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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Panic Attacks And Intrusive Thoughts?

Hi I had mood swings 2 yeras ago, and a fear of presenting infront of group of people i took sertraline, it helped with depression and enxiety a bit but on the other hand it did the opposite, i had some kind of panic attacks and i was worried alot. I tried to up the dosage but didnt feel that different After almost a year, i stopped it after i believed that im not gonna fear presentations anymore. A month later of stopping it, i started to get panic attacks with reasons and without reasons. Got depressed almost once or twice a month, and then some wierd thought started to pop in my head It was like immaginging my friend suiciding, it felt really awuful and feared, i got a panic attack and i was so paniced. Other thought came to my mind when i was masturbating and becouse i cum really fast i felt like im gonna suffer from the same problem late on with my future wife, it felt so terrible and it was like founding out something so scary about myself and the emotions were too real to the point that i paniced. Sometimes some other sexual thoughts come to my mind that im having illegal sex with a girl. I tried to look up the internet and i read that those thoughts r kind of Pure o ocd. Other thoughts like beating the girls i like, the same feelings and my life became miserble i didnt understand why was that happening to me? i wa so confused because when i stopped sertraline i decided then to beat my fear and never listen to any stupid idea that comes to my mind sometimes those ideas and panic attacks start with looking at the mirror and hating the way i look like. When i think that im ugly i start observing my nose and each part of my body that i dont like. Then when i found out that im not beautiful i started to be scared of ppl not accepting me. People do accept me acctually and many say that im beautiful without even asking them, and sometimes i believe that im a good looking guy, but other times it turns to hell with thouse ideas that say im ugly, that time feels like i have zero selfconfidnce and i hate it very much. i read about it and it seemed to be BDD. I dont know what to do now, im taking cipralex 10mg and it helps but not that much! sometimes when i get hungry i eat alot, and while eating a thought comes to my mind says that i ll get bulimia soon and then it feels like yes i will. Those thoughts sound like intrusive ones? i dont really know what s happening with me, now im always fearing the psycological diseases, im afraid of getting schizophrenia. i need first to get a diagnose of my situation and then some recommendations of the proper treatment required. Do i have to change to prozac? what would work with me best? y did all that happened to me? is that going to be inheritable? Looking forward for a soon respone. ​Best regards.
Tue, 31 Jul 2018
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Psychiatrist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

It is advisable to take some antidepressants like escitalopram along with Clonazepam to combat your stress, depression and anxiety.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Panic Attacks And Intrusive Thoughts?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is advisable to take some antidepressants like escitalopram along with Clonazepam to combat your stress, depression and anxiety. Hope I have answered your query. Let me know if I can assist you further.