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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Panic Attacks When Under Stress

I think I have panic disorder. I have been through months of a difficult divorce, and during a very stressful time at work. I have woken up for months feeling as if I have adrenaline coursing through my veins, and very excessive worry about everything. I have had 3 trips to the ER, as the panic attacks generally feel the same, but now that I know my heart is healthy (have had cardiology tests) I am able to control the heart rate, but not the faint, lightheaded and tingling feelings. Would those still occur in a panic attack, absent a fast heart rate, or should I see a neurologist?
Wed, 28 Mar 2018
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Psychiatrist 's  Response
Hello,

In my opinion, it is necessary to make sure there is no thyroid dysfunction. Treatment of panic attacks would be to use anti-anxiety drugs like escitalopram. Cognitive behavioral therapy with an experienced therapist.



Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Gayathri
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Psychologist Dr. K. V. Anand's  Response
Hello,

Panic attack a sudden overwhelming feeling of acute and disabling anxiety. Panic disorder is different from the normal fear and anxiety reactions to stressful events. Panic disorder is a serious condition that strikes without reason or warning. Symptoms of panic disorder include sudden attacks of fear and nervousness, as well as physical symptoms such as sweating and a racing heart. Panic attack always happens due to an underlying anxiety disorder. So you need to treat anxiety disorder. Anxiety disorder treated with the help of counseling and psychotherapy. You should consult a psychologist.



Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. K. V. Anand
I find this answer helpful

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Suggest Treatment For Panic Attacks When Under Stress

Hello, In my opinion, it is necessary to make sure there is no thyroid dysfunction. Treatment of panic attacks would be to use anti-anxiety drugs like escitalopram. Cognitive behavioral therapy with an experienced therapist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gayathri