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Psychotherapy to treat schizophrenia and anxiety - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3479 Questions
User :   I want to chat with a psychaitrist. I want to know how to avoid panic attacks . Thanks
User :   Hi
Doctor :   Hi
User :   I face panic attacks...Could you please tell me steps which I can take to avoid that
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
User :   Ok ....
User :   Could you please tell me doctor
Doctor :   Sure
Doctor :  
Panic attacks as the name suggests
Doctor :  
is a acute presentation
Doctor :  
where in there are too many of unusualy symptoms
User :   Okie.......
Doctor :  
like vomiting, palpitations, insomnia, increased breaths
User :   I feel breathless & my facial expression changes
Doctor :   Yes

Doctor :  
It does happen
User :   I dont have other symptoms....
Doctor :   Ok
Doctor :  
Now since when is this happening?
User :   What can be done to get rid of this
User :   from last 6 yrs
User :   I'm avoiding social parties & get togethers because of this
User :   I'm schezophrenic too
Doctor :   Ok

Doctor :  
Are you on treatment?
User :   Yeah i'm on risperidone 4 mg & magnesium valproate
User :   I'm working too ...
Doctor :   Fine

User :   last 3 yrs I'm working as a s/w engineer
User :   but my panic attacks prevents me from leading a normal socaiol life
Doctor :   How frequent are these attacks?

User :   It happens suddenly ...
Doctor :  
Ok
User :   sometimes when I see group of people I get panicked.......
Doctor :  
Like how many times I mean whether daily/week/month?
User :   sometimes I see a colleage outside office may be in a mall i couldnt speak to him & feel breathless :(
Doctor :   Ok

User :   its not on such a basis ...may be weekly
Doctor :  
Ok
Doctor :  
Apart from medications are you taking any form of counselling?
User :   I 'm going to one of teh best counsellors in this locality but that too is not working ......
Doctor :   Ok

Doctor :  
You should indulge in positive thinking
Doctor :  
that is the core of it
Doctor :  
Are you doing some form of relaxation techniques?
User :   but positive thinking wont help me in avoiding panicking while I meet people naa
User :   yaeh I do Progressive muscle relaxation .....
Doctor :   Fine

Doctor :  
It need not help when you are facing people
User :   Yeah .......
Doctor :  
but it reduces the severity and the frequency as well
User :   How to get rid of deep-rooted fears ...
User :   Is any psychiatrist available
Doctor :   by that you gradually become aquainted

User :   I wud prefer to chat with a psychiatrist
Doctor :   Ok

Doctor :   But chat facility is available only with a General Practitioner
User :   Oh ....Okie :(
User :   thats sad .....
User :   Please tell me doctor how to get rid of deep-rooted fears .......
Doctor :   Right now you are being treated by a psychiatrist right?

User :   My lack of social skills are affecting my job & personal life
Doctor :   Ok

User :   Yeah I'm ...But he's just giving medicines...& even my counsellor is of not much use
Doctor :  
First thing which you should understand is that Schizophrenia is not a minor ailment
User :   I am not bothered about schizophrenia now as it can be controleled with medication
Doctor :  
and is not that easily treatable
Doctor :  
Now you working is really a good think
Doctor :  
'thing
User :   Ok
User :   My parents were very strict & those so I'm having fears from childhood....
User :   how to get rid of fear while meeting people
Doctor :   Ok

Doctor :  
There is a treatment called as CBT
Doctor :  
Cognitive Behavioural therapy
User :   Ok
Doctor :   It is a psychological treatment

User :   Is that effective
Doctor :  
wherein you shall be trained to think in the right manner
Doctor :  
It shall be targetting your intelligence
User :   Ok
User :   what about hypnosis ..will it be effective ?
Doctor :   Also do report to your Psychiatrist

Doctor :  
and ask him to change the medications
User :   Ok
User :   WIll hypnosis be effective ?
Doctor :   It is not a medically supported modality

Doctor :  
and so I cannot comment on that
User :   ok
Doctor :  
It is an unconventional treatment
Doctor :  
mostly used by quacks
User :   ok
User :   How to make mind strong ?
User :   Could U plz give me some suggestions ?
Doctor :   CBT is a good modality

Doctor :   Psychotherapy with a skilled mental health provider can help you learn ways to cope with the daily life challenges brought on by schizophrenia.

User :   ok
User :   I cant handle my day to day work stress & will be tired by the end of the day
Doctor :   Pay attention to warning signs
User :   Yeah ......
Doctor :   You might have identified things that may trigger schizophrenia symptoms, cause a relapse or prevent you from carrying out your daily activities
User :   Yeah I know now...
User :   I ahd it 3 times...& I've researched about it a lot .....
Doctor :   Ok

Doctor :  
Good that you are aware of it
User :   It's a difficult disease to deal with
Doctor :   Yes, I can understand that

Doctor :  
and you are doing pretty good now
Doctor :  
and can improvise
Doctor :  
Medications are the key for it
User :   but this side effects like panicking & other nervousness is the most difficult aprt to lead a normal life
Doctor :  
If you are not showing adequate response
Doctor :  
then it is good to change it
Doctor :   after consulting the Psychiatrist
Doctor :   Is there any thing else I can help you with?

User :   Nothing as such ........
User :   Thanks for ur time
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

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