I am suffering from bp last october month reason anxiety but now I am taking ramipril 2.5 and I feel my left side of the chest havyly and little anxiety or tension having I feel my heart going off but my company's Dr. said after tmt test heart is ok but I am not what type of next step should I taken now pls suggest.

Mr. Saul PereiraPsychologist51yrs exp

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If you BP is a result of your anxiety, then the solution is quite clear: take care of the anxiety. Anxiety is to do with fear. If you have not handled fear in time and appropriately, you can develop anxiety. This can definitely contribute to hypertension and strain your heart. There is abnormal fear and it could do with some contribution from your upbringing. Perhaps you experienced strict parenting; or you were intimidated by dire consequences for failure; perhaps you were brought up believing that you were not as good as others; perhaps you were forced to show undue regard for elders and felt inferior around them, etc. You must immediately seek help from a counselor. In the meantime you must do certain things to build your constitution physically, spiritually, emotionally, and mentally. Mental stability can be achieved by learning a few skills in handling emotions in an appropriate manner. Stress management skills, which have a lot to do with expressing emotions, will need to be a major part of your recovery program. Emotionally you need the help of a counselor and that will help you tremendously to move from anxiety to normal fear. Please persevere and cooperate through all the support you need and you will come through successfully. Develop your body?s health by physical fitness through exercise (as approved by your doctor), good rest (sleep), and a proper diet. Any way what you need to focus on is to do vigorous exercise of the aerobic kind for the heart?s fitness (with the doctor's approval); meditation for the brain?s fitness; sleep for a well rested mind and body; a sound spiritual well being for good confidence and stability; and a diet with lots of vegetables, fruits, and whole grains. Vigorous exercise (only your doctor can approve of this), especially of the calisthenic kind, will make your heart, which is a muscle, grow larger; and then your heart will need to beat less often and you will respond to the anxiety with a calmer disposition. If your mind, constitution, and your emotions are in check and fit, you will never be disturbed again. Learn never to compare yourself with others: you are unique and there is only one of your kind, ever. If you let that sink in and appreciate who you are truly, you will go places. You can only compare yourself with who you were yesterday and if you are doing better than yesterday, then you are doing just fine. 

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