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Suggest treatment for anxiety - Online Doctor Chats

Date : 12-Apr-2014
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:I have questions about handling anxiety
Doctor:How can I help you?
Doctor:Hey there, what can I help you with regard to anxiety issues?
User:I realize it is long past time for me to see a doctor, but I am far too anxious to keep an apot
Doctor:OK, what happens when it comes time to see someone?
User:I make the appt and always cancel. My stress level is too high. Logically, I realize the importance but just can't do it
Doctor:Alrighty. I understand. First things first. You've got to understand that you are not alone in this
Doctor:Fear of going to a doctor is a very very common issue
Doctor:What happens to you? Do you get physical symptoms? (like sweating and shakiness) Or is your ind running around in circles and you talk yourself out of it?
User:I do, but I am embarrassed about my anxiety. There is no logical reason for it.
User:Yes I know what a panic attack is , but really only experienced them on airplanes. My mind races and I can't think straight
Doctor:Ohh, if only we were logical creatures. But we aren't. Our brain is wired on the idea of survival and fear is a response to that
User:I've tried everything but nothing works
Doctor:You can beat your brain back by refusing to listen to it.
Doctor:You must first learn that worry is a habit with a neurobiological underpinning. Then apply relaxation to counteract the tension that is building up.
Doctor:This ‘Don’t Listen’ method decreases the tension by combining a decision to ignore the voice of worry with a cue for the relaxation state.
Doctor:To stop listening to the command to worry, you can say to yourself: “Its just my anxious brain firing wrong”. This is the cue to begin relaxation breathing which will stop the physical sensations of dread that trigger the radar.
User:I've read books, listened to tapes, exercised, yoga, meditation but can't get the courage
Doctor:It isn't a lack of courage.. Don't blame yourself! It takes courage to even understand the problem and admit that something is wrong.
Doctor:There are tons of people walking around with extreme anxiety who refuse to even believe that something is wrong. They may even never leave the house
User:I am pretty sensible and I get this is a problem. My brain tells me all this panic is nonsense, but I worry this is getting out of control at this point
Doctor:So you've tried things like deep breathing exercises?
User:Oh yes and it does help. In the moment , it's better but I still can't get to a doctor. My husband told me all he wanted for our anniversary was for me to start seeing a doctor and I couldn't do it.
Doctor:I'm sure you are aware that you haven't failed your husband. This is an ORGANIC problem. Anxiety is governed by neurotransmitters in the brain.
Doctor:You've got a disorder there.. Just has if someone had a hormone problem or something like that
Doctor:I don't know if you've tried this technique before.. but have you ever heard of something called "resistance breathing"?
Doctor:it lowers your heart rate and decreases serotonin levels.. (the anxiety neurotransmitter)
User:I have read that as well. I do know that anxiety got much worse after menopause. Another reason I am probably afraid is that I started sneak smoking in 2008 after quitting for 25 years. My son was critically ill and it helped a lot. I don't do it much, but if my husband knew, he would be so upset. He absolutely hates it and he is riight!
Doctor:Agreed. it's a crutch against anxiety.. i'm not at all for it in general.. but do you think if you smoked a cig on your way to your appointment... that you'd make it there? The sacrifice would be worth it then. At least in my mind.
User:I'm kind of a do the right thing person and I hate not being able to do the right think. Are there doctors that specialize in helping people who are afraid to seek help?
Doctor:You could have a therapist come home if you like I know that there are psychotherapists who do house visits. They are NOT doctors.. but they are very very good at what they do
User:I would be totally embarrassed to tell a doctor that I sneak cigarettes!!
Doctor:What if i told you i'm a doctor and I sneak cigs. My mom hates them.. so I never told her i smoke.
User:That actually makes me feel better:)
Doctor:We are all human.. a doctor knows that (or should know that) better than most
Doctor:Thats me
User:My friend recently told her doctor that she smoked and he screamed at her
Doctor:Well. that's not very nice
User:Does your organization give referrals ?
Doctor:Unfortunately not. See we're all the way over in India and we can't refer people outside of this country
User:My time is running out. What's your best advice?
Doctor:Could always ask you to come here. :-)
Doctor:Don't think the plane ride would be a nice thing to put you through though
Doctor:Deep breathing exercises and calling a therapist to your home
Doctor:That's the best I can think of at the moment
User:Ok thanks
Doctor:Take care
Doctor:Hope I helped!
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