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Suggest Treatment For Symptoms Of Anxiety

Posted on Fri, 8 Jul 2016

Question: I have had horrible anxiety issues for the past two weeks. I fear I won't be able to fall asleep. this has caused insomnia, although I do finally fall asleep for between 7 11 hours. I have experienced this before but it goes away. this time is much more severe. I have been intensely training . two weeks ago I started to get a sore throat and nose. also run down feeling when training. not able to perform to my usual level. I feel amped up and anxious all of the time

Answered by Dr. Chintan Solanki (2 hours later)

Brief Answer:
short term course of anti anxiety medicines is needed

Detailed Answer:
Hello,

Thanks for writing to us. I can understand your concern.

Your problem is started with sore throat. Prozac for 2 days cannot help. It is an SSRI drug and it takes almost 3-4 weeks to shot its optimum effects. Rather initially it may increases anxiety and sleep disturbance. So do not take prozac.
Unisom is an antihistaminic and can help in sleep when there is mild problem.

Your problem seems to be anxiety rather than insomnia as you are getting almost adequate sleep.

As these symptoms are there since 2 weeks only I recommend short term course of anti anxiety medicines. Benzodiazepines group of drugs (clonazeapm, lorazepam or alprazolam) are used for short duration for fast symptomatic relief. It can be tapered of gradually. These are prescription medicines and you have to consult doctor for that.

Whenever you feel anxious take deep slow breathing. Inhale for 3 seconds, keep breath in for 3 seconds and exhale for 3 seconds. Do it for 10-15 minutes.

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

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

Follow up: Dr. Chintan Solanki (37 minutes later)

I have also taken the anti estrogen forma stanzol v 3 from muscle research. this caused an amped up feeling and anxiety/insomnia this was in novermber 2015. shortly after everything was fine. about 6 weeks ago I took 3mg of exemestane from a chemical research company called sarms1. this made me feel amped up and anxious so I stopped. everything was fine. I had to glasses of wine before bed two weeks ago and couldn't sleep. this is when this present bout of fear and anxiousness started. I also took the sarm lgd 4033 from uniquemichals. I have used this in the past with no problem. I am worried that I might have damaged myself causing this anxiety. for awhile I was afraid I had fatal insomnia. more info always helps that is why I am no explainin everything

I also got safety kleen diesel additive on my skin and inhaled some fumes which might account for my sore throat

Answered by Dr. Chintan Solanki (6 hours later)

Brief Answer:
recovery in past suggests you will recover this time also

Detailed Answer:
Hi,

Thanks for follow up.

Your history suggests that you are prone to anxiety. However in past you have came out of anxiety problem easily without much problem. This means you will come out this time also. You should go for psychotherapy also.

Best treatment of any anxiety disorder includes both medicines and psychotherapy. .

In psychotherapy I recommend cognitive behavior therapy (CBT). In mild cases only CBT is sufficient. In moderate to severe cases initially medicines and then CBT is added. And later on medicines stopped gradually.

In medicines SSRI group of drugs (fluoxetine, paroxetine, sertraline, escitalopram) are main stay of the treatment. I prefer paroxetine when anxiety is more.

In your case CBT will be useful.

Take care.

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

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