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Suggest Treatment For Heart Palpitations And Panic Attacks
Question: I am going to seek medical management...I am getting very Hypervigilant Blood Vessels, Nerves, Muscles when moving my neck, some nerves may be stretching up leading to increased feeling and increased contraction of chest muscle to panic attacks...
Why would I be getting such reasoning for such hyper vigilance in my neck????
Why would I be getting such reasoning for such hyper vigilance in my neck????
Brief Answer:
Need to discover the root of your anxiety issues
Detailed Answer:
Good evening. It must be very uncomfortable for you to feel so hypervigilant about your neck. Based upon the little information you've provided I believe it is obvious that you have health related anxiety issues which are significant but nobody would be able to say why without going through a detailed history and evolution of your past and at what point these symptoms became apparent.
An able psychological or psychiatric specialist in a situation such as this is the best avenue to travel. For example, it's possible that your neck or muscles in your neck were somehow exposed to a traumatic incident and because of this you are now worried that the same type of incident could befall you such as an accident, severe asthma attack, or scary event that caused you to feel chest discomfort or breathing difficulties.
In situations such as this therapists often refer patients to learn things such as biofeedback, deep breathing and relaxation exercises, and meditation. These activities can be applied appropriately by experts to teach patients how to transfer their issues of anxiety from their bodies (neck and check in this case) to the relaxation techniques they are learning.
I hope this addresses your concerns and that you'll keep me in mind for future questions regarding these or other neurological/medical issues. Feel free to upload more specific information regarding lab tests and diagnostic studies if done and I'll be happy to look at them when completed.
Otherwise, I'd appreciate your rating this interaction with a HIGH STAR SCORE and look forward to a few words of feedback. In addition, I'd appreciate your CLOSING THIS QUERY if you're satisfied with my responses.
Write to me any time at: bit.ly/drdariushsaghafi for additional comments, concerns, or to provide status updates if you'd like which I would love to receive from you to see just what has been discovered.
This consult request has taken a total of 58 minutes of time to read, research, and respond.
Need to discover the root of your anxiety issues
Detailed Answer:
Good evening. It must be very uncomfortable for you to feel so hypervigilant about your neck. Based upon the little information you've provided I believe it is obvious that you have health related anxiety issues which are significant but nobody would be able to say why without going through a detailed history and evolution of your past and at what point these symptoms became apparent.
An able psychological or psychiatric specialist in a situation such as this is the best avenue to travel. For example, it's possible that your neck or muscles in your neck were somehow exposed to a traumatic incident and because of this you are now worried that the same type of incident could befall you such as an accident, severe asthma attack, or scary event that caused you to feel chest discomfort or breathing difficulties.
In situations such as this therapists often refer patients to learn things such as biofeedback, deep breathing and relaxation exercises, and meditation. These activities can be applied appropriately by experts to teach patients how to transfer their issues of anxiety from their bodies (neck and check in this case) to the relaxation techniques they are learning.
I hope this addresses your concerns and that you'll keep me in mind for future questions regarding these or other neurological/medical issues. Feel free to upload more specific information regarding lab tests and diagnostic studies if done and I'll be happy to look at them when completed.
Otherwise, I'd appreciate your rating this interaction with a HIGH STAR SCORE and look forward to a few words of feedback. In addition, I'd appreciate your CLOSING THIS QUERY if you're satisfied with my responses.
Write to me any time at: bit.ly/drdariushsaghafi for additional comments, concerns, or to provide status updates if you'd like which I would love to receive from you to see just what has been discovered.
This consult request has taken a total of 58 minutes of time to read, research, and respond.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
No.
.the nerves in my neck simply became hyper vigalant...is there any other mefication other thsn diazapam for muscle contraction?
.the nerves in my neck simply became hyper vigalant...is there any other mefication other thsn diazapam for muscle contraction?
Brief Answer:
Hypervigilant refers to a person's state of mind
Detailed Answer:
Thank you for your return response. And so, you've not suffered any trauma to the neck, the head, or the neck muscles is what I'm understanding.
You say that your neck "simply became hypervigilant." The term "hypervigilant" actually refers to an individual's overall mental state of alertness. For example, a way this can be explained is to refer to a patient who is extremely fearful, agitated, and always on guard and overly reactive to any sort of stimulus. They are in such a high state of alert that all their senses of sight, sound, and touch become supersensitized to the point that if you were to tap this person on the shoulder they are likely to either jump, scream, or punch you. That is HYPERVIGILANT.
Muscles don't become hypervigilant...a person becomes hypervigilant through supersensitization of their senses.
In your particular case if you are referring to a tightening of your neck muscles which is constant, painful, or that prevents you from being able to use your neck fluidly while driving or for other everyday activities then, that may be referred to as muscle or neck spasticity. This is something that can be caused either by organic or non-organic causes. An examination will usually reveal which of those types of problems is going on.
In general, for spastic muscles in the neck or for a stiff neck due to organic causes diazepam is considered a good choice. However, when I treat patients I usually have particular success with Klonopin or Clonazepam. I'm not sure I can explain the difference in activity since it is also a benzodiazepine just as is diazepam but in my experience it has helped with neck muscle stiffness more effectively in patients than other alternatives.
I hope this addresses your concerns and that you'll keep me in mind for future questions regarding these or other neurological/medical issues. Feel free to upload more specific information regarding lab tests and diagnostic studies if done and I'll be happy to look at them when completed.
Otherwise, I'd appreciate your rating this interaction with a HIGH STAR SCORE and look forward to a few words of feedback. In addition, I'd appreciate your CLOSING THIS QUERY if you're satisfied with my responses.
Write to me any time at: bit.ly/drdariushsaghafi for additional comments, concerns, or to provide status updates if you'd like which I would love to receive from you to see just what has been discovered.
This consult request has taken a total of 72 minutes of time to read, research, and respond.
Hypervigilant refers to a person's state of mind
Detailed Answer:
Thank you for your return response. And so, you've not suffered any trauma to the neck, the head, or the neck muscles is what I'm understanding.
You say that your neck "simply became hypervigilant." The term "hypervigilant" actually refers to an individual's overall mental state of alertness. For example, a way this can be explained is to refer to a patient who is extremely fearful, agitated, and always on guard and overly reactive to any sort of stimulus. They are in such a high state of alert that all their senses of sight, sound, and touch become supersensitized to the point that if you were to tap this person on the shoulder they are likely to either jump, scream, or punch you. That is HYPERVIGILANT.
Muscles don't become hypervigilant...a person becomes hypervigilant through supersensitization of their senses.
In your particular case if you are referring to a tightening of your neck muscles which is constant, painful, or that prevents you from being able to use your neck fluidly while driving or for other everyday activities then, that may be referred to as muscle or neck spasticity. This is something that can be caused either by organic or non-organic causes. An examination will usually reveal which of those types of problems is going on.
In general, for spastic muscles in the neck or for a stiff neck due to organic causes diazepam is considered a good choice. However, when I treat patients I usually have particular success with Klonopin or Clonazepam. I'm not sure I can explain the difference in activity since it is also a benzodiazepine just as is diazepam but in my experience it has helped with neck muscle stiffness more effectively in patients than other alternatives.
I hope this addresses your concerns and that you'll keep me in mind for future questions regarding these or other neurological/medical issues. Feel free to upload more specific information regarding lab tests and diagnostic studies if done and I'll be happy to look at them when completed.
Otherwise, I'd appreciate your rating this interaction with a HIGH STAR SCORE and look forward to a few words of feedback. In addition, I'd appreciate your CLOSING THIS QUERY if you're satisfied with my responses.
Write to me any time at: bit.ly/drdariushsaghafi for additional comments, concerns, or to provide status updates if you'd like which I would love to receive from you to see just what has been discovered.
This consult request has taken a total of 72 minutes of time to read, research, and respond.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I appreciate your time.....Diazapam was working well, but not working as well as it was! Then I started taking Propanaprol.
So taking Klonopin or Clonazepam would I still be able to be employed to any degree?????? Even simple work sitting down?
Yes, I would say I have just become HYPERVIGILANT.......
Yes..I started getting adrenaline hitting my chest pain, then chest pains, then chest pains...then chest contractions....then I was aware of a feeling in my neck, that become HYPERVIGILANT!
Now I move my neck and it makes me HYPERVIGILANT! And this is all due to anxiety and fear!
many thanks
So taking Klonopin or Clonazepam would I still be able to be employed to any degree?????? Even simple work sitting down?
Yes, I would say I have just become HYPERVIGILANT.......
Yes..I started getting adrenaline hitting my chest pain, then chest pains, then chest pains...then chest contractions....then I was aware of a feeling in my neck, that become HYPERVIGILANT!
Now I move my neck and it makes me HYPERVIGILANT! And this is all due to anxiety and fear!
many thanks
Brief Answer:
Employability same on Klonopin as on diazepam?
Detailed Answer:
If you were still considered employable while on diazepam and safe to be at your job (hope you're not driving a tow motor, 18 wheeler, or flying an aircraft!!) then, a switch to Klonopin is not much different. Same class of medication but just a slightly different chemical structure that gives you some different characteristics such as therapeutic half life, clearance half life from the body, and of course, the most important thing which would be its ability to relax your muscles in the neck.
If you're truly suffering from NECK or CERVICAL MUSCLE SPASMS....as witnessed, documented, or otherwise diagnosed by someone looking at your neck then, Klonopin, in my opinion, is a good thing to try since your body may have gotten used to the properties of the diazepam...and this happens. The change may be seen by your body as something "NEW" and therefore, your neck and your anxious feelings may respond better.
As far as the symptoms of anxiousness you are talking about....I would agree with you that it's probably a whole chain of events that ultimately results in your becoming much more nervous, anxious, and mentally wound up and this can only exacerbate or even precipitate neck tightness. I can also suggest that you be referred to someone who can work with you on techniques of relaxation such as biofeedback, meditation, deep breathing exercises, visualization techniques, acupuncture, etc. to help identify when things start happening and to calm them down (aside from medication) and before you really transfer all that anxiety into cervical muscle tightness or pain.
However, from everything you've described so far....I would like you to know that there is nothing to FEAR or be ANXIOUS ABOUT and that everything is functioning correctly and you are not going to suffer from any major medical catastrophe if you can simply get your mind to slow down and keep the horses all running in the same line...even though they may all be running fast.....make sense?
I hope this addresses your concerns and that you'll keep me in mind for future questions regarding these or other neurological/medical issues.
As before, I'd appreciate your rating our exchange with a HIGH STAR SCORE and would definitely appreciate a few words of feedback.
Also, if no further comments or questions, I'd appreciate your CLOSING THE QUERY if you're satisfied with my response.
Write to me any time at: bit.ly/drdariushsaghafi for additional comments, concerns, or to provide status updates if you'd like which I would love to receive from you to see just what has been discovered or how things pan out if you do get an authorization to switch over to the Klonopin.
Cheers!
This consult request has taken a total of 52 minutes of time to read, research, and respond.
Employability same on Klonopin as on diazepam?
Detailed Answer:
If you were still considered employable while on diazepam and safe to be at your job (hope you're not driving a tow motor, 18 wheeler, or flying an aircraft!!) then, a switch to Klonopin is not much different. Same class of medication but just a slightly different chemical structure that gives you some different characteristics such as therapeutic half life, clearance half life from the body, and of course, the most important thing which would be its ability to relax your muscles in the neck.
If you're truly suffering from NECK or CERVICAL MUSCLE SPASMS....as witnessed, documented, or otherwise diagnosed by someone looking at your neck then, Klonopin, in my opinion, is a good thing to try since your body may have gotten used to the properties of the diazepam...and this happens. The change may be seen by your body as something "NEW" and therefore, your neck and your anxious feelings may respond better.
As far as the symptoms of anxiousness you are talking about....I would agree with you that it's probably a whole chain of events that ultimately results in your becoming much more nervous, anxious, and mentally wound up and this can only exacerbate or even precipitate neck tightness. I can also suggest that you be referred to someone who can work with you on techniques of relaxation such as biofeedback, meditation, deep breathing exercises, visualization techniques, acupuncture, etc. to help identify when things start happening and to calm them down (aside from medication) and before you really transfer all that anxiety into cervical muscle tightness or pain.
However, from everything you've described so far....I would like you to know that there is nothing to FEAR or be ANXIOUS ABOUT and that everything is functioning correctly and you are not going to suffer from any major medical catastrophe if you can simply get your mind to slow down and keep the horses all running in the same line...even though they may all be running fast.....make sense?
I hope this addresses your concerns and that you'll keep me in mind for future questions regarding these or other neurological/medical issues.
As before, I'd appreciate your rating our exchange with a HIGH STAR SCORE and would definitely appreciate a few words of feedback.
Also, if no further comments or questions, I'd appreciate your CLOSING THE QUERY if you're satisfied with my response.
Write to me any time at: bit.ly/drdariushsaghafi for additional comments, concerns, or to provide status updates if you'd like which I would love to receive from you to see just what has been discovered or how things pan out if you do get an authorization to switch over to the Klonopin.
Cheers!
This consult request has taken a total of 52 minutes of time to read, research, and respond.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Do you think you can SWITCH OFF the amygdala, something in the brain which makes you panic, go into a state of fear?
Yes you can, and why??
No you can't, and why??
Some methods suggest you can. The Linden Method!
Many many thanks...you have been extremely helpful!
Yes you can, and why??
No you can't, and why??
Some methods suggest you can. The Linden Method!
Many many thanks...you have been extremely helpful!
Brief Answer:
Amygdala switch
Detailed Answer:
Thanks for your referred questions. Unfortunately, there is no easy way that I , AS A NEUROLOGIST, am aware that we can SHUT DOWN the amygdala. Its connections to the brain are through the limbic system which is in operation actually 24/7 and is much more responsive to environmental (internal and external) stimulation than we as individuals can control. The concept of using some form of MENTAL SUPPRESSION which is what the LINDEN METHOD and other techniques is all about is not a way of FLIPPING A SWITCH....it is a way of retraining and controlling behavior. Of course, I believe it can be done....but like anything having to do with changes of behavior...it's entirely dependent upon the individual and their ability to "stick with and implement a program." I am a huge fan of using interventional techniques as opposed to drugs or passive means of controlling bodily and/or psychological functions.
On the question of seeing a neurologist I'm not sure I entirely understand the context of the question but I believe that each and every patient who is suffering from any disorder of behavior or stress or episodes of mental confusion, etc. etc. should see a neurologist as a way of being absolutely certain that something unexpected isn't the cause of the behavioral aberrations. For example, we know that increased ANXIETY can be from one's personality, their background, the household in which they grew up, OR it could be from suffering from a PHEOCHROMOCYTOMA, or HYPERTHYROIDISM (Graves Disease), or from the chronic effects on the brain of certain illicit or toxic substances, right? And that's why I promote the referral to a neurologist who can adequately rule out the organic causes of brain diseases before settling on a diagnosis such as HEALTH RELATED ANXIETY (used to be called hypochondriasis) suggestive of some imbalance in the brain that is not of an organic cause.
I hope this addresses your concerns and that you'll keep me in mind for future questions regarding these or other neurological/medical issues.
As before, I'd appreciate your rating our exchange with a HIGH STAR SCORE and would definitely appreciate a few words of feedback.
Please note that this is the 4th response to your series of questions and therefore, I'd appreciate your CLOSING THE QUERY but remain at your service if you wish to open a new set of questions for any ongoing doubts or concerns.
Write to me any time at: bit.ly/drdariushsaghafi for additional comments, concerns, or to provide status updates if you'd like which I would love to receive from you to see just what has been discovered or how things pan out if you do get an authorization to switch over to the Klonopin.
Cheers!
This consult request has taken a total of 71 minutes of time to read, research, and respond.
Amygdala switch
Detailed Answer:
Thanks for your referred questions. Unfortunately, there is no easy way that I , AS A NEUROLOGIST, am aware that we can SHUT DOWN the amygdala. Its connections to the brain are through the limbic system which is in operation actually 24/7 and is much more responsive to environmental (internal and external) stimulation than we as individuals can control. The concept of using some form of MENTAL SUPPRESSION which is what the LINDEN METHOD and other techniques is all about is not a way of FLIPPING A SWITCH....it is a way of retraining and controlling behavior. Of course, I believe it can be done....but like anything having to do with changes of behavior...it's entirely dependent upon the individual and their ability to "stick with and implement a program." I am a huge fan of using interventional techniques as opposed to drugs or passive means of controlling bodily and/or psychological functions.
On the question of seeing a neurologist I'm not sure I entirely understand the context of the question but I believe that each and every patient who is suffering from any disorder of behavior or stress or episodes of mental confusion, etc. etc. should see a neurologist as a way of being absolutely certain that something unexpected isn't the cause of the behavioral aberrations. For example, we know that increased ANXIETY can be from one's personality, their background, the household in which they grew up, OR it could be from suffering from a PHEOCHROMOCYTOMA, or HYPERTHYROIDISM (Graves Disease), or from the chronic effects on the brain of certain illicit or toxic substances, right? And that's why I promote the referral to a neurologist who can adequately rule out the organic causes of brain diseases before settling on a diagnosis such as HEALTH RELATED ANXIETY (used to be called hypochondriasis) suggestive of some imbalance in the brain that is not of an organic cause.
I hope this addresses your concerns and that you'll keep me in mind for future questions regarding these or other neurological/medical issues.
As before, I'd appreciate your rating our exchange with a HIGH STAR SCORE and would definitely appreciate a few words of feedback.
Please note that this is the 4th response to your series of questions and therefore, I'd appreciate your CLOSING THE QUERY but remain at your service if you wish to open a new set of questions for any ongoing doubts or concerns.
Write to me any time at: bit.ly/drdariushsaghafi for additional comments, concerns, or to provide status updates if you'd like which I would love to receive from you to see just what has been discovered or how things pan out if you do get an authorization to switch over to the Klonopin.
Cheers!
This consult request has taken a total of 71 minutes of time to read, research, and respond.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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