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Suggest Treatment For Severe Panic Attacks

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Posted on Fri, 27 Mar 2015
Question: need home care, nurse , a befriender, companion and a advocate please who will fight my corner, listen, act ways want, loyal there for me on my side understanding and caring. I am 28 and Live in Sheffield S6 I not been out for over a year ,y panic attacks worse. You cant phone me phones broken

Find a Way never to pass away , To get Health sorted , 2 pages of things like to do once things sorted, to see XXXXXXX gynaecologist as friends mother questions, Nurse same things want as with XXXXXXX help get phones, prescriptions post things, do things around the home, talk to me be there for me.

May like to volunteer e.g. hospital or somewhere but need to know not catch anything and need to sort things out with XXXXXXX etc first.
panic attacks etc worse cry not been out over a year A company I spoke to called team 24 said from that information they suggest a carer but they have no one available in my area. I may have rang you before but my phones broken now about arranging an assessment and get the support I need and so deserve. I prefer a female.
If you would like to know more info please don't hesitate to ask there is a lot of info
Hope you understand what has to happen needs to be and need support all the way
I feel gynaecologist has feelings for me say about adopt me cry about me call me honey darling sweetie and em and touched my knees legs things and shoulders and stroked my hair head and the nurse called me sweetheart and love and touched my chest demonstrating a tree or something. Got asked if have a friend or care worker get meds no I assume they busy.
I have feelings I worry about them when told me they inhaled my inhaler etc and I have lots questions neverending I feel hated so much]

What is peer reviewed?
doctor
Answered by Dr. Srikanth Reddy (7 hours later)
Brief Answer:
Panic attacks need to be treated well.

Detailed Answer:
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
The condition that you are having is basically panic attacks. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. especially serotonin, nor adrenaline, and dopamine to some extent. Medicines are the best options to take care of these symptoms. Paroxetine is the the most popular medicine and my drug of choice. I generally prescribe my patients 12.5 mg per day at night which takes care of anxiety symptoms. Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear.
Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.
Further regarding the appointment of a nurse you may either contact your GP or put up an add in the newspaper and have some interviews and hire somebody for your help.
Also you may consider requesting for a pet as pets can be very relaxing and pet therapy is soon picking up among people who need some good companion.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy
                                                                                                                                                                                                                                                                                                                                               
Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.

Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Srikanth Reddy (43 minutes later)
Thanks fir understanding going through means a lot. I am in pain cough and pain head to toe 247 as you know a lot of medical conditions. Glad you understand what I am going through and about the nurse and the gynaecologist must have feelings and need them in my life and to go through questions never ending and get hug kiss etc. Same with carers, befriender assume same as companionship, advocate etc and about need health sorting out and about finding a way so never pass away ever means a lot. Thanks for not judging me means a lot. Glad you can see I need help with all those things I ant and to help succeed. I am lonely and need hugs too to feel better about myself and I also need professionals to fill in my positive book about me some do GP'S think I should do it but college I used to go to and other health professionals etc did it so I need them to do it. I think help me more than if I just do it.
1) What do you mean by basically?
2) If anxiety and panic are the same thing? attacks mean?
3) Mean by imbalance and certain neurotransmitters?
4) Mean by especially and serotonin, nor adrenalin, Dopamine, and to some extent?
5) Mean by symptoms?
6) Mean by Paroxetine is the the most popular medicine and my drug of choice. What about?
7) Mean about anxiety symptoms takes care of and generally?
8) Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear. Mean by certain meds and the ones mentioned? and panic episode or expected situation can appear?
9) Is it ok I thanked you before please?
10) I got told CBT could work for me. Someone told me made them worse.
11) If there is a difference between psychologist and psychotherapist and psychiatrist?
12) Are all the ones you told me about anti depressants? if can take more than one type?
13) identifies impaired cognitions (Thoughts) and try to correct them what does this mean? I used to see an IAPT worker and saw them 8- 10 sessions I think but maybe an hour at a time sometimes waited weeks for appointments in between and did homework which I found hard. I did confidence courses etc but made me worse. At the IAPT they asked me my favourite colour and didn't give me chance to answer and kept asking me and said can you see how annoying that is. Made me feel rubbish. I forget things and don't understand some things. Mean by illness?
14) As you know I have a nurse already but i saw her last week and before that didn't see her for over a year. I assume you mean get one who does chores etc didn't know do but heard could. Looked agencies but don't understand them and about tax insurance etc not sure about how do newspaper interviews etc. Sounds like a lot of stress and don't think can do it. Don't know mean by hire but sounds complicated.
15) Also you may consider requesting for a pet as pets can be very relaxing and pet therapy is soon picking up among people who need some good companion. Where i am not allowed pets maybe a fish, hamster that's about it. I had a dog who passed away feel with me all the time. Mean by pet therapy? picking up among people companion? I cried this part of the message too.
16) In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy mean by this? how click on it?
17) On here i spoke to a obs gyni and sent them lists questions didn't find helpful answers gave she told me to contact a psychiatrist on here if ok with you if can send you please?
18) I have pages and pages info more detailed going through if can send you please?
19) Mean by peer review?
20) Mean by treatment/? well?
doctor
Answered by Dr. Srikanth Reddy (15 hours later)
Brief Answer:
Trying to help you

Detailed Answer:
Hello
I am tryong to help you with our queries:
1) What do you mean by basically?
Basically means talking about basic things
2) If anxiety and panic are the same thing? attacks mean?
Panic is a type of anxiety disorder and the episode of panic is called as a panic attack.
3) Mean by imbalance and certain neurotransmitters?
Imbalance means the basic balance is disturbed. Neurotransmitters are brain chemicals
4) Mean by especially and serotonin, nor adrenalin, Dopamine, and to some extent?
These are the names of the neurotransmitters
5) Mean by symptoms?
Symptoms are the complains that you have
6) Mean by Paroxetine is the the most popular medicine and my drug of choice. What about?
Means it id used very frequently
7) Mean about anxiety symptoms takes care of and generally?
Means they can be treated
8) Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear. Mean by certain meds and the ones mentioned? and panic episode or expected situation can appear?
It means that they can be taken when required on a "as required " basis.
9) Is it ok I thanked you before please?
Its perfectly fine
10) I got told CBT could work for me. Someone told me made them worse.
Yes, it will help you.
11) If there is a difference between psychologist and psychotherapist and psychiatrist?
Psychiatrist are medical doctors with specialization in psychiatry and psychologist are not medical doctor and trained in psychotherapy.
12) Are all the ones you told me about anti depressants? if can take more than one type?
Yes you may take more than one type. The mentioned names are antidepressants ad well as anti-anxiety drugs.
13) 13) identifies impaired cognitions (Thoughts) and try to correct them what does this mean? I used to see an IAPT worker and saw them 8- 10 sessions I think but maybe an hour at a time sometimes waited weeks for appointments in between and did homework which I found hard. I did confidence courses etc but made me worse. At the IAPT they asked me my favourite colour and didn't give me chance to answer and kept asking me and said can you see how annoying that is. Made me feel rubbish. I forget things and don't understand some things. Mean by illness?
It requires patience and they have it, Dont feel it awkward and be a part ofthe treatment.
14) As you know I have a nurse already but i saw her last week and before that didn't see her for over a year. I assume you mean get one who does chores etc didn't know do but heard could. Looked agencies but don't understand them and about tax insurance etc not sure about how do newspaper interviews etc. Sounds like a lot of stress and don't think can do it. Don't know mean by hire but sounds complicated.
Hire means, paying for the services. If you get it thorugh your insurance, its well and fine or else you can hire her privately. The law of land varies from country to country,
15) Also you may consider requesting for a pet as pets can be very relaxing and pet therapy is soon picking up among people who need some good companion. Where i am not allowed pets maybe a fish, hamster that's about it. I had a dog who passed away feel with me all the time. Mean by pet therapy? picking up among people companion? I cried this part of the message too.
Yes, pet therapy is a companion therapy. Discuss about this with your doctor.
16) In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy mean by this? how click on it?
You may paste this link if you are not able to click on this link.
17) On here i spoke to a obs gyni and sent them lists questions didn't find helpful answers gave she told me to contact a psychiatrist on here if ok with you if can send you please?
Madam I would like to advice to meet your psychiatrist face to face.
18) I have pages and pages info more detailed going through if can send you please?
Madam I would like to advice to meet your psychiatrist face to face.
19) Mean by peer review? Means the doctors are discussing your probelms
20) Mean by treatment/? well? Treatment implies taking medicine to get well.
Regards
Dr. Srikanth
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Srikanth Reddy (46 minutes later)
1) So you understand about the positive book too and needs doing by others too?
2) So basic you mean easy / simple?
3) What is a disorder?
4) Are there more types of anxiety as well as panic e.g. frightened scared?
5) If anxiety panic attacks depression clinical medical and if anyone gets them not necessarily clinical?
6) Mean by episode and panic and attack? if same anxiety episode and attack?
7) Mean by basic balance and disturbed?
8) Mean by brain chemicals?
9) Mean by certain medicine?
10) Mean by as required?
11) when there is a panic episode or expected situation where panic attack can appear. What does that mean?
12) What happens if have them all the time?
13) What does required on a "as required " basis mean?

Thanks for saying fine to thank you and got your approval what I want, what has happened and what needs to happen thanks means a lot and especially coming from a medical professional means a lot.

14) How will CBT help me?
15) If relapse?
16) Can psychiatrist give out medicines or go to GP?
17) antidepressants as well as anti-anxiety drugs. If difference between anti anxiety and anti depressants? if sleeping tablets? if all drugs and mean?
18) It requires patience and they have it, Dont feel it awkward and be a part ofthe treatment. What does this mean/? what does illness mean?
19) Hire means, paying for the services. If you get it thorugh your insurance, its well and fine or else you can hire her privately. The law of land varies from country to country, What does this mean? Don understand hire , insure etc?
Not sure if need health insurance for anything, for, why, how works, jobs differ in Practice, at home etc whether from GP'S or home care nurses? Assume can have mixture and if do same sort of jobs? just sounds so hard.
20) Yes, pet therapy is a companion therapy. Discuss about this with your doctor.
Assume can talk about with nurse, practice manager I get on better with them? Assume can discuss dance therapy , movement too?
21) Assume theraupeutic means what would help me and not necessarily from a therapist e.g. hugs told you about and need off those people and would help me feel loved, special wanted, cared for and combat lonliness. I also heard it is good for people with depression etc?
22) Sorry I am confused OBS Gyni on here said to me to tell you list of questions. I thought only she would know as said but she told me to go to you and that you would clear up my doubts? I dont have a psychiatrist.
18) Want you to know more detailed versions please?
19) Means the doctors are discussing your problems you said about DRS discuss problems so not just you? other psychiatrists? how many? how work? if keep records? if need any records from me etc?
20) Treatment implies taking medicine to get well. Mean by implies? treatment? if can do without them e.g. foods bananas turkey heard help depression not sure how? If take for so long and weene off and go in others like with any medications and mean/?
21) Regards means?
doctor
Answered by Dr. Srikanth Reddy (1 hour later)
Brief Answer:
Meeting somebody personally would be a better

Detailed Answer:
Hello
Thanks for the follow-up query.
Madam, I have gone through your follow-up questions and many of them deal with the "English Language" rather than the psychiatry. I tried to explain you the concepts in the best possible and easiest possible ways in english. I would request you that you make our conversation be read by some of your friend / colleague who can then make you understand the concepts. They are not that difficult like for example your question No. 19 states : "What does required on a "as required " basis mean?". It simply means whenever required. Like Q.No.8 "Mean by brain chemicals?" It simply means chemicals in the brain.
So probably any lay person around you can explain you the concepts ones he/she goes through our conversation.
Still if you have a couple of doubts, I can help you with it.
Kind regards
Dr. Srikanth Reddy MD
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Srikanth Reddy (55 minutes later)
1) So you understand about the positive book too and needs doing by others too?
2) So basic you mean easy / simple?
3) What is a disorder?
4) Are there more types of anxiety as well as panic e.g. frightened scared?
5) If anxiety panic attacks depression clinical medical and if anyone gets them not necessarily clinical?
6) Mean by episode and panic and attack? if same anxiety episode and attack?
7) Mean by basic balance and disturbed?
8) Mean by brain chemicals?
9) Mean by certain medicine?
10) Mean by as required?
11) when there is a panic episode or expected situation where panic attack can appear. What does that mean?
12) What happens if have them all the time?
13) What does required on a "as required " basis mean?

Thanks for saying fine to thank you and got your approval what I want, what has happened and what needs to happen thanks means a lot and especially coming from a medical professional means a lot.

14) How will CBT help me?
15) If relapse?
16) Can psychiatrist give out medicines or go to GP?
17) antidepressants as well as anti-anxiety drugs. If difference between anti anxiety and anti depressants? if sleeping tablets? if all drugs and mean?
18) It requires patience and they have it, Dont feel it awkward and be a part ofthe treatment. What does this mean/? what does illness mean?
19) Hire means, paying for the services. If you get it thorugh your insurance, its well and fine or else you can hire her privately. The law of land varies from country to country, What does this mean? Don understand hire , insure etc?
Not sure if need health insurance for anything, for, why, how works, jobs differ in Practice, at home etc whether from GP'S or home care nurses? Assume can have mixture and if do same sort of jobs? just sounds so hard.
20) Yes, pet therapy is a companion therapy. Discuss about this with your doctor.
Assume can talk about with nurse, practice manager I get on better with them? Assume can discuss dance therapy , movement too?
21) Assume theraupeutic means what would help me and not necessarily from a therapist e.g. hugs told you about and need off those people and would help me feel loved, special wanted, cared for and combat lonliness. I also heard it is good for people with depression etc?
22) Sorry I am confused OBS Gyni on here said to me to tell you list of questions. I thought only she would know as said but she told me to go to you and that you would clear up my doubts? I dont have a psychiatrist.
18) Want you to know more detailed versions please?
19) Means the doctors are discussing your problems you said about DRS discuss problems so not just you? other psychiatrists? how many? how work? if keep records? if need any records from me etc?
20) Treatment implies taking medicine to get well. Mean by implies? treatment? if can do without them e.g. foods bananas turkey heard help depression not sure how? If take for so long and weene off and go in others like with any medications and mean/?
21) Regards means?
22) What do you mean by many English Language than psychiatry? I need to understand psychiatry etc and that is why I am asking?
23) Mean by concept? you not answered them all and don't understand a lot of them?
24) I will send the conversation to the practice manager at GP'S etc. I am not sure if called colleagues as well as you know what I want and needs to be bit of everything. I don't see many people. I am on my own a lot. I also have trouble remembering even when got told or not get and forget.
25) They are difficult to me. I am thick and stupid. I am only good at screwing things up.
26) I don't know as required means and I know brain chemicals means chemicals in the brain but not sure what are in food, in body, in brain, names, how works, how gets in their, released if about feel good hormones chemicals, if same thing etc?
27) Some only you know the answer too e.g. can I send you information that I got told on here I can etc?
28) Mean by any lay person?
29) I have loads of doubts
26)
doctor
Answered by Dr. Srikanth Reddy (23 minutes later)
Brief Answer:
Meet you neighbor/sibling/friend

Detailed Answer:
Hello
I request you to meet your Neighbour/Sibling/Friend and show him/her the conversation which we had.
Regarding the link:
You may copy and paste the below mentioned link in your browser window to get back to me:

bit.ly/dr-srikanth-reddy

Thanks,
Dr. Srikanth Reddy
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Srikanth Reddy (19 minutes later)
Don't speak to neighbours unless say hi as pass and dont speak to my family if up to me and friend said about nurse practice manager etc which you understood
A lot of people judge me. Feel laughed at
1) What do you mean by copy paste and into browser window? get back to you?
2) Mean by request?
3) Neighbours mean?
4) So you understood need positive book writing in and about hug what said about?
5) I thought you said if I had any doubts you would help me and someone one on here said you would help me and I can send you questions so I am confused I am really upset having panic
doctor
Answered by Dr. Srikanth Reddy (21 minutes later)
Brief Answer:
I can help you out

Detailed Answer:
Hello
No need to get upset. We here want to help you out. I understand that many people judge you and that is not right.
Hugs and physical touch does help in healing and you do need a companion. A nurse companion should be good. I was suggesting a pet companion would also be good.
Neighbours, I meant the people who stay around you.
Why don't you discuss with them? Are they bad?
Book writing, you mentioned plenty of times...What do you mean by book writing?
Hope to hear from you,
Regards
Dr. Srikanth Reddy
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Srikanth Reddy (24 minutes later)
So hugs is physical touch and physical touch can be touch arm etc. Glad you see I need a friend same as a companion befriender. Like I said when I got asked if have friends or carer to pick up meds no so practice must be busy, I assume healing means in the way I said and glad u strongly agree need a hug and to be friends with nurse / practice manager and other people too. Some professionals said to me mix is good same with ages, mixed ages is good too. Love to go out with them when go out whenever be. Apart from last week not seen in over a year I think. I am limited to what pets have but I will send this on to practice manager. Thanks means a lot coming from a professional like you.
I don't speak to many people where I am and I hardly know them and I have had problems with some of them so just don't bother really. I know my post box got broken into before and a postwoman told me someone pretended to be me and opened my mail and some ordered years ago said delivered but I never got it. Sometimes gets given to them to give to me for some reason.

1)What do you mean by copy paste and into browser window? get back to you?
2) Mean by request?
3) Neighbours mean? mean stay around me?
4) So you understood need positive book writing in and about hug what said about?
5) I thought you said if I had any doubts you would help me and someone one on here said you would help me and I can send you questions so I am confused I am really upset having panic would you answer list of things sent you and the ones I asked the person before please?
6) I mentioned before I have a positive book where u supposed to write positive things about yourself and what done in the day. I am negative about myself a lot. When I was at college years ago they suggested it and written in it. The gynaecologist written in it to and other pros and other people too. Sometimes when upset I think rubbish what got told about me but sometimes when down look at it and think people think nice things about me. My GP said college shouldn't have done and I should write in it and look back on but I strongly disagree like with plenty of people and that they should write in it too and I will know people think good of me as I worry a lot that people hate me think I am a burden, waste of space, scum, worthless no one a mistake the list goes on.
doctor
Answered by Dr. Srikanth Reddy (6 minutes later)
Brief Answer:
Need to change the way you think

Detailed Answer:
Hello
Thanks for the follow-up.
You have a poor self image and do not respect yourself. You need to change the way you think otherwise your depression will not improve.
Cognitive behavioural therapy should be a good option for you. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.
Have you ever tried pet therapy?
Do you have a friend or a companion with whom you can share the things with?
Regards
Dr. Srikanth Reddy
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
default
Follow up: Dr. Srikanth Reddy (12 minutes later)
1) What I said about hugs, companions etc in previous email if makes sense? also you agree the nurse and practice manager can be friends and a companion is the same thing as a friend. I not seen often but feel need to and like you said sounds good
When say share assume means can tell anything too?
2) What do you mean by copy paste and into browser window? get back to you?
2) Mean by request?
3) Neighbours mean? mean stay around me?
4) So you understood need positive book writing in and about hug what said about?
5) I thought you said if I had any doubts you would help me and someone one on here said you would help me and I can send you questions so I am confused I am really upset having panic would you answer list of things sent you and the ones I asked the person before please?
6) Well its not just way think self its how been treated by others too or with anything
7)identifies impaired cognitions (Thoughts) and try to correct them mean by this?
8) Mean by illness?
9) If relapse?
10) Don't know what pet therapy is? but as you know I have had gerbils dogs etc but gerbils scared me I cant have much now.
11) Mean by regards.
doctor
Answered by Dr. Srikanth Reddy (1 hour later)
Brief Answer:
Yes I understood

Detailed Answer:
Hello
Yes I understood what you meant to say about the good book writing. Also I agree that you need some good human comfort which can come from touch therapy.
You can ask me the questions you want to know and I can answer all the ones which are medically related in the best possible and easy manner.
So the dogs are not good for you as you are afraid of them. Not an issue.
I feel a nurse can help you with your requirements.
You mentioned panics...do you get panic attacks?
Are you working right now? HOw do you manage the work and home together?
Regards
Dr. Srikanth Reddy
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
Answered by
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Dr. Srikanth Reddy

Psychiatrist

Practicing since :2007

Answered : 2770 Questions

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Suggest Treatment For Severe Panic Attacks

Brief Answer: Panic attacks need to be treated well. Detailed Answer: Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. The condition that you are having is basically panic attacks. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. especially serotonin, nor adrenaline, and dopamine to some extent. Medicines are the best options to take care of these symptoms. Paroxetine is the the most popular medicine and my drug of choice. I generally prescribe my patients 12.5 mg per day at night which takes care of anxiety symptoms. Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear. Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Further regarding the appointment of a nurse you may either contact your GP or put up an add in the newspaper and have some interviews and hire somebody for your help. Also you may consider requesting for a pet as pets can be very relaxing and pet therapy is soon picking up among people who need some good companion. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.