"I am finding that I am acting intensely on all my responsibilities. I can't seem to clear my head of what has to be completed, even if I know I have to do something another day I am too focused on it.

My heart seems to be skipping a beat from time to time, I feel like there is a sinking or hollow feeling in my heart region as my heart beats. I have had this happen off and on."

Unedited statement from a patient.

Any ideas about possible rubrics/remedy suggestions?

Murthy