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What Causes Severe Tension About Heart Attack?
Question: I am too much worry about diseases everyday from morning to evening and i am read in a news paper about heart attack then I will start to think about the same also referring Google for symptoms purpose and expecting the same symptoms would come to me like that.can you please help me to come out from this.what is this actually.
Brief Answer:
it is illness anxiety disorder likely
Detailed Answer:
Hello,
Thanks for writing to us.
The symptoms you have narrated suggest illness anxiety disorder likely. For confirmation of diagnosis proper physical examination, detail history and mental status examination are needed.
For your information:
Best treatment of any anxiety disorder (GAD) includes both medicines and 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.
If medicines alone are used chances of relapse are more after stopping the medicines.
In medicines SSRI group of drugs (fluoxetine, paroxetine, sertraline, escitalopram) are main stay of the treatment. I prefer paroxetine. Benzodiazepines group of drugs (clonazeapm, lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.
Let me know more information so I can guide you further.
- What is your age and sex?
- Since when do you have this problem?
- Do you have any physical problem?
- Is any of your relative/friend suffering from any major illness?
- How your life is affected with this problem?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
it is illness anxiety disorder likely
Detailed Answer:
Hello,
Thanks for writing to us.
The symptoms you have narrated suggest illness anxiety disorder likely. For confirmation of diagnosis proper physical examination, detail history and mental status examination are needed.
For your information:
Best treatment of any anxiety disorder (GAD) includes both medicines and 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.
If medicines alone are used chances of relapse are more after stopping the medicines.
In medicines SSRI group of drugs (fluoxetine, paroxetine, sertraline, escitalopram) are main stay of the treatment. I prefer paroxetine. Benzodiazepines group of drugs (clonazeapm, lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.
Let me know more information so I can guide you further.
- What is your age and sex?
- Since when do you have this problem?
- Do you have any physical problem?
- Is any of your relative/friend suffering from any major illness?
- How your life is affected with this problem?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My age is 30 and male
I am suffering from this for last 3 years
No one is suffering major problem
Sir also if I start to think about HIV kind of diseases I will start seriously and thinking myself got affected and living (I had done some mistakes and even after I got clarified from HIV specialist and he confirmed that I was not on risk)even though I think and expecting symptoms will come to me like that.not only this even a small problem in my body arise I start to think as big diseases only nothing I will take easy manner.if example any stomach related problem I may think it might be cancer or other big disease.
Really This affects my life.I am unable to concentrate in work and most often I would like to sit in a place and start to think about this kind of problems.
If there is nothing to health then I seriously think about business and other initiations.
Lot of negative thoughts always u use to think.
Please advice me how to come out from this.
I am suffering from this for last 3 years
No one is suffering major problem
Sir also if I start to think about HIV kind of diseases I will start seriously and thinking myself got affected and living (I had done some mistakes and even after I got clarified from HIV specialist and he confirmed that I was not on risk)even though I think and expecting symptoms will come to me like that.not only this even a small problem in my body arise I start to think as big diseases only nothing I will take easy manner.if example any stomach related problem I may think it might be cancer or other big disease.
Really This affects my life.I am unable to concentrate in work and most often I would like to sit in a place and start to think about this kind of problems.
If there is nothing to health then I seriously think about business and other initiations.
Lot of negative thoughts always u use to think.
Please advice me how to come out from this.
Brief Answer:
needs psychotherapy with medicines
Detailed Answer:
Hi,
Thanks for information.
Your diagnosis of anxiety disorder is almost confirmed.
If I were your treating doctor I would like to start etizolam or clonazepam for short duration for relaxation and sertraline or paroxetine for excessive thoughts with simultaneously psychotherapy - cognitive behavior therapy.
These are prescription medicines and you need to consult psychiatrist.
You can surely be treated and come out of this problem. Please consult local psychiatrist soon.
Feel free to discuss further.
needs psychotherapy with medicines
Detailed Answer:
Hi,
Thanks for information.
Your diagnosis of anxiety disorder is almost confirmed.
If I were your treating doctor I would like to start etizolam or clonazepam for short duration for relaxation and sertraline or paroxetine for excessive thoughts with simultaneously psychotherapy - cognitive behavior therapy.
These are prescription medicines and you need to consult psychiatrist.
You can surely be treated and come out of this problem. Please consult local psychiatrist soon.
Feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir I am staying near XXXXXXX are there any chances that you are coming to XXXXXXX or any psychiatrist that you know well at XXXXXXX can help me to recover from this.also I feel that I am not normal for more than 3 months and severly thinking only about diseases and other things.please help me.also share your contact too for further guidelines.
I will go as per your advice.and also I feel comfortable if treatment start under your ref.
Please help me
I will go as per your advice.and also I feel comfortable if treatment start under your ref.
Please help me
Brief Answer:
NIMHANS is the best place
Detailed Answer:
Hi,
I am in XXXXXXX I would love to treat you if feasible. However online prescription is not valid according to laws we have not met at least once.
In XXXXXXX I am not knowing personally any one right to whom I can refer you. However I recommend visiting National Institute of Mental Health and Neurological Sciences (NIMHANS). There are many private psychiatrists also which you can find in below link:
http://doctor.healthcaremagic.com/doctors/Psychiatrists-in-Bangalore/L18862S35
You can search psychiatrist near to you.
NIMHANS is the apex institute of mental health in XXXXXXX I suggest visiting Dr. XXXXXXX XXXXXXX there for your problem.
Hope this answer will help.
If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page at the same cost with three follow up questions.
By asking me directly I can help you fast as well as if you would have started the treatment I can guide you further with medicines.
take care.
NIMHANS is the best place
Detailed Answer:
Hi,
I am in XXXXXXX I would love to treat you if feasible. However online prescription is not valid according to laws we have not met at least once.
In XXXXXXX I am not knowing personally any one right to whom I can refer you. However I recommend visiting National Institute of Mental Health and Neurological Sciences (NIMHANS). There are many private psychiatrists also which you can find in below link:
http://doctor.healthcaremagic.com/doctors/Psychiatrists-in-Bangalore/L18862S35
You can search psychiatrist near to you.
NIMHANS is the apex institute of mental health in XXXXXXX I suggest visiting Dr. XXXXXXX XXXXXXX there for your problem.
Hope this answer will help.
If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page at the same cost with three follow up questions.
By asking me directly I can help you fast as well as if you would have started the treatment I can guide you further with medicines.
take care.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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