)
(8) insomnia
(9) frequently, increased appetite and weight gain
Sources of Elevated serum cortisol
(1) an assortment of diseases
(2) chronic stress
Sample clinical scenario
25 yo female medical student inclined to rapture at mere site of histopathological images of glomerular damage, reports having to switch coffee shops every three days because every time the cashier calls her "sweetie" she reflexively proposes marriage, adamantly believes the dudes next door are part of a south american drug ring, has lost keys/wallet/cellphone/pants multiple times in a course of a few hours, hates "everybody", has bad dreams about dominated mostly by the natural flora of the intestines, eats two vegan donuts a day, swears that all pants in her wardrobe have mysteriously and suddenly shrunk. she blames global warming.
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