I am 15 year old boy. I am suffering from severe anxiety and panic attacks. Actually 2 years before my exam was going to held and I was in my study room planning to learn the sylabbus but suddenly a thought came that what will happen if I fail in the exam. I hadn't learned the sylabbus, there was only 5 days left for exam. So I was so much anxious and frightened. Actually I was feeling severe anxiety that day. Such type of severe anxiety I hadn't experienced before. Anxiety was so much much high. After severe anxiety my appetite lost, I got fever and I couldn't sleep at night. Days were passing and my condition was getting worse. From that day I feel severe anxiety and fear on a regular basis. I lost my happiness totally. I was struggling hard to be in normal state since I was feeling severe anxiety. After 1.4 year I consult a neuropsychiatric and he prescribed me flunil ip - 40 (fluoxetine) and risdone mt 0.5 (risperidone) and after that I feel a bit relief but not completely. However,i feel anxiety regularly and panic attacks. Please suggest me the treatment. Should I have take any therapy like cbt or psychotherapy to get rid of this problem completely. I don't feel happiness. Please doctor tell me the solution.

Dr. Saul PereiraPsychologist48yrs exp

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Yes, you should go for cbt in tandem with the medication. You must go for counseling soon. Counseling will help in training you will skills and techniques to cope with the daily challenges in life and will give you a fair chance to manage your life. You must also develop your constitution to make it fit enough to cope with fear, felt many times unnecessarily. You may be taking normal fear and converting it into abnormal fear like anxiety and so on. Take care of the following: 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. The earlier you tackle this, the easier it is going to be.  

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