Anxiety And Panic Disorder

Mr. Syed Tahir RufaiDiploma - Guidance & Councelling, Masters in Psychology - Clinical and Abnormal, Bachelors in Psychology, OKR Certified, International Leader ship and Goal setting, Masters in PsychologyPsychologist

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The adjustment phase when starting a new medication can vary from person to person. Generally, side effects like drowsiness and changes in mood may occur in the initial weeks as your body adapts to the medication. For most people, these side effects tend to lessen over time. In the case of stalopam (escitalopram), which is an ssri (selective serotonin reuptake inhibitor) commonly prescribed for anxiety and panic disorders, side effects often improve within the first few weeks. However, everyone's response to medication is unique. If you're experiencing persistent drowsiness and feelings of sadness or depression, it's essential to communicate these concerns with your prescribing doctor as soon as possible. They may adjust your dosage, consider alternative medications, or offer additional support based on your individual needs. It's positive that you've noticed a reduction in panic attacks and anxiety, but it's equally important to address any unwanted side effects that may be impacting your overall well-being. Open communication with your doctor is key to finding the right balance between symptom relief and minimizing side effects. Keep in mind that sudden discontinuation of medication or changes in dosage without consulting your doctor can lead to withdrawal symptoms or a return of symptoms. Your healthcare provider will guide you through the adjustment process and make informed decisions based on your feedback and their assessment of your situation. 

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Dr. Rangadhar SatapathyBHMS, MD - HomeopathyHomeopathy Doctor

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The symptoms described for the 48-year-old individual, including dizziness, temporary darkness in front of the eyes, and an episode of falling, coupled with a retinal condition involving water (which might be indicative of some form of retinopathy or macular edema), suggest several potential medical conditions that need to be thoroughly evaluated by healthcare professionals. It's important to note that without a complete medical examination, including history, physical examination, and appropriate diagnostic tests, it's impossible to diagnose the condition accurately. However, I can provide some possibilities: orthostatic hypotension: this is a form of low blood pressure that happens when you stand up from sitting or lying down. It can cause dizziness and fainting. Vestibular disorders: issues with the inner ear and balance mechanisms can cause dizziness and a sensation of the environment spinning or moving. Transient ischemic attack (tia) or minor stroke: temporary blockage of blood flow to the brain can cause symptoms like dizziness, vision changes, and balance problems. Cardiac conditions: irregular heart rhythms or other heart issues can lead to reduced blood flow to the brain, causing dizziness and fainting. Retinal conditions: the mentioned 'water in retina' condition could be central serous retinopathy or another form of retinal detachment or edema. These can cause visual symptoms, but they are usually not directly associated with dizziness unless there's a broader underlying condition. Neurological disorders: various neurological issues can lead to dizziness and vision problems. Dehydration or electrolyte imbalance: sometimes, dehydration or imbalances in electrolytes can cause these symptoms. Anxiety or panic attacks: these can also manifest physically with symptoms like dizziness and altered vision, though they are typically accompanied by feelings of extreme anxiety. Given the recurrent nature of these episodes and the seriousness of potential underlying causes, it's crucial for this individual to seek further medical evaluation. This should ideally include a thorough cardiovascular examination, neurological assessment, and potentially, a referral to an ophthalmologist for the retinal issue. Diagnostic tests might include blood tests, ecg, echocardiogram, holter monitoring, mri or ct scan of the brain, and a detailed eye examination. 

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Dr. Sushil Kumar SompurMBBS, MD - Psychiatry, MBA - HealthcarePsychiatrist

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It's important to discuss any concerns about medication, especially when it involves managing a condition like ocd (obsessive-compulsive disorder). Here's some general information about the medicines you mentioned: fluvoxin (fluvoxamine): this is a selective serotonin reuptake inhibitor (ssri) commonly used to treat ocd. Ssris are often the first line of treatment for this condition. Restyl (alprazolam): this is a benzodiazepine, a type of medication typically used for anxiety or panic disorders. It can be effective for short-term relief of anxiety symptoms. Regarding taking these medications together: combination therapy: fluvoxamine and alprazolam can be used together in certain circumstances. However, this combination needs to be monitored closely by a healthcare professional due to potential interactions and side effects. Potential interactions: fluvoxamine can increase the concentration of alprazolam in the blood, which may increase the risk of side effects such as drowsiness, dizziness, and impaired coordination. This is particularly important to consider if you are taking these medications during the day when you may need to be alert. Dosage and timing: the dosage and timing of these medications can be crucial. They must be tailored to your specific needs and health situation. Monitoring for side effects: when combining these medications, close monitoring for side effects and interactions is necessary. This is especially important for starting a new medicine or changing doses. Long-term use of benzodiazepines: it's also worth noting that benzodiazepines are generally recommended for short-term use due to risks of dependence, tolerance, and withdrawal issues. In conclusion, while it's possible to take restyl (alprazolam) and fluvoxin (fluvoxamine) together, it should only be done under the guidance and supervision of a healthcare provider. They can provide the best advice tailored to your health needs and circumstances. Always consult with your doctor before making any changes to your medication regimen. 

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Dr. G.R. AgrawalDHMS (Hons.)Homeopathy Doctor

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Hi, lybrate user, •Aging factor followed by depression, anxiety, panic disorder and obesity might risk of errectile disfunction and premature ejaculation. •Go for meditation to reduce your stress to nourish your body including reproductive organs regulating blood  flow to penis to ease errectile disfunction. •Tk, Aloe Vera  juice,pomegranate juice , Banana ,water melon, apples, almonds, wallnuts and milk  inorder to improve testosterone level and to regulate blood flow towards penis increasing errection and libido. •Go for aerobics excercise, regulating blood circulation to your penile arteries to ease your distress. •Maintain, blood sugar and BP level in control. •Consult ,privetly for a faster recovery , till , then ,take,homoeopathic medicine ,underlying: @ Agnus cast Q-10 drops ,thrice with 2tsfl of normal water. •Avoid,junk food, alcohol and Nicotine. •Tk, care. 

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Dr. Prof Jagadeesan M SMD - PsychiatryPsychiatrist

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Etilaam pro contains etizolam and propranolol, which act on the symptoms of anxiety (mild) and do not modify the cause of panic attacks, which is serotnergic imbalance in the mind (brain). So ideal treatment based on the frequency of panic attacks would be a course of ssris if they are very frequent. If they occur once in 3-6 month or so, clonazepam is ideal choice. Good luck. 

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Dr. G.R. AgrawalDHMS (Hons.)Homeopathy Doctor

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Hi, Lybrate user, you need to opt certain natural norms to overcome your depression and panic disorder ,permanently apart from medication.•go for a walk in the morning to regulate your blood circulation to clam your nerve to check your depression. •go for meditation to reduce your stress to inculcate a strong person from within to fight your depression and panic disorder. •be possitive, think possitive and act possitively. •your diet be easily digestible on time to avoid gastric diosrder that triggers mental fag, often. You need a private consultation for a better and faster recovery, till, then, take, homoeopathic medicine, underlying, please. @ ignatia 200-5 drops, thrice. •avoid, junk food, alcohol, nicotine. Tk, care. 

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Dr. N S S GauriBachelor of Unani Medicine and Surgery (B.U.M.S)Unani Specialist

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Follow these herbal combinations for complete cure brahmi vati 1 tablet twice a day shambook avleh 10 gm twice a day. 

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Dr. Simran SharmaTransactional Analysis, Certificate in Personal Counseling (CPC), Diploma in Counselling Psychology, Master of Arts - Industrial Psychology, Bachelor of Arts - Applied Psychology HonsPsychologist

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Hi lybrate-user, seeking counseling in addition to medications can be highly beneficial for more effective results in managing your anxiety, depression, panic attacks, and sleep problems. Combining therapy with medication can provide you with a holistic approach to addressing your mental health challenges and help you work on underlying issues and coping strategies. It's important to collaborate with a mental health professional to determine the best treatment plan tailored to your specific needs. You can reach out to me for personal online sessions. 

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Dr. R.N.ChaturvediPhD - PsychologyPsychologist

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Your psychological problems of panic disorder can be removed by psychological counseling and psychological autosuggestion therapy through the online process for three weeks without any medication. You can contact me for this on Lybrate website or direct contact me for this on mobile. Thank you. 

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Dr. P K SukumaranMBBS, DPM (Psychiatry)Psychiatrist

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You are having OCD Stop washing too much Make it sure Flunil 20mg Increase to 60mg by adding 20mg every two days 2. Educate yourself about OCD: Understanding the nature of OCD can help you gain insight into your own experiences and reduce any feelings of shame or guilt. Learn about common OCD symptoms, triggers, and treatment options to empower yourself with knowledge. 3. Practice self-compassion: Remember that OCD is not your fault, and you are not alone in your struggles. Be kind to yourself and practice self-compassion. Avoid self-blame and negative self-talk, as these can exacerbate anxiety and OCD symptoms. 4. Follow a structured treatment plan: Work closely with your mental health professional to develop a personalized treatment plan. This may include therapy (such as cognitive-behavioral therapy or exposure and response prevention therapy) and medication, if recommended. Consistency and commitment to the treatment plan are key. 5. Practice exposure and response prevention (ERP): ERP is a specific type of therapy often used to treat OCD. It involves gradually exposing yourself to anxiety-provoking situations or triggers and then resisting the urge to engage in compulsive behaviors. Over time, this can help reduce the anxiety associated with your obsessions. 6. Establish a support system: Connect with others who understand your struggles. Consider joining a support group, either in person or online, where you can share experiences, gain support, and learn from others facing similar challenges. 7. Manage stress: Stress can exacerbate OCD symptoms, so it's important to prioritize stress management in your life. Engage in activities that help you relax and unwind, such as exercise, meditation, deep breathing exercises, or engaging in hobbies you enjoy. 8. Maintain a healthy lifestyle: A balanced diet, regular exercise, and sufficient sleep can contribute to your overall well-being and help manage OCD symptoms. Take care of your physical health as it can have a positive impact on your mental health. 9. Challenge your OCD thoughts: Learn to question and challenge the obsessive thoughts that fuel your OCD. Recognize that these thoughts are not necessarily reflective of reality and try to replace them with more rational and balanced thinking patterns. 10. Be patient and persistent: Recovery from OCD takes time and effort. Be patient with yourself and acknowledge that setbacks are a normal part of the process. Keep working on your treatment goals and celebrate small victories along the way. 

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