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Suggest Treatment For Anxiety And Panic Attacks
Question: know i am suffering from anxiety,panic attack(anger) ,breathing problem,stress,pain in head on any point at any stressful moment,sleep disorder,low mood,less sexual desire, hopelessness and the most importantly trustlessness. in child hood i had been abused sexually many times by our staffs,a home tutor who assumed to be like a brother.know i have an adjustment problem with in-laws.my husband is very cooperative.i am optimist about my future because i have a faith in my XXXXXXX but i always think that everybody is cheating me.
Brief Answer:
Some changes will help you.
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
Important aspects of your query are:
• 32 year old female
• Known case of Hypothyroidism
• Known case of anxiety, panic and anger
• Currently on: C-pram s10, Ramitax, Rantac, Sizodon LS, Dicorate
Your treatment appear right to me. C-Pram S improve depression. Ramitax help in sleep. Sizodon and Dicorate help in anger.
Some time patient (40% cases) did not improve with treatment, in that case one of the following steps are used:
-Detection and correction of vitamin deficiency (especially vitamin B12): so take vitamin supplement and fruits/milk in diet.
-Screening of thyroid dysfunction: Get serum T3/T4 and TSH level done. Take treatment of hypothyroidism daily.
-Increase the dose of current medicines: C-Pram-S dose can be increase to improve depressive symptoms under your current Psychiatrist supervision.
-Addition of counseling treatment (CBT: Cognitive behavior therapy) from nearby psychologist. Combined treatment in form of medical management+CBT is best for anxiety with anger.
-Rantac is for acidity. Better to take some other new medicine for acidity like Pantoprazole 40mg.
I hope this information has been both informative and helpful for you.
Wishing her good health.
Regards
Some changes will help you.
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
Important aspects of your query are:
• 32 year old female
• Known case of Hypothyroidism
• Known case of anxiety, panic and anger
• Currently on: C-pram s10, Ramitax, Rantac, Sizodon LS, Dicorate
Your treatment appear right to me. C-Pram S improve depression. Ramitax help in sleep. Sizodon and Dicorate help in anger.
Some time patient (40% cases) did not improve with treatment, in that case one of the following steps are used:
-Detection and correction of vitamin deficiency (especially vitamin B12): so take vitamin supplement and fruits/milk in diet.
-Screening of thyroid dysfunction: Get serum T3/T4 and TSH level done. Take treatment of hypothyroidism daily.
-Increase the dose of current medicines: C-Pram-S dose can be increase to improve depressive symptoms under your current Psychiatrist supervision.
-Addition of counseling treatment (CBT: Cognitive behavior therapy) from nearby psychologist. Combined treatment in form of medical management+CBT is best for anxiety with anger.
-Rantac is for acidity. Better to take some other new medicine for acidity like Pantoprazole 40mg.
I hope this information has been both informative and helpful for you.
Wishing her good health.
Regards
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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