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Suggest Treatment For Anxiety And Stress

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Posted on Mon, 19 Jun 2017
Question: I have been dealing with anxiety and stress issues for quite some time... many of my symptoms have come and gone and overall, it restricts my life much less tgan it used to.

However, what seems to be left and stubborn is an extreme sensitivity to stress and the fact that my head very often feels full, overwhelmed, dead inside and on the verge of collapse! And that creates all sorts of weird stmptoms like eye tricks, nausea, fear and weird thinking.

Will this resolve in time as I keep living my life? Im not feeling sad or helpless or hopeless, just a bit frustrated by these stubborn feelings. My life otherwise is pretty great! I guess my one fear is that it will just be like this forever even though i know it just feels like chronic stress.

Any suggestions? Should i have any tests done?

Do you recognize the things i said?

doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
They are indicative of chronic anxiety

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

In my opinion you need to continue current strategies as they are helping you to a great extent and you have much better quality of life in compare to three months ago.

If you are still on zoloft/any other antidepressant in my opinion it need to be continued as advised by your doctor.

In addition there is great need for having optimistic attitude. If we proceed with thinking that things are not going to change, there is high possibility that they are not going to change. This happens because our thinking pattern affects our stress and further addition/reduction of stress.

I also like to make it clear that above described symptoms are classically related to stress and no further testing is required.

I hope this helps you.
Feel free to contact me if you have more questions.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (8 minutes later)
Thsnks doctor!

I figured... its always worse in the afternoon and the symptoms always get worse when trying to relax and especially after activity. Its not uncommon for my head to hurt/feel internal trembling and other weird sensations

How long do you think it will take for my brain to heal??

It feels like it just needs to build resilience. .
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (0 minute later)
Brief Answer:
Can you tell me what you are doing to control it

Detailed Answer:
Hello,
Thanks for follow up.

Generally it takes upto three months to have maximal response to both medications as well as psychological approaches.

I will request you to provide details of interventions that you are making currently.

Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (6 minutes later)
I mean, i take 25mg of zoloft. I dont really want to increase because i believe i can overcome it if i perseverve because i know im not in any danger. Thats whats help the fear part of it diminish... its mostly the physical symptoms that just linger.

I mostly just try to get sleep every night and i live my life as normal as possible and when i feel symptoms (like right now im on a train and my head feels weird and im having waves of nausea... which i totally recognoze as a stressed brain) i just remind myself its just uncomfortable and then i move on as best as i can.

I will also take long showers and attempt some meditation but not formally .
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (23 minutes later)
Brief Answer:
I think it is not sufficient

Detailed Answer:
Hello,
Thanks for follow up.

First of all I like to inform you that 25 mg zoloft is equal to placebo and no effects are attached to it. In my opinion either stop it completely or take a effective dose which ranges from 50-200 mg per day. I understand that you do not want to increase zoloft but you need to understand that once you have control of symptoms with help of medications you can have better management and medication can be tapered off.

Regarding your question about the likely duration I feel the behavioral intervention is inadequate and it is recommended to include CBT with current intervention. In my opinion this will help you in better form in next 8-12 weeks.

I hope this answers you.
If you have any further query, I would be glad to help you.
In future if you wish to ask any more questions , you can use the below mentioned link to contact me.

http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386

Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (1 hour later)
One more question... what is going on in the head that causes all these weird feelings? It like comes in waves.

And is it wver dangerous?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (8 hours later)
Brief Answer:
Follow up

Detailed Answer:
Hello,
Thanks for follow up.

It may not be life taking but it causes significant impairment in quality of life. In addition the chronic suffering caused by it never less if we take stock of the problems caused by it.

Regarding the cause it is not exactly known but it is speculated to be due to neurotransmitter imbalance in certain area of brain.

I hope this helps you further.
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3347 Questions

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Suggest Treatment For Anxiety And Stress

Brief Answer: They are indicative of chronic anxiety Detailed Answer: Hello, Thanks for using Healthcaremagic. I read your query and understand your concerns. In my opinion you need to continue current strategies as they are helping you to a great extent and you have much better quality of life in compare to three months ago. If you are still on zoloft/any other antidepressant in my opinion it need to be continued as advised by your doctor. In addition there is great need for having optimistic attitude. If we proceed with thinking that things are not going to change, there is high possibility that they are not going to change. This happens because our thinking pattern affects our stress and further addition/reduction of stress. I also like to make it clear that above described symptoms are classically related to stress and no further testing is required. I hope this helps you. Feel free to contact me if you have more questions. Thanks and regards.