My psychiatrist once given me lorazepam 2 mg in night to reduce anxiety 0-0-1 (heart palpitation etc.) For a month then stop.(Although I am prescribed lithium carbonate 300 mg 1-1-1). After 2 years again I felt heart palpitation. Bt now this time lorazepam not giving results. What to do?
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Dear, psychiatric medications are not meant to get dependent on them. You may have got relief the first time in a month period and that is a good sign that your body had ability to recover fast. May be your anxiety was not complicated by factors which may be present now. This time if your anxiety is not getting controlled, its better either you visit another doctor or simply ask him to change medicines. If he doesn't do that, then its better you should try Cognitive Behavior Therapy (CBT) this time. It is a form of psychotherapy and targets symptoms of anxiety very well. There are several techniques in this form of therapy and step by step, in a short period of time, you may easily regulate your symptoms. That means, CBT is a form of therapy which makes you the master of your symptoms, rather than medicines. Medicinal treatment assumes that all symptoms of anxiety (or any other disorder) are due to changes in brain chemistry but ignores several other psychological factors which can be dealt only with psychotherapy. Your psychiatrist has put you on medical treatment which is generally the first line treatment for any patient but good psychiatrists always ask to get psychotherapy too. Relapse of symptoms that has happened with you may be dealt better with CBT rather than medicines. This time you MUST consider taking CBT from a good psychotherapist. Psychotherapists are Clinical Psychologists who are trained to provide different forms of psychotherapy. As I can read here, you are able to realize that your palpitations are triggered by stress or other things. This awareness is sufficient to work on cognitive and behavioral aspects of your anxiety. If anxiety gets controlled by medicines, its good, but it is always recommended to take CBT.
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