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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Anxiety, Depression And Panic Attacks. Palpitations. Have Smoking Addiction. Do I Have Any Other Health Problem?

Hey my names Abbie Am always worryin about how fast my heart gets am a smoker and a drink a lot ove fizzy juice like even walkin upstair or tryin to carry on with my son my heart feels as if its gona come out my chest a suffer from anxiety and depression and panick attacks a would realy like to know if there s anythin a should be worryin about plz help me :( !!!
Mon, 25 Mar 2013
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Psychiatrist 's  Response
hello

welcome to health care magic

You probably have "panic disorder" which is characterised by panic attacks (intense anxiety attacks). But since you smoke also, it is advised to stop smoking as soon as possible as it may aggravate your attacks. Secondly you should consult a general physician to rule out any cardiac pathology (heart disease). After that, consult a psychiatrist for detailed evaluation and management. Following treatment strategies are advised-
1) SSRI drugs like paroxetine, sertraline etc
2) Behaviour therapies
3) Relaxation techniques

Hope it helps
Good luck
Regards
Dr. Gourav Monga
Consultant psychiatrist
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Suffering From Anxiety, Depression And Panic Attacks. Palpitations. Have Smoking Addiction. Do I Have Any Other Health Problem?

hello welcome to health care magic You probably have panic disorder which is characterised by panic attacks (intense anxiety attacks). But since you smoke also, it is advised to stop smoking as soon as possible as it may aggravate your attacks. Secondly you should consult a general physician to rule out any cardiac pathology (heart disease). After that, consult a psychiatrist for detailed evaluation and management. Following treatment strategies are advised- 1) SSRI drugs like paroxetine, sertraline etc 2) Behaviour therapies 3) Relaxation techniques Hope it helps Good luck Regards Dr. Gourav Monga Consultant psychiatrist