Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
183 Doctors are Online

Treatment for mental disorders - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
User :   I went to a new doctor for the first time in 4 years. I was having a panic attack - afraid to stay and shaky, wanted to go home. I was prescribed Xanax (Alprazolam) .25 mg 1 tablet per day and see him in two weeks. He hasn't seen me before and he's not a psychiatrist. Is what he did the correct thing or is he prescribing something without knowing the patient first? Is xanax that safe?
Doctor :   Hi
Doctor :   let me read ur query
Doctor :   May i know all other symptoms that u had ?
Doctor :   other than anxiety ?
Doctor :   any shortness of breath, chest pain, tremulousness ?
Doctor :   any headache ?
Doctor :   Are u there ?
Doctor :   Are u there ?
User :   I'm here. Sorry.
User :   I get very scared, shaky, sometimes trouble breathing (more...)
User :   Weak in back of legs, just feeling like I want to go home and rest and afraid I won't be able to make it back home. I told the doctor all this when I was there to see him.
Doctor :   Do ur symptoms recurr in episodes ?
User :   I also have Fibromyalgia, which he also knows from both the papers I gave him, diagnosis from chiropractor of Fibrositis and a telephone interview with him.
User :   Yes, they are most common if I go out somewhere I'm not used to going or trying to stay at an appointment. Or if someone (neighbor) is having a big fight where police are called (rare, thankfully).
Doctor :   and do u have similar symptoms , alll time of the day?
Doctor :   oh ok
User :   And also if I take a pill (like tylenol or lactaid, etc.) and wonder what it'll do to me.
User :   No. When I'm at home (which is most of the time) I'm usually fine.
User :   I don't sleep well and also just before my period the symptoms worsen (ie. I can't go out even to stores I used to be able to sometimes).
Doctor :   i guess, then what you have is anziety disorder or social phobia , and the basic medication for this condition is Xanax
User :   I just wonder if this doctor is doing the right thing in the prescription or if he is being too quick about things without knowing my medical problems more (even though I did submit data and talked to him on phone prior).
Doctor :   the dose given by ur doc is very mild and effective as well
User :   Ok, well, socially I'm very social and can talk to people even while waiting in line at a store. But yes, I get VERY nervious being out and am afraid of being "trapped" where I can't go home right away. So yeah, sounds about right.
Doctor :   I understand your apprehension about medications and that you dint have much communication from ur doc
User :   Ok Because I was afriad of hearing how Xanax is addictive, can kill you, etc.
Doctor :   But, the dose is effective
User :   I took one yesterday and had a massive panic attack until it kicked in. My head felt "wierd" then too. Then it kicked in and slowed me WAY down, felt drugged a bit but not so bad I couldn't drive, go vote, get gas or shop so it didn't effect my activities much.
Doctor :   and it does not cause much addiction in that dosage
User :   It can not cause fatalities either?
Doctor :   it does not
User :   And the side effect will they pass after awhile?
User :   (Those are all my questions)
Doctor :   but it has a effect to calm down people
Doctor :   and can be sedative
Doctor :   hence u need to take it at bedtime and not in the daytime
Doctor :   yes the effects will pass off
User :   I used chamomile tea and inhaled lavender oil yesterday too so might have added to it?
Doctor :   it does not cause any fatalities in the dosage given to you
User :   Ok, so like 10pm is better than 10am?
Doctor :   yes that's fine
Doctor :   yes 10 pm is better
Doctor :   do not take it at 10 AM
User :   That way I won't get the "drugged" feeling when I wake up and I'll sleep better. Sounds good. Can I get a transcript of this chat? Thank you for your help!
Doctor :   YES
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor