question-icon

Suggest treatment for anxiety disorder

default
Posted on Tue, 22 Apr 2014
Question: I'm 38 years old and have been taking 2mg Xanax for 9 years for a severe anxiety condition. My former psychiatrist left to purse inpatient health care and her replacement was a nightmare. She doesn't like to prescribe Xanax therefore decided to wean me off in 3 weeks time! I threw up and almost had a seizure several times. I lost my job, can't pay my bills and my anxiety is unbearable. My anxiety is a disease that my medication was able to treat. Since, I cannot find a doctor in my area, Columbus, OH, who is either accepting new patients or takes my health insurance. Also, my new former physiatrist, the replacement, decided to take me off my medication after I was attacked and assaulted in front of my home after arriving home for work. I was attacked while in my car and police are treating the case as an attempted abduction. I had a severe panic attack in her office shortly after this incident and she just sat there and didn't say or do anything to help me at all. My family doctor is appalled and disgusted with her actions. His medical practice's policy requires patients see a phiciatrist for anxiety meds, antidepressants, etc. I need help getting my anxiety under control again...I need my medication.
doctor
Answered by Dr. Abhishek Kapoor (53 minutes later)
Brief Answer: Take sedative antidepressant Detailed Answer: HI Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. I think, you have underline anxiety disorder and benzodiazepine dependence. In that case, you need a sedative antidepressant like mirtazapine or trazodone to control anxiety symptoms. You can also shift to longer acting benzodiazepine like diazepam that would help to control the dose of xanax in better way. Diazepam would act for longer period and you would not get withdrawal symptoms as you are getting now. For these drugs, you have to consult your psychiatrist. In case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Abhishek Kapoor (27 minutes later)
Thank you. I had a horrible reaction to Trazadone..my gp prescribed it to help. Was diagnosed with severe anxiety, ptsd, and major depression years ago. The benzo dependence is horrible but its the only thing that has ever helped and when a md prescribed it i got my life back again. Functioned extremely well on it and never abused it...generally would only take half the dose, and full in severe or worse anxiety situations. The biggest issue is not being able to find a phiciatrist because they aren't accepting new patients, or dont accept my health insurance. Are there any reputable online phyciatrists who can do consult via iphone facetime, etc...that can prescribe medication? And if so can you please reccomend someone or a trusted site? Thank you :)
doctor
Answered by Dr. Abhishek Kapoor (4 hours later)
Brief Answer: Check doctor column on this website Detailed Answer: Hi If you want to decrease the dose of xanax, you could try mirtazapine after psychiatrist consultation. It is very good sedative antidepressant and you would not get any problem with this antidepressant. Along with that, in benzodiazepine, diazepam would help and gradually its dose could be tapered down by psychiatrist. On healthcare magic, in doctor column, you can find a psychiatrist of your choice and according to your location. In case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for anxiety disorder

Brief Answer: Take sedative antidepressant Detailed Answer: HI Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. I think, you have underline anxiety disorder and benzodiazepine dependence. In that case, you need a sedative antidepressant like mirtazapine or trazodone to control anxiety symptoms. You can also shift to longer acting benzodiazepine like diazepam that would help to control the dose of xanax in better way. Diazepam would act for longer period and you would not get withdrawal symptoms as you are getting now. For these drugs, you have to consult your psychiatrist. In case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist