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Suggest treatment for anxiety and panic disorders

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Posted on Thu, 28 May 2015
Question: For about 5 days now I have been experiencing extreme anxiety that's pretty uncontrollable. I'm never usually worried about anything but I've been suffering from panic attacks for days now. I've had trouble sleeping and even lost about five pounds since Monday. The only thing I can attribute this to is the start of my menstrual cycle. This is my first cycle since I had my baby in Sept. 2014 and I had the copper iud inserted November 2014. I'm really worried about my deteriorating mental and physical state, but don't know if I'm just having really bad pms or if I have something like Wilson's disease. I was thinking about going to the ER but am I overreacting? I just don't feel like myself!
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Answered by Dr. Shubham Mehta (31 minutes later)
Brief Answer:
PMS or Panic disorder.

Detailed Answer:
Hello
Welcome to HCM.

I understand your concerns.

You are having extreme anxiety, trouble sleeping and weight loss.

I would like to tell you that in many of the cases panic attacks may not necessarily have the triggers.

You are having these symptoms since the start of your menses.

Well, in PMS, the symptoms usually begin well in advance of start of periods and usually end as the period starts or within 1-2 days of periods.
Although, the symptoms are more or less similar to what you are having like anxiety, headache, insomnia, fatigue and mood swings.

In wilson's disease, the psychiatric symptoms are mainly disorientation, change in behaviour, impaired judgement and decision making.
The anxiety symptoms are not so prominent.

Having said that, the exact diagnosis of your symptoms would be made once your menses are over. If the symptoms persist irrespective of menses, then its probably panic disorder.

However, for the immediate relief of your symptoms now, drugs like klonopin or xanax (prescription drugs) should be suitable.
If the problem persists, then SSRIs like sertraline or paroxetine (prescription drugs) would be the drug of choice for a long-term treatment.

Kindly discuss this with your doctor. I do not think that and ER visit is needed.

Hope this answers your query satisfactorily.

Feel free to ask further.
Kindly close the discussion if you have no more queries and give your valuable feedback.

Take care.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shubham Mehta

Psychiatrist

Practicing since :2008

Answered : 2109 Questions

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Suggest treatment for anxiety and panic disorders

Brief Answer: PMS or Panic disorder. Detailed Answer: Hello Welcome to HCM. I understand your concerns. You are having extreme anxiety, trouble sleeping and weight loss. I would like to tell you that in many of the cases panic attacks may not necessarily have the triggers. You are having these symptoms since the start of your menses. Well, in PMS, the symptoms usually begin well in advance of start of periods and usually end as the period starts or within 1-2 days of periods. Although, the symptoms are more or less similar to what you are having like anxiety, headache, insomnia, fatigue and mood swings. In wilson's disease, the psychiatric symptoms are mainly disorientation, change in behaviour, impaired judgement and decision making. The anxiety symptoms are not so prominent. Having said that, the exact diagnosis of your symptoms would be made once your menses are over. If the symptoms persist irrespective of menses, then its probably panic disorder. However, for the immediate relief of your symptoms now, drugs like klonopin or xanax (prescription drugs) should be suitable. If the problem persists, then SSRIs like sertraline or paroxetine (prescription drugs) would be the drug of choice for a long-term treatment. Kindly discuss this with your doctor. I do not think that and ER visit is needed. Hope this answers your query satisfactorily. Feel free to ask further. Kindly close the discussion if you have no more queries and give your valuable feedback. Take care. Thanks.