Good day. Recently ivr been having high anxiety due to life issues and relationship issues. Panic attacks, heart racing, fingers face and feet tingling. I feel this anxiety is not permanent. My doctor gave me urbanol and trazodone. I do not eat to be on trazodone for years. Am I able to use urbanol temporarily to keep my calm until this difficult patch passes? I do not feel I need to be on permanent medication.

Dr. Prof. Jagadeesan M.S.Psychiatrist18yrs exp

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For some people anxiety resolves after some time, for some it continues for many years. So depending your condition you need to take treatment. Consult with your psychiatrist regularly and take medications as prescribed, also combine cognitive behavioural therapy along with this, so it would make you feel much better. Good luck.  

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Dr. Nandeesh BmHomeopathy Doctoryrs exp

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These antidepressants will really mess up with your life if taken long term. You need to shift to other modes of treatment. Homeopathic treatment is the best treatment to treat mental/emotional issue. We have treated several such conditions with good results. You can contact me for appointment.  

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Ms. Sheetal AgrawalPsychologist15yrs exp

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Hello Lybrate user, the course of the medication is depending upon the severity of illness .we cannot start or stop any medication by our own. It is better to discuss the symptoms of the illness with psychiatrist & take the medicines regularly which is prescribed by the psychiatrist. Counseling sessions will also help to recover from the disease. Thank you & have a speedy recovery.  

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Mrs. Aaradhana ReddyPsychologist5yrs exp

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Dear Lybrate user, it must've be hard going through all this. Since you don't want to be on permanent medication, I would suggest that you go for psychological counseling/therapy. A combination of medication and therapy would work best. Therapy can help you go to the root of your concerns and help you deal with them, in turn reducing your anxiety. With certain strategies, techniques and important skills such as communication skills etc. That you learn in therapy; can be helpful for you to deal with your relationship concerns, anxiety and other issues. Especially cognitive behaviour therapy can be especially helpful and is widely used to deal with anxiety. Once you've learnt to manage the concerns, you can also reduce your dependence on medications. On how you should gradually stop the medications, should be done under the guidance of a psychiatrist. Therapy can also help you in the long term. So, please consult a psychologist. Regards, aaradhana reddy counselling psychologist.  

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Dr. Shashank RaikwarPsychiatrist6yrs exp

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Madam as you have mentioned that these anxiety symptoms have come after some personal issues with your life. In that case it's unlikely that you will require long term medications, however genetic vunerability to psychiatric illness needs to be kept in mind and treatment depends on multiple other factors. So please consult your doctor and follow his complete advice or otherwise stop medicines and go to mode of treatment you trust. Lastly we as psychiatrist don't boast about our treatment, or say our treatment is best (as mentioned in one of other therapist comment below) we do have more than lakhs of success stories for our line of treatment. So choose wisely.  

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Dr. Shoeb KhanPsychiatrist5yrs exp

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If your are having anxiety due to the above mentioned circumstances, life long medication will not be required for you. Instead I would recommend learn a few relaxation exercises and consider consulting a psychologist to guide you through the patch.  

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Ms. Rachna MishraPsychologist10yrs exp

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1.Use Deep Breathing Deep breathing is another effective way to relieve stress and anxiety. It helps you with physical symptoms such as shallow breathing and rapid heart rate, and it also helps with controlling your thoughts. When you practice deep breathing, you're forced to take your thoughts off of whatever is causing you anxiety and to focus on the breathing technique that you are using. 2.Keep A Journal Journaling can be an effective way to deal with your anxiety and to find relief. It helps you to take all of the things that are rolling around in your head and get them out of your head and down on paper. Sometimes seeing the things that we're worried about on paper can help us to see that they're not as big of a deal as we thought they were. It can also help us to find solutions that we have been overlooking. 3.Hang Out With Friends If you're struggling with anxiety, sometimes the last thing that you want to do is go hang out with your friends. Even if it's an activity that you enjoy with people that you like, the thought of it can be stressful. Your brain already feels overwhelmed with things that you feel you need to figure out, and it can seem like a bad use of time to do something fun. 4. Exercise, Find What Works For You : You might be tired of hearing about how great exercise is for your health. But, the reason you hear about it so much is that there's no way around it. Exercise it's good for both your physical body and for your mind.Getting regular exercise has been proven to help you sleep better at night, clear your head, and boost your mood. It's a great way to use up all that pent-up energy that you have in a way that's going to benefit you in multiple areas of your life. 

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Mr. Saul PereiraPsychologist51yrs exp

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The medication you are on is good for depression with anxiety. Please don't change your dosage or stop medicines without the doctor's approval. You must combine medication with therapy. This is extremely important for your anxiety and depression. Life is full of problems as a norm. Any attempts to escape will never help: you must learn to face these problems every day with good success. The counselor will help you in this regard. I also strongly believe that every crisis offers an opportunity for change, if you seek it and grab the opportunity. Please meet with a counselor and work on your emotions, particularly anger and fear. Exercise is very important but you have to build on it developmentally. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend yoga classes etc. Watch sitcoms on tv or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in god to alleviate your sufferings. Don?t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard work must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be content with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.  

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