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Suggest Treatment For Anxiety And Depression

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Posted on Wed, 18 Jun 2014
Question: I have had anxiety and depression (mild) since a accident last year. From time to time wake up with weak and shaky arm and leg muscles. At 5:30 am I took a .25 Klonipin to get aback o sleep. When I woke up I was very shaky. Yesterday i did walk
about an hour plus.
doctor
Answered by Dr. Manisha Gopal (21 minutes later)
Brief Answer:
please start anti anxiety meds and therapy

Detailed Answer:
hello,
You had mild anxiety and depression since last year but now atleast the anxiety component is getting its grip over your neurons and becoming moderately severe.
So, you must take some meds for it.

drugs like paroxetine 12.5-25mg will be very helpful. You said that you developed side effects but have not mentioned any further details...

Many side effects of these meds wane with time or can be handled by food change.
You can also start therapy session and relaxation techniques to tide over this increasing anxiety. There will also help you to get well with low doses of medicine.
So, before the anxiety cripples you compketely- stop it by starting the anti anxiety drugs along with therapy.

You can always taper and stop the meds when you want to.

Hope the reply is useful.
Please feel free to ask more queries for clarification.

Dr. Manisha Gopal
MD Neuropsychiatry

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Gopal (25 minutes later)
From time to time why are the muscles of my arms and legs sore and shaky when
I wake up? It usually goes away as the day progresses
Is this related to anxiety? I can see why my legs might be sore as I walked about an hour yesterday, but I don't understand the arms. I took .25 Klonipin at 5:30 am this morning. Could that be a cause? That is the only medication I take. .25 to get back to sleep in the middle of the night. I have tried it for my anxiety symptoms but it leave me groggy and only lasts for about 3 hours. I have never had anxiety in my life only the situational anxiety (a plane in turbulence etc). This started after a series of accidents last XXXXXXX
I am seeing a Clinical Psychologist and a psychopharmacologist. I will see my Dr.
in two weeks to see if she can give me some medication for the anxiety. Both say my mild depression will go away in6-12 months. It has already been 8 months. Thanks you for your help.
doctor
Answered by Dr. Manisha Gopal (28 hours later)
Brief Answer:
start antianxiety drug and do relaxation exercise

Detailed Answer:
Hello,
Muscle of arm and legs can shake due to both exertion and anxiety put together...however, when there has been no exertion then most probably its anxiety only.
Anxiety state at all time can even lead to soreness in body- it is a common complaint.

You take clonopin on and off... is not very useful habit and after sometime your body will need more dosage ..its better that you meet a psychaitrist and start a proper anti anxiety medicine.
Drugs like sertraline or paroxetine will make you good in few days and will cure these shakes and soreness. You will also not need clonopin once you start getting better.

looks like your stressor had been a significant one - accidents last year...do continue with the therapy sessions.
You can also try JPMR- a deep realxation technique. You will find its video on internet. It is very helpful in anxiety disorder managment.

Dont worry, it is not a big problem but you should take a proper treatment now.

Wish you good health!

Dr. Manisha Gopal
MD psychiatry
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Manisha Gopal

Psychiatrist

Practicing since :2005

Answered : 947 Questions

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Suggest Treatment For Anxiety And Depression

Brief Answer: please start anti anxiety meds and therapy Detailed Answer: hello, You had mild anxiety and depression since last year but now atleast the anxiety component is getting its grip over your neurons and becoming moderately severe. So, you must take some meds for it. drugs like paroxetine 12.5-25mg will be very helpful. You said that you developed side effects but have not mentioned any further details... Many side effects of these meds wane with time or can be handled by food change. You can also start therapy session and relaxation techniques to tide over this increasing anxiety. There will also help you to get well with low doses of medicine. So, before the anxiety cripples you compketely- stop it by starting the anti anxiety drugs along with therapy. You can always taper and stop the meds when you want to. Hope the reply is useful. Please feel free to ask more queries for clarification. Dr. Manisha Gopal MD Neuropsychiatry