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Suggest Treatment For Severe Anxiety
Question: I have recently had an assessment with a mental health nurse. From the information I told her she has managed to conclude that she thinks my episodes are linked to anxiety, possibly triggered by emotionally difficult situations. She has said she wants me to investigate in either 1-1 anxiety management treatment or group anxiety management. She wants to speak to the person I had an assessment with last year from the Personality Disorder team and find out what he didn't suggest anything for me or refer me to anything. She wants me to see her colleague in 4-6 weeks time to review things and see how things are then.
I'm not sure if you got my previous message regarding me seeing a mental health nurse who has diagnosed me with episodes linked to anxiety possibly triggered by difficult situations involving difficult emotions. I have always thought my episodes are depression, but it now appears I am wrong and it is anxiety. I wonder what if anything you know about episodes connected to anxiety where it means the patient is unable to speak? What the other symptoms are other than unable to speak. She wants to speak to the doctor who is part of a PD team, because he didn't take e any further than an assessment. He basically told me I didn't meet the criteria for any treatment within the team and she wants to find out why I have been told this as I think she disagrees. She wants me to see her colleague in 3/4 weeks time to review how things are going then.
I'm not sure if you got my previous message regarding me seeing a mental health nurse who has diagnosed me with episodes linked to anxiety possibly triggered by difficult situations involving difficult emotions. I have always thought my episodes are depression, but it now appears I am wrong and it is anxiety. I wonder what if anything you know about episodes connected to anxiety where it means the patient is unable to speak? What the other symptoms are other than unable to speak. She wants to speak to the doctor who is part of a PD team, because he didn't take e any further than an assessment. He basically told me I didn't meet the criteria for any treatment within the team and she wants to find out why I have been told this as I think she disagrees. She wants me to see her colleague in 3/4 weeks time to review how things are going then.
Brief Answer:
Private Consultation
Detailed Answer:
Hello, and thank you so much for using my direct private service.
Borderline personality disorder (BPD), for which you may meet criteria, includes intense emotional states such as feeling depressed or feeling anxious. You likely feel both of these things, not just one or the other. BPD emotional intensity responds very well to psychotherapy, particularly well to a specific psychotherapy called DBT. Anxiety can cause one to be unable to speak. Associated symptoms consistent with anxiety include nervousness, sweaty palms, palpitations, difficulty breathing, ruminative thoughts, nausea, dizziness, and the like. This can be treated well with psychotherapy.
Dr. Sheppe
Private Consultation
Detailed Answer:
Hello, and thank you so much for using my direct private service.
Borderline personality disorder (BPD), for which you may meet criteria, includes intense emotional states such as feeling depressed or feeling anxious. You likely feel both of these things, not just one or the other. BPD emotional intensity responds very well to psychotherapy, particularly well to a specific psychotherapy called DBT. Anxiety can cause one to be unable to speak. Associated symptoms consistent with anxiety include nervousness, sweaty palms, palpitations, difficulty breathing, ruminative thoughts, nausea, dizziness, and the like. This can be treated well with psychotherapy.
Dr. Sheppe
Above answer was peer-reviewed by :
Dr. Yogesh D
i have always thought of the episodes I have as being linked to the depression, I never even considered/thought about the being linked to the anxiety. Now I am confused about which symptoms are linked to the anxiety and which are linked to the depression? I do see a regular counselor who I do CBT work with. Can I ask what exactly psychotherapy involves/what this therapy does. I work with a support worker who is part of a team called Support2Recovery, in terms of working with her, what do I do with the new information I have now been told?
Brief Answer:
Followup
Detailed Answer:
It doesn't really matter if these symptoms are caused by or defined as anxiety or depression, since they are treated the same way: with CBT. CBT works by examining automatic negative thoughts, recording them, thinking about if these thoughts are accurate or helpful, and if not, getting rid of them and therefore improving your mood and improving symptoms. Just continue doing what you are already doing with your therapist and you will feel better over time.
Dr. Sheppe
Followup
Detailed Answer:
It doesn't really matter if these symptoms are caused by or defined as anxiety or depression, since they are treated the same way: with CBT. CBT works by examining automatic negative thoughts, recording them, thinking about if these thoughts are accurate or helpful, and if not, getting rid of them and therefore improving your mood and improving symptoms. Just continue doing what you are already doing with your therapist and you will feel better over time.
Dr. Sheppe
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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