low energy and extreme fatigue

tense balled up muscles and constant feelings of being 

on edge 

irritability and spiraling downward 

extreme fear or sense of doom

accelerated heart and heart palpitations 

extreme mood swings 

trembling and sweating 

acute stress

difficulty completing normal mundane tasks 

intrusive thoughts bad dreams, 

flashbacks 

unexplained outbursts

is this a mental breakdown or ptsd 

or is this just my son going in for another 

open heart surgery?

or all of the above.