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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Therapy For Persistent Anxiety Attacks

I have been having what I think are anxiety attacks for about 6 months - normally when I try to sleep. I went to the ER once and they just diagnosed heart palpitations with an unknown cause. I didn't follow up with a doctor after, but decided to cut caffeine. Since then, I haven't had any attacks; its been about a month. But starting a few days ago I have had dull pains in one particular spot on my left chest, tension throughout my back, tingles in my right arm (like its falling asleep), and annoying non-painful twitching in my left temple, left upper jaw and chin. I also woke up with night terrors 2 nights ago and haven't been able to fall asleep until daylight 2 nights this week. I am confused. Could it be a heart problem? I also woke up with a head cold today. Seems unrelated to the other issues, though.

I am 25, no past health issues...
posted on Thu, 13 Mar 2014
Twitter Wed, 24 Dec 2014 Answered on
Twitter Wed, 24 Dec 2014 Last reviewed on
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Psychiatrist,  's  Response
Hi.

I had gone through your query.

All symptoms that have you mentioned that suggest anxiety disorder associated with panic attack.

It can be treated with medicines and psychotherapy.

In medicines Selective serotonin re uptake inhibitors (SSRI) like sertraline/escitalopram/peroxetine can be useful to prevent such attack.

Anxiolytic can help to reduce acute anxiety attack.

Psychotherapy like behavior therapy, CBT and supportive psychotherapy can help.

Consult psychiatrist for better evaluation and assistance.

Glad to help you further.

Thank you.

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Suggest Therapy For Persistent Anxiety Attacks

Hi. I had gone through your query. All symptoms that have you mentioned that suggest anxiety disorder associated with panic attack. It can be treated with medicines and psychotherapy. In medicines Selective serotonin re uptake inhibitors (SSRI) like sertraline/escitalopram/peroxetine can be useful to prevent such attack. Anxiolytic can help to reduce acute anxiety attack. Psychotherapy like behavior therapy, CBT and supportive psychotherapy can help. Consult psychiatrist for better evaluation and assistance. Glad to help you further. Thank you.