Brief Answer:
Explained below.
Detailed Answer:
Hi,
Welcome to Healthcare Magic!
The symptoms of feeling off balance that you have described are not unusual in anxiety. People with anxiety get all types of neurological symptoms like
dizziness, loss of balance, numbness, tingling, tremors etc. But when they get themselves tested for any neurological disorders, the clinical examination and tests are all found to be normal. When anxiety is left untreated, the worry and loss of productivity ultimately make people depressed as well. I guess this is what is happening with you too.
Anxiety disorders like
agoraphobia with panic attacks respond very well to treatment. There are two main strategies of management. One involves the use of medicines like SSRIs (Zoloft, Paxil etc) and people usually show remarkable improvement within four to six weeks of starting treatment. In the initial stages, a
benzodiazepine is also prescribed as it helps control the anxiety till the SSRI starts working. The second strategy involves a behavior therapy called
systematic desensitization. It is effective in all kinds of phobias and involves repetitive graded exposure to the situations causing anxiety. Gradually the mind gets habituated to the situations and no longer feels anxious. Both the strategies can be combined as well.
Whatever strategy is chosen, two things are important:
1) First, stop worrying about your condition. It is not life threatening and can be cured. Worrying will just worsen your anxiety which will aggravate your symptoms.
2) Secondly, try to practice relaxation exercises like progressive muscular relaxation or autogenic relaxation regularly. Detailed instructions are freely available online. These will reduce both anxiety and
depression over time.
I understand that your anxiety has been very disabling for you. Overcoming it will be difficult and time taking, but is not impossible. Consider it as just like any other disease you might have had or may be like a fracture of leg sustained while playing your favorite game which would have similarly disabled you and get it treated by a competent doctor. While a
psychiatrist would be an ideal choice, almost all
primary care physicians are able to start SSRIs and manage anxiety reasonably well.
I hope this helps you. Please feel free to ask in case you need any clarifications.
Best wishes.
Dr Preeti Parakh
MD Psychiatry