Top Questions on Overcoming Anxiety and Stress

Dr. Col V C GoyalCCEBDM, PG Diploma In Clinical Cardiology, MBBS, Certificate Course In Rheumatology And Joint Disorders, Diploma In Community Mental HealthGeneral Physician

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1.no alcohol 2. Reduce body weight 3. No smoking/ tobacco/drugs/ avoid pollution 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice. Less salt. 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water 10 maintain oral hygiene medicine can not be advised for open question ,for medicine and further advise contact on private consults good luck. 

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Do meditation. Do not think that your friend is not happy after death. This living place is temporary for everyone. Every soul shall taste death. If nothing help you, proper medication would definitely help you. For online consultation, contact mobile. 

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Dr. Prof Jagadeesan M SMD - PsychiatryPsychiatrist

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You seem to be having anxiety disorder. Increase in bp is common in anxiety disorder. The medications nexito plus and zaptra are both ssris and work for anxiety, but ideally 2 different groups may be selected. I suggest you get a second opinion from an astute psychiatrist either in person or online. If bp continues to be more after control of anxiety, then we can consider medicine for hypertension. Good luck. 

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Dr. Prasanna DuggiralaPost Graduate Diploma in Clinical Nutrition & DieteticsDietitian/Nutritionist

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Hi lybrate-user, go with good amount of protein intake may be it made by soya, tofu ,or dals, milk products, egg also best option, along with few activities in underweight condition you hv to focus on others things also. Only protein intake not sufficient. Improve digestion capacity, hemoglobin and more. You can schedule an appointment with me for personalised meal plan. 

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Dr. Shreyasi PaulMBBS, DNB (Psychiatry)Psychiatrist

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The usual dose of clonil for management of ocd is 50 to 100 mg. We usually start with a low dose, and gradually increase it depending on the response. I suggest you consult a psychiatrist as you might need to up the dose of clonil. Feel free to contact for any further help. 

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Mr. Saul PereiraReparenting Technique, BA, BEd, Transactional AnalysisPsychologist

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Perhaps I have to repeat myself: don't ever self-medicate. These doses that you are taking and changing frequently must be approved or prescribed by the psychiatrist for your own safety and to gain the full benefits of the medicines. Clonil is an excellent prescription but you must adhere to the doctor's prescription. Ocd is a fear-based condition and for some reason, you have not been dealing with a childhood fear which has now developed into these repetitive adaptations to seem to need it for normal functioning. The behavior will then become based on magical thinking and certain rituals will become necessary to do normal things making you believe that either the frequency or the ritual is important to its success. This of course is a fallacy but there will come a time that even if told the truth, your belief will defy any logic and you will continue behaving like that even if it cripples you in your daily routines. It only appears as though some other force is behind these behaviors and that you are compelled to act in this fashion. That is obviously not true but no one can convince you of anything different. The obsession is a repeating thought pattern with no meaningful outcome, and the compulsiveness is the need to act on those obsessions also in a repeated behavior pattern as though you just cannot help yourself. This is all driven by fear and when you are frustrated with it, you will escalate anger over it. Doubt, insecurity, uncertainty, and lack of firm memory will all plague you and increase stress. There are certain behavioral techniques to be implemented and if they work you may get out of this condition rather easily. If that does not work as desired, then medication has to be introduced, and in combination with counseling much work can be achieved. 

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Dr. Ravi ParkashMd psychiatryPsychiatrist

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Hello lybrate-user currently you are taking ssri (paroxetine) and all ssri are notorious to cuse gastric side effect if you have already digestion first thing you need to do is change your medication which is safer. Gastric upset is very common if someone has anxiety issues, so first, you need to manage your anxiety through proper medications and regular meditation proper food feel free to contact for further help. 

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Dr. R.N.ChaturvediPhD - PsychologyPsychologist

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You need only psychological counseling and psychological autosuggestion therapy through the online process for three weeks without any medication for the removal of your psychological problems of anxiety disorder. You can contact me for this on Lybrate website or direct contact me for this on mobile. 

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Ms. Rajeshwari MurlidharanMSc Organisational Psychiatry & PsychologyPsychologist

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Hi. Please consult with your doctor before stopping the medication. The dosage should be tapered according to your symptoms. Also consult with a psychologist to help you manage your symptoms without medicines in the long run. It will help prevent relapse and maintain your wellbeing. 

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Dr. Shreyasi PaulMBBS, DNB (Psychiatry)Psychiatrist

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Your doubt is extremely valid as benzodiazepines have high addiction potential. Of the two, toficalm causes less dependence but I would advise you consult your psychiatrist for any change of medicine. 

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