From age 14 years I started getting anxiety and soon it developed into daydreaming. I got 1st panic attack when I was 17 years old .after that when I got panic attack was on age 18 .i feared that someone is looking me and got panic attack .after that incident a colourless dot start appearing in front of my eyes with little depression I started taking medicine at age 19 .now I am 25 years old still now I am not cured but since after I take medicines. No panic attack hit me .(my anxiety developed into concentration defect at the early stage itself) I cannot read properly .when I read nothing gets to my head. I take medicine feliz -s (10 mg, dicorate er (125 mg) ,qutipin (100 mg). Kindly help.

Dr. Saranya DevanathanPsychiatrist51yrs exp

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Dear Hari, How often do you meet your doctor? What is the diagnosis? Now that you are old enough to understand and accept your disorder, please discuss with your doctor. If you get more knowledge about your disorder and its treatment, you can make the quality of your life better. If the diagnosis is bipolar mood disorder or recurrent major depressive disorder or schizophrenia, the treatment goes on for a long term. In these disorders also, anxiety and panic attacks come - but that is not the diagnosis. 

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Mr. Saul PereiraPsychologist51yrs exp

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You have got these attacks at the adolescent stage which is indicative of a childhood problem with fear. It is best for you to seek the help of a counselor along with your medication and develop some skills and tools to deal with this fear. You must immediately seek help from a counselor. Your fear is creating an obsession and that will gradually lead to anxiety and compulsive behaviors. Before it gets out of control and difficult to deal with seek help earlier, especially about this fear. If the fear is of recent origin, you could perhaps identify it and deal with it. But I suspect it is from the long past, then much work has to be done to sort that out. Sometimes this kind of nervousness could be genetic too. 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, 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; 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, especially of the callisthenic 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. 

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