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Suggest Ways To Control Anxiety Symptoms

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Posted on Thu, 21 Apr 2016
Question: Dear Doctor,

How to reduce and subside down the anxiety symptoms and stablise the negative thoughts and turned them into positive.

doctor
Answered by Dr. Shubham Mehta (41 minutes later)
Brief Answer:
Relaxation techniques.

Detailed Answer:
Hello
Welcome to HCM.

The Anxiety symptoms can be controlled by relaxation techniques like slow and deep breathing, meditation and progressive muscle relaxation.
If the symptoms are not controlled with these techniques, then antianxiety drugs can be used.

Negative thoughts can be turned into positive thoughts by challenging them.
You need to ask yourself that how rational these thoughts are? Am I thinking excessively? How are these thoughts affecting my life?

With this and similar questions you can challenge the negative thoughts and find a positive alternative for it.

If you can give detail about your anxiety symptoms and negative thoughts, I can further help you in a more directive manner to manage those.

Wish you well.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shubham Mehta (18 minutes later)
Hi Doctor,

From last 5 months , i am living with fear of contacting Hiv. Even after negative test results at 37 days and 87 days ( negative elisa , pcr rna , hepb and c , vldr , hsv 1-2) and consulted with 6-7 doctors ( XXXXXXX internal medicine doctors from XXXXXXX , appolo, vedanta and few other reputed hospitals , Dr. XXXXXXX and Dr.Bhartesh D basti from healthcare magic) all suggested me my test are conclusive and no need to fear at all.
But my symptoms are not going down , infact its more severe these days.
From last two months m experiencing below symptoms:
1- occassionally /sometime long breathing discomfort(like something choking).
2- Mild pain in multiple body parts ( head, fingers, legs , palm).
3- Constantly checking my body if any changes.(mouth , hands , neck etc etc)
4- Feeling fatigue and disappointed all the time.
5- while walking feeling faint sometimes.
6-Throat discomfort sometimes
No fever , lymph node ,no loose motion and other Ars symptoms at all with negative hiv test results.
Due to guilt of what i have done 5 months back , I quit smoking and drinking 5 months back ( nxt day of my wrong decision).
Now my heart is 100 accepting that i am free from disease but fear of hiv and security of my family thoughts are killing me everyday.
I dont want to go for another test but not getting idea of how to stablise these physical symtoms hence need expert councelling.

U might have similar cases like me and help me to get out of these prolong trauma.
doctor
Answered by Dr. Shubham Mehta (12 hours later)
Brief Answer:
Search for statistics as detailed below.

Detailed Answer:
Hi again.
Thanks for the details.
Dear, I understand your concerns.

First, I feel you must have received lots of re-assurances from many specialists. So, I am not going to give you another one, because its not working for you.

I have following suggestions for you:
1. As your anxiety ad depressive symptoms are affecting your social and personal life, there is a need for drug treatment. This will definitely help you to reduce your symptoms.

2. I believe that no re-assurances will work for you now. Rather, you yourself can convince you. I suggest you to search out the causes (other then HIV) for your symptoms of pain at multiple body sites, fatigue and fainting. List these causes in order of their occurrence, from most common to least common and observe HIV is at what place.

3. Also try to find out how many people, who have all the negative tests related to HIV, develop AIDS.

This might be a tiring task for you, but with this, you will develop self re-assurances.

4. Practice relaxation techniques which I mentioned earlier. As your mind will become calm, you will be able to think more rationally.

If you find talking to me comfortable here, I will be happy to counsel and assist you, whenever you need it.

Or, you can find a psychiatrist near for the same.

Hope you will share your findings with me and we will further work on your conclusions.

Best wishes.
Dr. Shubham Mehta, MD(Psychiatry).
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shubham Mehta (10 hours later)
Hi Doctor,

One thing has made my life miserable is net surfing of disease and symptoms.

I cant have enough strenght to do it again. Anyways i want you to help me and let me know can 5 month of constant fear and anxiety cause these issues
- heart palpitations
- burning tongue and mouth
- extream weekness and feeling faint all the time
- body pains
- blurr vision

From last 2 weeks the severity of my problems are going high and m scared of why such symptoms even after negative test.
I just want to know hv u experinced other patients like me of similar symptoms . Consider me ur younger brother and help me to neutralise mentally.

M going insane due to these symptoms and physical problems
doctor
Answered by Dr. Shubham Mehta (11 hours later)
Brief Answer:
Such symptoms are very common.

Detailed Answer:
Dear XXXXXXX
I have seen many patients who have such symptoms. They develop health related anxiety for no reason inspite of all negative tests.

Anxiety can cause symptoms matching to any disorder. The characteristic feature of anxiety is that all tests come out to be negative and even then patients have multiple symptoms.

It can easily cause palpitations, breathlessness, dizziness, blurring of vision, pain at multiple body sites, tingling, numbness, weakness etc etc.

As your thoughts about contracting HIV must have increased in last two weeks, that's why your anxiety symptoms have become severe. This is very common.

I understand your concerns. I would request you to not worry and practice to divert your mind. I know its easier said than done. But once you diverting your mind, you can slow conquer over your negative thoughts.

I am always available for your assistance, if you have any problems in future.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shubham Mehta (3 days later)
Hi Doctor,
Very small update for you.
While i am experiencing exteam fatique and head spins , breath discomfort ( like atltitude sickness) etc.
But the important point is i am doing excercise on trademill and i can walk 30 mins straight with elevetion 6 and speed 6-7 and cycling 10-20 mins stage 7 and speed 80-90 rpm without any restness etc.
But with small effort or no efforts activity (watching tv and crossing road) m feeling fatigue.

- Burning mouth and lips ,weak vision
- mild headache , mild throat discomfort
- getting mouth aphotu ulcers from last 3-4 weeks
They are persistant along with other issues, yesterday i met my IM doc and she checked my bp and pulse level.
Bp - 129/73
Pulse rte -72
Oxygen -98
I have started meditation and excerise regularly and hoping to stabalise my mind.
My ques is if all such symptoms are anxiety which all doctors are quoting than how much time it will take to neutralise. I dont want to go for SSRI bcoz it created nightmare problem to me in past doses.
What u suggest doctor ,any guidelines for exercise and mind relaxation techniques.s
doctor
Answered by Dr. Shubham Mehta (7 hours later)
Brief Answer:
Exercises as detailed below.

Detailed Answer:
Hi again.
Thanks for the update.

Good to know that you have started exercises and meditation.

I would recommend a 30 minute brisk walk for 5 days a week for you. This should be sufficient. Prefer to go for a walk in morning in a nearby garden and not on a treadmill in gym or house.

For relaxation, you can practice slow and deep breathing exercises.
Breath in while you count to 5 slowly, hold for the count of 3 and then exhale for the count of 5. You can do it 5 times in a single sitting. Repeat it for 3-4 times in a day.

It's okay if you do not wish to take SSRIs for now. Hopefully, exercises will help you in reducing your anxiety.

This might take time, say 3-4 months atleast to neutralize your anxiety.

Hope this helps.
I wish you well.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shubham Mehta

Psychiatrist

Practicing since :2008

Answered : 2140 Questions

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Suggest Ways To Control Anxiety Symptoms

Brief Answer: Relaxation techniques. Detailed Answer: Hello Welcome to HCM. The Anxiety symptoms can be controlled by relaxation techniques like slow and deep breathing, meditation and progressive muscle relaxation. If the symptoms are not controlled with these techniques, then antianxiety drugs can be used. Negative thoughts can be turned into positive thoughts by challenging them. You need to ask yourself that how rational these thoughts are? Am I thinking excessively? How are these thoughts affecting my life? With this and similar questions you can challenge the negative thoughts and find a positive alternative for it. If you can give detail about your anxiety symptoms and negative thoughts, I can further help you in a more directive manner to manage those. Wish you well. Regards.