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Psychotherapy and behavioural training for Anxiety disorders - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2009
Answered : 586 Questions
Doctor :   Hi
User :   Hi i been diagnosed with schizo affective disorder, borderline personality disorder and I also believe I have avoidant personality disorder due to the fact that I hate attending gatherings with a lot of people, strange people especially. I get very sick every time I have to leave my home for any reason. since i was a child i hated meeting new people. When I go to gatherings I have to drink alcohol just to relax myself. Why does this happen to me? I hate being rejected in any way. I will often sabotage relationships with people just to keep from being hurt. I will often act very cold towards people due to trust issues. I feel so sick all the time. i have migraines, nausea, heart palpitations, sweating, tremors, nervousness, I feel like I am going insane by the crazy feelings I always experience with the thought of leaving home. I love being home alone and keeping to myself.
Doctor :   hi
Doctor :   let me read your query
Doctor :   please give me a few minutes
Doctor :   This is a psychological state where in , while growing up, you might have had stranger anxiety, which has persisted even aftr childhood, as a result of various issues including experiences that were awkward with friends at school, relatives at home etc
Doctor :   once a young child developed them, and adopts a personality like that , it gets attachd to it
Doctor :   this can be corrected by proper behavioral training and psychotherapy
Doctor :   have you being seen by a psychiatrist ?
User :   yes for the last 7 yrs. I am on psycho tropic meds
Doctor :   ok
Doctor :   so have they being helpful ?
User :   why do I also have sexual orientation issues, I am a 40 tr old woman but wishes I was a man as well and often fantasizes about the same sex, but has never acted out on it. Is there a name for this type of thinking? And no It's not working
Doctor :   this is due to hormonal dysfunction and due to low estrogen levels
Doctor :   may i know what medications were prescribed ?
User :   I am currently on Zyprexa, cogentin, amitriptiline, gabapentin
Doctor :   do u have any other medical conditions like hypertension, neuropathy etc ?
User :   no
Doctor :   have you undergone any blood tests , including estrogen levels, testosterone levels, ?
User :   no
Doctor :   when was the last time you were sen by your doctor or psychiatrist ?
User :   3/1/11
Doctor :   ok, so it was recently
User :   yes
Doctor :   so what did the doctor tell you ?
Doctor :   what was the reason for it and what was done during that meet ?
User :   never asked them what I am asking you, was always to ask those type of questions in person that's why I am asking you
Doctor :   ok ,
Doctor :   so you were fearing to ask them? Is this right ?
User :   yes
Doctor :   are you being treated for depression by your doctors , by any chance ?
User :   yes I am
Doctor :   the diagnosis suggestd by you, needs counselling, one on one and are benficial when you have a doctor whom you trust and believe that he can help you out
Doctor :   in addition to this, exposure therapy and behavior therapy, is helpful here to change some aspects of your lifestyle
Doctor :   just medications do not work here
Doctor :   You have to be open to speak up , develop self confidence, and know that you need to be counted in among others
User :   yeah I know that, but I attend a clinic and there always in a rush to get you out the door so they can attend to the next patient, so maybe that's why I don't get a lot of benifit out of it. They give me meds and send me on my way, I don't get any one on one, but that is really what I would like
Doctor :   that is a wrong way, and they are not addressing your concerns
Doctor :   they are just giving you unwanted medications, and keeping you drugged
User :   I know they are not and your right
Doctor :   may i know your occupation , please ?
User :   I don't work and haven't worked since 2004, due to my issues
Doctor :   ok
Doctor :   what did you work as before 2004 ?
User :   I worked in a group home assisting adult patients who are mentally and physically challenged
Doctor :   ok,
Doctor :   so you worked with people whom you felt safe and knew that they would not reject you
Doctor :   this is a issue where in you think that other people aree important than yourself
User :   I never looked at it like that, but I guess your right and they always loved and appreciated me
Doctor :   i hope your query has been answered properly

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