When I Leave The House And Go On Public Transportation
Symptoms are concerning for panic disorder (specifically Agoraphobia)
Detailed Answer:
Hello,
Welcome to Ask a Doctor Service.
I have gone through your query in detail and I can understand your concern.
Since you are experiencing the symptoms only when going outside or in public places, the most likely consideration is underlying psychological factors contributing to the symptoms.
Feeling of getting sick and anxiety while in public places and trying to avoid situations that trigger the symptoms could be due to Agoraphobia.
Detailed evaluation by Psychologist/psychiatrist is required to confirm the diagnosis.
If the diagnosis is confirmed, management will be muti strategic including anti-anxiety medication, cognitive behavioral therapy, and psychotherapy.
I can understand that you are going through a difficult situation. However, with appropriate management, it is completely possible to achieve symptom relief.
So, please be advised to follow up with a psychologist/psychiatrist.
Hope I was able to help you
Please let me know if I can assist you further
Regards,
Dr.Lekshmi
Advice to follow up with a psychologist
Detailed Answer:
Hi again,
The symprtoms are very typical of anxiety/panic disorder (agoraphobia).
It should also be noted that you are trying to break the anxiety episode by smoking. However, smoking also has its own harmful effects and it can be very difficult for you to break the habit on your own at this point.
Appropruate management under a psychologist/psychiatrist can help manage both the anxiety symptoms and help you quit smoking too.
Please let me know if you have any more questions
Regards
Dr.Lekshmi