Brief Answer:
provide more details

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

I can understand your concern.

Possible causes of your problem:

- Some physical illness like flu, respiratory infection

- Thyroid problem

- Some kind of stress

- Possibility of bad dream during sleep

Let me know,

- Is this first episode or in past such incidences have occurred?

- Do you have any physical problem or are you taking any medicine?

- Do you have any stress in life?

I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.

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Brief Answer:
no need to worry, go for psychotherpay

Detailed Answer:
Hi,

Thanks for information.

In patients with anxiety problem heart rate fluctuation is common. No need to worry much about heart rate.

Propranolol is useful drug for anxiety but many times when anxiety problem is more specific treatment of anxiety disorder is needed. I want you brief about the same.

Specific treatment of anxiety disorder includes both medicines and cognitive behavior therapy (CBT).

In mild cases only CBT is sufficient. In moderate to severe cases initially medicines and then CBT is added. And later on medicines stopped gradually.
If medicines alone are used chances of relapse are more after stopping the medicines.

In medicines SSRI group of drugs (fluoxetine,paroxetine,sertraline, escitalopram) are main stay of the treatment. I prefer paroxetine. Benzodiazepines group of drugs(clonazeapm, lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.

You can go for CBT or can add benzodiazepine for short time. You can ask your doctor for the same.

Feel free to discuss further.

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