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I am 42 years old , had wonderful career growth in my corporate life , grew very fast, then I started my own business , wherein I could not do much , or was not able to reach the level I planned for, now since some time I am feeling as if I am not good enough, have lot of responsibilities , feeling scarred in taking decisions , not able to concentrate much.
I am didn't concentrate in my studies now a days, my mind is always diverted to girls. I want to study but I can't concentrate.
This is Surabhi. My days are getting worse to worst I am unable to come out from those negative memories of my life that are continuously making me feel low and depressed, tell me doctor how to come out of this depression.
I can't pronounce some words correctly. When I try to pronounce L it sounds like N. Please suggest me some solution.
I am 19 years old. I was suffering from low concentration and bad memory. Doctor gave me the tablet Rexipra. I have been taking it for 2 months but did not notice any improvement. Should I stop taking it? My 12th board exams start in 10 days. Please advice me.
I have quit smoking since October 2015 and it was relapsed couple of days back. I also drinking moderately but daily. I want to quit both drinking and smoking. Please guide.
Actually I reside in kanpur for my studies in college hostel but from past few days bad thoughts are irritating me for eg thoughts like how if have a fear water or if I have a fear of this thing that thing or if I committed suicide. Like that I am really tensed about this please suggest some medication.
A panic attack is the result of a sudden enormous burst of fear and anxiety. The heart tends to beat faster and breathing becomes difficult. A person gets a feeling of going crazy and dries up. If the treatment is not taken on time, this condition can aggravate to panic disorder and such other problems. It is totally curable if the symptoms are addressed properly.
Symptoms of panic disorder:
Panic attacks can lead someone to panic in any place. It takes only 10 minutes to reach its peak and typically lasts for 25-20 minutes. A patient is a prime candidate of a panic disorder if he frequently suffers from the following symptoms:
- The discomfort of the chest
- Profound sweating
- Fear of losing control of life
- Feeling of detachment from the surrounding
- A choked feeling
- Heart palpitation
- Sudden cold flashes and tingling sensation
Apart from the above symptoms, if a patient suffers from anxiety in between panic attacks in anticipation of another panic attacks, he could be suffering from panic disorders. it is often witnessed that patients suffering from panic disorder avoid certain situations and places.
What causes panic disorder?
Panic disorder results from frequent panic attacks and the cause of the latter are not very clear. It is believed that certain life transitions such as divorce, getting married, acute stress, the death of loved one can result in panic attacks. A person has higher chances of getting this disease if it runs in the family. Some medical conditions that can cause panic disorder are hyperthyroidism, use of stimulants such as cocaine, caffeine and mitral valve prolapse.
How it can be treated?
Behavioral treatment: Cognitive behavioral therapy is widely considered as one of the effective treatments for panic attacks. This form of treatment effectively focuses on thinking patterns and behavior that triggers panic attacks. It helps you to look at your apprehensions in a better light. Another method of treatment for panic disorder is called exposure therapy. This method exposes a patient sensation of panic in a controlled environment. The trick is to deal with it in a much better way. For instance, you might be asked to cross the road. When you successfully manage to do it without getting crashed, you are less likely to panic in foreseeable future.
Medication Treatment: Medication can address the problem temporarily, but is not a good solution for long term. Certain medication such as antidepressants and Benzodiazepines are prescribed by doctors with time duration of every 1-2 hours. These are anti-anxiety drugs and gives immediate relief from panic attacks. However, it should be ensured that these medicines are only consumed once a doctor prescribes it.
It happens with most of us, especially when we come across victims of physical abuse wherein the injuries are evident but we hesitate to question them. The reasons could be:
People think that the person can get embarrassed.
People do not know how to start the conversation.
People think that it is their personal life and so they should not intervene.
All of us should help our friends and family, at least those who are victims of physical abuse. But how to help?
Before that we need to first know whether the person is a victim of physical abuse/ domestic violence. One need not be an expert to talk to one suffering from physical abuse. These are some tips –
Ask the person privately.
Victim of abuse can feel embarrassed when things about the abuse are asked in a group of people.
Accept the fact that a victim of physical abuse would probably try to hide the abuse.
The reasons for hiding could be embarrassment, being blamed, not being believed etc.
Show concern while starting the conversation.
In the above case, Swapna’s friend could start the conversation in private by saying “I noticed these bruises on your hand Swapna. I am really concerned about you. Can I help you in any way?”
Or she could also say “I think you are stressed out today, you can talk to me now or another time about it, I will keep it confidential”
A victim will always remember that you offered help though they might not open up immediately.
The first time you offered help and if the person has not told you anything, it is okay. They will definitely remember that you offered help and whenever the stress becomes too much you might be the person they will remember and share their worries with.
Do not feel that by asking your friend might think that it is not your business or she won’t need help.
You lose very little if your friend says that it is not your business but chances are very little that she would say that.
Do not hesitate to show concern and ask for help.
Reinforce to the friend that it is not their fault and at the same time do not overtly scold or bad mouth the partner in front your friend.
Listen patiently without judging and respond supportively like supporting their decisions and trying to tell them that the feelings of anger or guilt, they are experiencing, are normal in their situations.
Believe the person and do not belittle their traumatic experience.
If the person is telling that her husband beats her up quite often, DO NOT SAY “I know your husband, he is not like that, you are mistaken”
People who abuse partners behave differently when in public and when in private, with partners.
Take them seriously if they are fearful about their safety.
At least tell them that “What you said seems definitely dangerous and I am really concerned about you”
You can discuss a safety plan with her in case of an emergency.
Try to offer help appropriately.
Help could be also giving her information regarding social services, legal help, if needed.
If your friend asks you to do something you can do, do it.
If you can’t do or don’t want to, say that to your friend and try to identify other ways where she can seek for help. Later you can see the other ways in which you can help.
For a person being abused, just the fact that someone cares enough to at least ask her about her physical abuse can make her feel wanted and will be supportive. Talking is the best form of therapy.