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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Anxiety Be Treated?

I have an anxiety disorder that I take xanax (generic) for. The last ten months I have had a terrible feeling of dread and severe anxiety that last for 10 to 12 hours consistently. It has now started to include irratation and crying. I had a hysterectomy when I was 39 and I am now 53..I still have 1 ovary. I also have depression that I am taking Wellbutrin (generic) for and this terrible dread started around the same time I started taking Wellbutrin. My best friend said it happened to her and her doctor just upped the dosage to 450 instead of 300 and the anxiety and iratation went away. Can you help me?
Wed, 21 Feb 2018
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Psychiatrist,  's  Response
hi madam
I have gone through your question and understand your concerns.

Based on history provided by you, i feel that your actually suffering from depressive disorder with associated anxiety symptoms.

If I were your treating psychiatist, I would advise you to stop alprazololam(Xanax) completely as it got high addictive potential if used for greater than one month.

Regarding tablet wellbutrin, recommend dose is 300mg and maximum dose is 450mg. but, going to maximize dose may arise new side effects like seizures. so, rather than increasing dose of drug, I would recommend you to add adjuvant drugs like lithium or thyroxin and start practicing cognitive behavioural therapy or you can switch to another drug like SSRIs Or SNRIs or mirtazepine.

I also recommend healthy lifestyle modifications like Practicing mindfulness and relaxation techniques, regular physical exercise, maintenance of good dietary habits, Practicing humour and being altruistic. all the best

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How Can Severe Anxiety Be Treated?

hi madam I have gone through your question and understand your concerns. Based on history provided by you, i feel that your actually suffering from depressive disorder with associated anxiety symptoms. If I were your treating psychiatist, I would advise you to stop alprazololam(Xanax) completely as it got high addictive potential if used for greater than one month. Regarding tablet wellbutrin, recommend dose is 300mg and maximum dose is 450mg. but, going to maximize dose may arise new side effects like seizures. so, rather than increasing dose of drug, I would recommend you to add adjuvant drugs like lithium or thyroxin and start practicing cognitive behavioural therapy or you can switch to another drug like SSRIs Or SNRIs or mirtazepine. I also recommend healthy lifestyle modifications like Practicing mindfulness and relaxation techniques, regular physical exercise, maintenance of good dietary habits, Practicing humour and being altruistic. all the best