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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Panic Attacks

Hi, I have had Agrophobia for over 15yrs, I have spent 7yrs on n off with a psychologist which I found really helpful, (I finished there about 5yrs ago) I spent a further yr in cbt with a different person, that wasn't as good for me.
I took up exercise (circuit training) last October, n have been doing brilliant ever since, I even got through last winter without Antidepressants, for the first time in yrs.
Recently my panic attacks have returned and I'm finding it very hard to push through them, I haven't given in, I went bk training n have left the house since, but wondering if I should take a break or keep pushing myself. I don't want to go back to where I was in the past, I have come so far! I even go out jogging now since I got into this exercise n feel much better for it! I went bk taking some xanax though as I was finding it very hard to relax in the evenings.
Tue, 2 Dec 2014
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Psychiatrist 's  Response
Hello thanks for asking from HCM

You have agoraphobia for 15 years and were on psychological methods with a psychologist and reported improvement. Recently you have started with panic attacks but you are able to control agoraphobia and are going to training. You are finding it difficult in evening. As per my opinion if you are able to control by psychological methods then there is no need to take treatment, but you are having difficulty in evening so you can visit a psychiatrist for treatment. Xanax can be a good option but it has abuse potential. Propranolol can prove good alternative for such symptoms. The medicine will help to decrease anxiety in anxiety provoking stimuli and will relax you. In severe cases medicines like SSRIs are needed for treatment. Consult a psychiatrist for prescription.

Thanks, hope this helps you.
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Suggest Treatment For Panic Attacks

Hello thanks for asking from HCM You have agoraphobia for 15 years and were on psychological methods with a psychologist and reported improvement. Recently you have started with panic attacks but you are able to control agoraphobia and are going to training. You are finding it difficult in evening. As per my opinion if you are able to control by psychological methods then there is no need to take treatment, but you are having difficulty in evening so you can visit a psychiatrist for treatment. Xanax can be a good option but it has abuse potential. Propranolol can prove good alternative for such symptoms. The medicine will help to decrease anxiety in anxiety provoking stimuli and will relax you. In severe cases medicines like SSRIs are needed for treatment. Consult a psychiatrist for prescription. Thanks, hope this helps you.