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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Anxiety Disorder, What Therapy Should I Take ?

My name is kayla. i am 21 years old and i have been diagnosed with general anxiety disorder since i was 12 years old. i am a previous drug addict (pain meds and heroin) i have been clean now for a year. my anxiety is severly affecting my ability to function in everyday life. i have taken benzodiazepines from friends and family members who are medical profesionals. they work and nothing else has seemed to. since i am a previous drug addict i can not find a doctor that will perscribe me drugs of that classification. is there a way to ask for them without looking like a drug seeker or is there another medication that actss like a benzodiazepine that i can take? my anxiety is taking over my life and i need to get it under control. now! please help me! i have taken: zoloft neurontin paxil serequil and other medications like these. i have also tried herbal medicine and accupuncture. none of which worked, not suprisingly. i have tried therapy and counseling to try to find where my anxiety is coming from and stop it that way, i have even tried some strange type of sleep therapy. I am not against alternative methods that i have not tried but when i have tried so many and all have faild it gets discouraging.
Sun, 26 Jun 2011
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Psychiatrist,  's  Response
Hi
Thanks for the question with god description of your case. I do understand your effort and discourage. Response to medications in GAD is usually not very good. To my mind, alternatively, you may be suffering from anxious avoidant personality disorder. However, if your diagnosis is GAD for sure, you need to use the drug in adequate dose for an adequate period ( may be 2-3 months) with good compliance along with CBT, RELAXATION THERAPY, activity scheduling all to be started simultaneously and continued concomitantly. Non-pharmacological measures have might work better than medications in some cases. If it is anxious avoidant personality disorder, expectation need to be lowered, but with continuous professional guidance dysfunction arising out of your condition can be better. Wish you good luck.
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Psychiatrist,  Dr. Keerthish Shetty's  Response
I agree with Dr Padhy completely. Apart from that, it is important to address any kind of stress in your life (personal/professional etc). Such continuous stress, if present, can maintain the anxiety disorder and make it non responsive to treatment.
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Suffering From Anxiety Disorder, What Therapy Should I Take ?

Hi Thanks for the question with god description of your case. I do understand your effort and discourage. Response to medications in GAD is usually not very good. To my mind, alternatively, you may be suffering from anxious avoidant personality disorder. However, if your diagnosis is GAD for sure, you need to use the drug in adequate dose for an adequate period ( may be 2-3 months) with good compliance along with CBT, RELAXATION THERAPY, activity scheduling all to be started simultaneously and continued concomitantly. Non-pharmacological measures have might work better than medications in some cases. If it is anxious avoidant personality disorder, expectation need to be lowered, but with continuous professional guidance dysfunction arising out of your condition can be better. Wish you good luck.