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Suggest Treatment For Anxiety

Posted on Mon, 7 Apr 2014

Question: Hi doctor, Let me introduce first. I am from a middle class family in India. I am 29 years old single male. I worked as Quantity surveyor in KSA after my completion of my civil engineering course. Now I woking as online freelancer for a USA subcontractor from home. Also I am working to get a droppaper in degree. My problems are, Some times I am anxious about some diseases like hiv, rabies and heppetits etc. It attacks atleast once in most day. Some times i am fearing to move during power cut times in home due to rabies anxiaty. I heared somewhere from internet that even a small scratches cause infection from a cat or rat. Also I fear to travell in long due fear of needle stick from hotel bed , bus etc that may lead to hiv infection. Sometimes it takes my time as I canot do nothing. I am working all the time infront of a computer. Is that is cuase for this poblem. How can I escape from this.

Answered by Dr. Ashish Mittal (2 hours later)

Brief Answer: hi Detailed Answer: Hello Welcome to hcm. It is normal to have some health worry occasionally. But you appear to have excessive health anxiety, which is affecting your personal and professional life. This type of anxiety occurs in various anxiety disorders. For treatment with anti anxiety medicines and psychological treatment in form of cognitive behaviour therapy is helpful. For such treatment you can visit nearby psychiatrist and psychologist. Wish you good health.

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

Follow up: Dr. Ashish Mittal (29 minutes later)

Thank you doctor Can you just tell which category disorder this and what is the level. It cames after 18 years old. Before i dont have such feelings. As I told I am working lot of time infront of computer alone. Is that is the problem.

Answered by Dr. Ashish Mittal (18 hours later)

Brief Answer: Prolong Computer use do not cause this problem Detailed Answer: Hello again, Thanks for follow up. Symptoms you mentioned in your history, occur in anxiety disorder. In severity level it appear moderate level according to your history. Severity level also judged by degree of impairment in personal, professional and occupational life. This disorder usually start between 15 and 25 years of age. Common causes of such disorder: -Psychological causes: most common cause. It may occur with or without stressor in life. Most common biological explanation of such problem is impaired serotonin transmission in brain. -Vitamin deficiency: specially b1, b6 and b12. Healthy balance diet is beneficial. -Thyroid imbalance: You can get your thyroid profile (T3/T4/TSH) to rule it out. -Anemia Working in front of computer for long time does not cause this problem. But anxiety and fear of infection/social situation may lead to such life style, which I see in many patients. Both drug and non drug treatment like cognitive behaviour therapy (form of psychotherapy) are used for treatment. Choice of treatment depends on severity of symptoms, personal preference and availability of treatment. In drug treatment two types of medicine used. For immediate relief of anxiety/fear benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect. Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you. Wish you good health. Regards

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

Follow up: Dr. Ashish Mittal (2 days later)

I didn't get "But anxiety and fear of infection/social situation may lead to such life style, which I see in many patients." Thank you.

Answered by Dr. Ashish Mittal (23 hours later)

Brief Answer: Hi Detailed Answer: Hello XXXX Q: Meaning of "But anxiety and fear of infection/social situation may lead to such life style, which I see in many patients."? Ans: It means many patient have anxiety in social situation and excessive fear of infection. Due to that they adopt lifestyle (like in your case being at home and working on computers only) in which there is less social interaction and contact with others. It also reduces fear of infection. Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you. Wish you good health. Regards

Note: For further guidance on mental health, Click here.

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