I am 28 years of age. Since 2017 I have been having panic attack like once in 2 or 3 months (have been a heavy drinker during that period) and as time pass the attack becomes almost regular n now my having almost everyday. Having a feeling that i'll die or go crazy n even difficult breathing. I visited a doctor n he prescribed clozepam n clonafit 0.50 md. Clonafit helps alot during sos n now its been almost 4-5 months m depending on clonafit to calm my anxiety n depression. But recently m feeling unbearable pressure in my head along with heavy hair fall. Kindly tell me what could be the cause n what I should do? Could it b brain tumor? Because I heard that anxiety n stress n form tumor in brain. Please help.

Dr. Saul PereiraPsychologist48yrs exp

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If we believe all that we hear, we would all end up in a mental asylum. You can talk to you doctor if you have such doubts. Anyway, the stress that you are undergoing could lead to a lot of stress-related complications. My advice is for you to seek counseling along with the medication. That person will not only dispel your fears if they are unjustified but will also teach you some skills, tools and techniques to deal with the panic attacks. Since you are relying only on the medication it can work for some people some of the times and not at all for others. So combine the two therapies and see how well you will recover. Do you know if this is a family trait, or is the family by anyways less to socialize, or have you had any problem with fear because of some family or childhood experience? Have you ever been embarrassed in public by someone that it has left an indelible mark in your personality? You can take the answers to these questions to a counselor and resolve the same. Any way you must deal with your fear of people/situations and it will be the best solution to your problem. You need to change your perception of the fearful stimulus then you can change your response to the fear. The first one is the best and will preempt the need for the second. If you are already far gone into the reaction mode, then you need both responses to counter the attack. The way we see things in life (like half empty or half full glass) is very dependent on our attitude. Attitude may have developed over many years but fortunately can change in a matter of sustained choices made and acted up on now. Accordingly you choose to see things as either threatening or as an opportunity. The opportunist will be positive and work with the situation to make good out of it. The individual who sees it as threatening, will, out of fear, try to avoid/run away from the situation or react with anxiety. Yes, self-belief does impact it too, but you can see that prior to that, perception will tarnish the belief system too. Here, you can see that all the resolution lies in just changing your perception/attitude, even if it is against odds. Changing your response, despite the perception, is building up of your reserves and resources to handle any contingency that life throws up at you. And life throws up situations quite regularly and heavily. In the meantime do some confidence building exercises by attending a personality development course, public speaking skills course (i suggest you join the toastmasters club), work out at a gym to build good self-image, and join social events to practice your skills. Surprisingly many people are often in the same boat as you, and so you are not alone. The very people you may be intimidated by may be afraid of you too, though not to this extent! there are three important developments to have to make an autonomous personality: awareness, intimacy and spontaneity. If you are super aware or too conscious of yourself, it will affect the intimacy and spontaneity. Although your problem is now directly to do with intimacy, you can see that they are all connected. Go and work on these matters with a counselor for this level of panic reaction to disappear from your life for good.  

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