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Having anxiety attacks followed by palpitations, night sweating, fear. What is happening to me?

I have been having anxiety attacks followed by palpitations, night sweating, fear, insecurity etc. This happens on certain days, especially 10 days or a week prior my menses. The feeling is aweful. I go into depression and cry for no reason. Rest of the days am absolutly normal. Could you please tell me what is happening to me? I am a 42 yr old married woman with a 5 yr old son
Asked On : Mon, 18 Mar 2013
Answers:  3 Views:  97
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Psychiatrist 's  Response

welcome to health care magic

Don't worry and relax. You probably have "Premenstrual syndrome" which consists of dysphoria (depression), palpitations, restlessness etc. It commonly occurs in female related to menstrual cycles. Consult a gynaecologist for any hormonal treatment and also seek helps from a psychiatrist for some antianxiety agents and psychotherapy sessions. Keep yourself relaxed with yoga, meditation or deep breathing.

Good Luck
Dr. Gourav Monga
Consultant Psychiatrist

Answered: Tue, 19 Mar 2013
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Psychiatrist Dr. Seikhoo Bishnoi's  Response
Dec 2014
Welcome to HCM

They symptoms you have described as night sweats, palpitations, fear, insecurity, crying spells are anxiety and mood swings. These usually occur in you about 10 days before menses. These symptoms are most likely due to Pre Menstural Dysphoric Disorder. This is a disorder that is found in some women and usually presents with hot flushes, mood swings, irritability, crying spells etc. I will advise you to visit a psychiatrist for opinion. If it is ignored, the symptoms may increase in severity during menopause after few years.
Medicines like Duloxetine, Desvenlafexine have good results in such condition.
Relaxation exercises will also help you.

Dr. Seikhoo Bishnoi (Consultant Psychiatrist)
Answered: Mon, 18 Mar 2013
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Psychiatrist Dr. Sundar Gnanavel's  Response
Thanks for your query. The symptoms you describe typically fit into "premenstrual dysphoric disorder". The other possibilities include panic disorder and other anxiety disorders. I would suggest that you undergo a thorough psychiatric evaluation to rule out and clinch the right diagnosis following which an appropriate management plan can be made.
Anti anxiety agents of SSRI/SNRI classes as well as psychotherapy techniques like cognitive behavioural therapy are likely to benefit you. Wish you good health.
Dr Sundar
Answered: Fri, 22 Mar 2013
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