messages.role: user
messages.content: Summarise the following document: {Brief Summary of Symptoms
  A)	The original symptoms and conditions:
  1.	I began to experience feelings of anxiety.
  2.	The anxiety did not have a specific cause, trigger, or origin.
  3.	My anxiety was typically present in the morning, about 70% of the time.
  4.	Throughout the day, the anxiety may or may not dissipate.
  5.	However, it typically settled later in the day, only to repeat the following morning.
  6.	During the cycle period, the anxiety would usually settle and remain manageable for a couple of days.
  B)	Changes to the symptoms and conditions:
  1.	The anxiety intensified and became more persistent.
  2.	Despite the worsening of the anxiety, there was no identifiable cause or trigger.
  3.	The other symptoms mentioned in '3, 4, 5, and 6' that were associated with the anxiety remained unchanged.
  4.	Depression started to set in, characterized by feelings of sadness, low mood, and a general sense of being down.
  C)	Treatment received:
  1.	Medication was prescribed to alleviate the symptoms and conditions mentioned in 'A and B' above.
  2.	The medication was effective in treating the symptoms and conditions.
  D)	The original (underlying) symptoms returned, and worsened:
  1.	All the symptoms and conditions described in 'A and B' above returned when my work conditions and environment changed after the amalgamation in 2016, as a sub-standard set of working conditions was slowly implemented.
  2.	As a result of the new work conditions, my original symptoms of persistent anxiety and depression returned with a vengeance. I was subjected to unrealistic and unwarranted work demands and was pressured to satisfy requests, causing unrelenting distress.
  3.	As my workload substantially increased, I faced intensified harassment, bullying, and intimidation to complete the work. Coupled with discriminatory treatment, this led to a rapid deterioration of my situation and work environment. I was faced with inappropriate actions by management, and it seemed like they wanted to knock me down.
  4.	As the anxiety and depression persisted and worsened, I experienced unrelenting pain and suffering. This led to a state of persistent high anxiety and panic, with intense fluctuations. At first, I did not experience the classic panic attacks, but eventually, they occurred, leaving me feeling shattered.
  5.	A persistent onset state of panic and intense anxiety, I continued to experience every morning upon waking. With only the intensity varying at times.
  6.	As work expectations and management demands grew increasingly more intense, I found myself in an unmanageable predicament. It became extremely difficult, unbearable, and impossible to function in the increasingly toxic and unworkable workplace environment. Meeting the expectations of completing excessive work within unrealistic timeframes became harder and harder.
  7.	I felt highly on edge and easily startled by anything and anyone, such as by any noise or a colleague walking near me and just saying “Hi” or “see you later” or by an interruption. It became highly triggering, unable to prevent myself getting shocked. It became noticeable in the office by colleagues. 
  8.	As the situation deteriorated, my anxiety and depression persisted and worsened. I found myself consumed by intense agitation, with chronic and unrelenting panic setting in, leaving me feeling powerless to stop it.
  9.	The constant requests to complete excessive work within impractical timeframes were exhausting and pushed me beyond my limits, causing relentless distress.
  10.	The events were triggering, and I found it difficult to function as I normally would, because of the constant unjustified demands and intimidating requests. It felt like I was drowning and unable to surface for air, which I expressed frequently in the office.
  11.	Continuous triggers were leaving me exhausted, with an overwhelming sense of hopelessness and growing anxiety and depression. Despite my appeals to management for adequate staff resourcing, there was no relief in sight.
  12.	My condition would fluctuate rapidly at any time without warning, depending on my situation, the type of trigger, and the level of anxiety and depth of depression I was experiencing at the time.
  13.	Despite my condition worsening, management continued to ignore my requests and pleas for help. I needed additional staff and resources to carry out my work in a healthy and safe manner, in accordance with the Councils (GRC) policies and the State Award requirements. The continued disregard for my appeals left me feeling intense disappointment and aggravation." 
  14.	Likewise, their disregard for every request and plea I made in writing and verbally, to stop harassing and intimidating me and to treat me appropriately in accordance with our health and safety policies and the State Award legislation, further demoralised me. They typically ignored me by not acknowledging or responding to my requests.
  15.	Whenever I pleaded or requested additional resources - which they had indicated they would provide - or asked them to stop harassing me, they initially and temporarily refrained from applying pressure to complete the work and from harassing me. But it was always just a matter of time before they started the cycle of pressure and harassment again.
  16.	Unfortunately, my well-being continued to deteriorate, fluctuating constantly and rapidly. I never felt relaxed or at ease, and my levels of anxiety and depression kept getting worse. Despite my cries for help, management ignored me, and no one listened to me. 
  E)	Adjustment to increase the medication, not effective:
  1.	To treat the worsening symptoms and conditions, the medication was increased. 
  2.	Despite the increase in dosage, my well-being remained unaffected.
  3.	The medication was not effective in improving my condition or symptoms, unlike when I originally suffered from anxiety and depression many years ago.
  F)	My current symptoms and conditions:
  1.	The symptoms and conditions described in section 'D' above have continued and worsened.
  2.	My anxiety and depression have become permanent, with a persistently relentless impact on my emotional and psychological well-being every day. This impact continues to greatly devastate my life.
  3.	The persistent onset of high anxiety or a state of panic consistently presents itself in the mornings upon waking, with only the intensity of the anxiety or the level of the state of panic varying. It feels like it is lurking just beneath the surface and cannot be escaped.
  4.	The feelings of depression then also surface, making everything difficult and meaningless, leaving me constantly feeling in a state of emotional turmoil. 
  5.	My mental well-being is incredibly fragile and fluctuates rapidly without any warning. Various factors contribute to these sudden and unstable changes, such as the nature and intensity of specific triggers, my current levels of anxiety and depression, and my overall mental health in that particular moment. It feels like I'm constantly walking on eggshells.
  6.	I feel so fragile that any trigger can suddenly send me spiralling into heightened anxiety, panic, and deepened depression. These emotionally and physically overwhelming episodes can last from hours to several days, making it feel like I am carrying an enormous weight that I simply cannot shift.
  7.	These constant triggers persistently wear me down, draining all my energy and leaving me in a state of despair with little to no relief.
  8.	The severe anxiety is also accompanied by a sense of unrelenting panic and fear, a heightened state of emotional distress, racing and fluctuating heart rate, headaches and sever dizziness. Any escalating panic, fear and tension becomes so overwhelming that I get uncontrollable urges to break thigs or hurt myself. It's a terrifying and exhausting feeling that at times leads to a full-blown panic attack.
  9.	An overwhelming sense of fatigue and tiredness sets in, leaving me with little to no energy even after ample rest and sleep. These physical symptoms of emotional distress keep compounding my overall sense of despair and helplessness, aggravating my depression.
  10.	Debilitating exhaustion keeps setting in and affecting my breathing rhythm pattern and rate, making even simple physical tasks like walking increasingly challenging. These physical limitations have added to the overwhelming feelings of despair and helplessness. 
  11.	The persistent cloud of mental fog makes thinking and concentrating nearly impossible, hindering my ability to function and carry out even the smallest tasks. It also triggers anxiety, causing racing heartbeats, sweating, and increased discomfort, which leave me feeling embarrassed, isolated, and wanting to avoid everything and everyone. 
  12.	My symptoms, condition, and emotional state changes rapidly and unpredictably, often due to slight provocation or seemingly insignificant triggers. This constant instability has created an ongoing battle within myself, leading to a persistent daily struggle to maintain my well-being and prevent additional pain and suffering. My sole focus and energy are directed towards surviving each day, one moment at a time, as I desperately try to preserve the little stability and well-being that remains within me.
  G)	Some recurring triggers that persistently induce emotional instability, intensify my anxiety, and trigger a state of panic:
  1.	When asked to do or perform any task, no matter of how small or simple the task may be.
  2.	When thinking about doing or performing a task, regardless of how little or simple the task may seem.
  3.	When doing or performing a task if I get interrupted or disturbed.
  4.	When performing a task if I fail or don’t complete it within my expectations or timeframe.
  5.	When performing a task if I encounter delays or problems in completing it within my set time limits or expectation.
  6.	When any person or especially when an organisation does not fulfill their promise, despite agreeing to address or satisfy an obligation within a specified timeframe, it triggers frustration and anxiety, especially when I have to chase them up to adhere to our agreed schedule. Moreover, if they continue making excuses and neglect their responsibilities or obligations, repeatedly failing to deliver as they promised, my anxiety intensifies into a state of panic.  Furthermore, it becomes even more personal, when I am forced to repeatedly remind them to fulfill what is often a simple obligation. This repeated cycle of having to follow up with them to fulfill a simple obligation that was agreed upon puts me into a deepened state of anxiety-induced panic.
  7.	When faced with situations or circumstances that involve dealing with tasks, pursuing subject matters, or engaging with individuals to whom I have a personal interest (including anything mentioned above), or where these matters or obligations remain unfulfilled or unsatisfied, I continue to experience anxiety and depressive emotions. These emotions are the same as those triggered by the harassment, intimidation, and distress I endured while managing the excessive workload at the Council (GRC). It seems that these emotions stem from false promises of support and resources that were never provided, as well as dishonesty, unjust treatment, discrimination, and the lack of fair and equitable working conditions.
  8.	In addition to the above, I continued to experience the same devastating and intense negative emotions of harassment, stress, anxiety, and panic triggers that I was regularly faced when I was dealing with the insurance company. This mistreatment was characterised by the insurance company’s inequitable practices of blatant dishonesty and deception, a neglect of their responsibilities, and failure to honour the commitment they made to me to uphold their health and safety standards and obligations. These practices intimately resembled the mistreatment I endured at GRC, where I was subjected to similar unlawful practices and denied basic dignity and respect.}