Suffering From Anxiety. I Have Quitted Smoking And Alcohol. What Should I Do To Feel Good?
I understand that you are going through a difficult time dealing with your anxiety all these years. You have also mentioned that you do not suffer from depressive symptoms and you have quit smoking and alcohol recently (which is really appreciable)
From your history and description of your symptoms, you seem to be suffering from an Anxiety disorder, probably with panic attacks.
While slight amounts of anxiety is common in everyone, if it becomes excessive or starts causing day-to-day difficulty or socio-occupational dysfunction to the person, then we term it as an anxiety 'disorder'.
Anxiety disorders have been found to have a biological basis where there are erratic or unbalanced levels of neuro-chemicals in the brain. Also, a person's psychological make-up, ability to handle external stress, past or childhood experiences and situational / environmental factors also have a role in the causation of anxiety disorders.
So, treatment for anxiety problems should take all these factors into consideration and a person with an anxiety problem first needs a detailed assessment to figure out what are the possible factors contributing to or precipitating his anxiety.
You have mentioned that you find significant benefits with Xanax, but as you have mentioned, the problem is the habituation or addiction potential. You aslo seem to have tried certain anti-depressant medication, but report side effects with them. Now, it is not uncommon to have a transient increase in anxiety or some side effects in the initial phase of anti-depressant therapy. These effects should subside gradually in the next 2 to 3 weeks as the medicine takes its full therapeutic effect. There are also other effective anti-anxiety medication like Buspirone, which can provide good symptomatic relief, without the addiction potential. There are also certain effective psychological therapies like CBT (Cognitive Behaviour Therapy) which can help you deal with your anxiety and give you long-lasting results. Also, Relaxation therapies like XXXXXXX breathing technique, progressive muscle relaxation technique, applied relaxation, music therapy, yoga, etc. have all been found to be beneficial in reducing anxiety symptoms.
I would suggest that you consult a psychiatrist for a detailed evaluation and for a discussion about the various options for treatment. I'm sure that with appropriate treatment, you will definitely be able to your overcome your anxiety problem.
Wish you all the best.
- Dr. Jonas Sundarakumar
Consultant Psychiatrist
I understand that it must be quite frustrating to keep struggling with a genuine difficulty and seek help for it, but not find a proper solution. It's true that GPs are generally very hesitant in prescribing benzos fearing to their addictive potential. If SSRI anti-depressants or Buspirone have not worked for you, there may be still other options with medication such as flupentixol or a different class of anti-depressants like Melitracin, for example. Moreover CBT and other psychological techniques are also equally effective options. So, please do be persistent in your efforts and I'm sure you'll be soon be able to see a difference.
Unfortunately, since I'm not based in your country, I would not be in a position to recommend a doctor in Colorado.
Wish you all the best.
- Dr. Jonas Sundarakumar
Consultant Psychiatrist