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Treatment for panic attacks - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   i am havng anxiety attacks help     
Doctor :   Hi
Doctor :   I am Dr. xxxx
User :   i had a very bad attack today its happening every alternate day
Doctor :   Ok
Doctor :   Are you under medication?
User :   i was suppose to goto movie with a friend and it happened on the way
User :   i am taking cloba 10 twice a day
Doctor :   Ok
Doctor :   Since when are you taking the medicine
User :   way should i do to avoid this permebabtely
User :   since 2-3 months
Doctor :   How many attacks since the start of th medicine?
User :   many
User :   started woth few no more frequent
Doctor :   Ok the medicine is not helpful
Doctor :   May be you should revise it with your doctor
Doctor :   The adjustment of the dose is important
User :   i js saw him yesterday he said tats the best nedicine to take
Doctor :   What symptoms do you have during an attacks
User :   and i had taken a cloba and gone to movie still it happened
Doctor :   Tell me the most frequent ones
User :   i feel very bad ,ghabrahat se hone lagte hai,feel weak, need to apply cream on body
Doctor :   which cream
User :   normal body lotion
User :   face and skin becomes dry
Doctor :   Ok
Doctor :   Dio you feel fine after its application
User :   no takes 3-4 hours of rest to become alright
User :   tats jst a apart of it
Doctor :   Ok
Doctor :   You should make a note of all the things that cause the attacks in you
User :   it jst happens theres no raeson
Doctor :   So in a month you will have wholesome number of things that cause
Doctor :   No it cannot happen all of a sudden with out factors
User :   thers no reason i was feeling pefectly fine whole day and it happened
Doctor :   Ok
User :   i have had 3 attacke sthsi week
Doctor :   You may be anxious or attacks are precipitated because of an overly demanding schedule, lack of exercise or sleep, pressure at home or work, or even from too much coffee
User :   none of these
User :   maybe due to over demanding schedule
Doctor :   Exercise?
User :   i do excercise
Doctor :   Sleep - 7 yrs
User :   sleep well
Doctor :   sorry hours
Doctor :   Ok
Doctor :   Do you make time each day for relaxation and fun?
Doctor :   Are you getting the emotional support you need?
User :   today w=i was going for fun only to watch a movie with frned
User :   yes i have tat
Doctor :   If you are ok, do not have any precipitants , Cognitive-behavioral therapy and exposure therapy are two effective anxiety disorder treatments.
User :   wats tat
Doctor :   meaning they focus on behavior rather than on underlying psychological conflicts or issues from the past
User :   no othng like tat
Doctor :   Did the doctor diagnose as Generalized anxiety disorder or panic disorder?
Doctor :   Any idea
User :   yes panic disorder
Doctor :   Are you seeing a Psychiatrist?
User :   yes
Doctor :   Ok Do you have fear for crowds or heights
Doctor :   Yes, panic attacks strike out of the blue, without any warning. Often, there is no clear reason for the attack.
Doctor :   Hi
User :   hi
Doctor :   Yes
Doctor :   Panic disorder has rptd and unexpected attacks
User :   yes
User :   how due u stop thm
Doctor :   The main reason is 'Fear of fear'
Doctor :   that is you fear about having an attack
Doctor :   You start having anticipatory anxiety
User :   but theres somethng frm health factor also
User :   i dont have any such fear
User :   its my health causing this
Doctor :   Ok
Doctor :   What is the health problem you have
User :   psycologically i dont see any ereason
User :   nothng
Doctor :   How much time each episode last?
User :   3-4 hours
User :   sometimes 2 hours
Doctor :   are you sure about it?
User :   yes
Doctor :   hello are you with me?
User :   yes sure
Doctor :   Panic attack develop abruptly and usually reach their peak within 10 minutes. Most panic attacks end within 20 to 30 minutes, and they rarely last more than an hour.
User :   thn i dont know i feel bad for 3-4 hours
User :   it must be anxiety thn
Doctor :   Ok what other symptoms do you have ?
User :   ghabrahat see hone lagte hai, feel very drwosy sleepy
User :   dryness
Doctor :   I think the diagnosis is to be checked once again
Doctor :   Any ways the Cognitive behaviour therapy is the best one
User :   wats tat
Doctor :   It helps you look at your fears in a more realistic light.
User :   how
User :   wat mdicine is best for this'
Doctor :   For example, if you had a panic attack while driving, what is the worst thing that would really happen?
Doctor :   While you might have to pull over to the side of the road, you are not likely to crash your car.
Doctor :   Once you learn that nothing truly disastrous is going to happen, the experience of panic becomes less terrifying.
Doctor :   So during the CBT, the various fear situations are mimicked
User :   it is more axiety i feel not panic attack
Doctor :   and they give you real picture that this is not a doom
Doctor :   Are you able to move well in the crowds?
User :   yes
Doctor :   Are you able to speak infront of people?
User :   yes
Doctor :   Do you have shyness?
User :   no
User :   am bold
Doctor :   Ok
Doctor :   I think you are having anxiety attacks
User :   wat medication should i tae tell me
User :   yes tats right
Doctor :   I feel that only medicine will not help you
User :   thn wat else
Doctor :   The medicine that you take
Doctor :   is good
Doctor :   It is antianxiety and commonly used
User :   thn
Doctor :   As said by me you need the Psychotherapy
User :   i take zapiz too whn not well
Doctor :   from a Psychologist
User :   what kind psychotherapy
Doctor :   That is what told you yet, it is called CBT
Doctor :   Cognitive therapy
Doctor :   If the attacks are so frequent
Doctor :   you have to consider thiis rather than wait
Doctor :   Hence see a different Psychiatrist, for second opinion
User :   ok
Doctor :   and then a Psychologist for a Cognitive therapy
Doctor :   This is the best way
Doctor :   from now
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