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Panic attack with stress and anxiety - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
User :   hi
Doctor :  
How can I help you?
User :   i had just had a panik attack basical and wanted to know was i can reduce my stress
User :   i really can not tell if i am stressed
Doctor :  
Are you having fast breathing right now?
User :   it is more relaxed, but an hour ago i could barely breath
Doctor :  
Do you get such episodes often?
User :   not for a long time, lately my stress comes out as many illnesses
Doctor :  
What kind of stress & what kind of illnesses?
User :   Lack of money, single parent, working to much for my ability, car is breaking down, entended family problems. illness Depression, stomach pains, chest pains, muscle pains, headaches, sore breast, constipation, diarreah
Doctor :  
I see you do have a lot of problems!
User :   lately shortness of breath, and i have a know seizer disorder related to stress but my seizers have changed in habbit
Doctor :  
Are you visiting any Doctor or family physician?
User :   i saw one today, i see therapist on a weekly bases nothing is helping
Doctor :   Therapist for what reason in particular?
User :   depression mostly and to attempt to control my stress
User :   i feel like an unconsios hypocondriact
Doctor :  
Are you on any medications?
User :   none for right now, last time i went on antidepresants i attempted suicide or i was allergic.
User :   the best thing that ever happened in my life was having my son
Doctor :   What did your Doctor say on your visit today?
User :   that i was having shortness of breath due to stress
User :   i have been in the same situation for many years my stress has not changed much
Doctor :   what about your other medical problems, the diarrhoea with blood?
Doctor :  
Breast problems?
User :   the diarrhoea with blood is on occausion mostly after a heavey bowel movement, i almost do not want to bring up the breast problem until i see my PCP in june i am not confortable with people looing at my breast
Doctor :  
How is it going with the
Doctor :  
therapist, is it of any help?
Doctor :  
Are you able to overcome your stress to any extent?
User :   i pretend it works i have a hard time opening up to her lately. I do not even relize that i am stressed out until my body starts to give in some where
Doctor :  
Hope you have not hidden anything from her, have you?
User :   no i just feel that we r not getting anywhere some weeks
Doctor :  
When it comes to panic attacks, she is the one who will be able to help you the most
Doctor :  
May I know your height & weight?
User :   height 5 ft 4in weight 152lbs
Doctor :  
Have you made any lifestyle changes?
User :   I have a one year old son who is very active, i am back to work @ 35hrs a week, my son has started to see his father less than 3 months ago, i live with my parents and three other people. other than that my life has not changed much
Doctor :   DO you have any problems about your son visiting his dad? I just want to know

Doctor :  
whether you are aware of what exactly is causing you to get stressed out so much?
User :   i am still in a fight between my heart and mind about him
Doctor :  
Doctor :  
Is that what you think is the most
Doctor :  
important issue of your life now?
Doctor :  
Is that the cause for your anxiety & panic attack?
User :   i do not think about it in the front of my mine much unless i am talking to him or seeing him in person.
User :   it is hard for me to get over him sometimes even though i know he is not good for me
Doctor :  
Doctor :  
Do you want me to give
Doctor :  
you a protocol to follow to solve your problems?
User :   sure
Doctor :  
Doctor :  
in case you have not got a thorough physical examination done by a docotor
Doctor :  
then here is the time, you have to know what exactly is going on
Doctor :  
Secondly, I hope the therapist is a qualified Psychiatrist
Doctor :  
if so you have to make sure you reveal everything to her & follow her instructions
Doctor :   Thirdly, what I meant by lifestyle changes
Doctor :  
was exercise & regular healthy diet
Doctor :   If you are not getting enough exercise, then here is the time when exercise will help you the most
User :   i rarely exercise maybe 15 min a day, my diet changes with my appetite most of the time i do not get a hungry sensation so i do not eat.
Doctor :  
Yes, food is very important, it has to be regular & adequate
Doctor :  
Fourthly, you need to
Doctor :  
shift the attention of your mind elsewhere
Doctor :  
your son can help you out in this
User :   he dose what he can. thanks
Doctor :  
Yes, hope you already have the motherly attitude of ' I live for my son'
User :   I had that well before he was born
Doctor :  
That itself will give you a lot of strength, & I know you have been using it
Doctor :   As for your other problems- financial, family etc, everybody has their own tale & its a never ending issue, has to be tackled
Doctor :  
without harming your mind
User :   thanks
Doctor :   SO get more exercise, watch your diet,
Doctor :   try enjoying your work
User :   i will work on it thanks, a job change will help that.
Doctor :  
Yes look out for the work environment, rather than the salary, atleast for now
User :   deffently
Doctor :  
Is there any thing else I can help you with?
User :   no. thank you!
Doctor :   Please fill the feedback form say done when done.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our ser
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