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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Anxiety?

I am a white 44 yr women 135 lbs. 5'6 no medicals problems other than anxiety.I had a stress test performed 2 yrs ago at the cardioogy office and all turned out ok.I went to the er two wks ago with symptons of heart attack. they did an ekg, blood work and chest xray. All came back ok. But today im having the same symptons. I have anxiety and that only makes me worry more. Should i be concerned and do you think the diagnosis was accurate?
Fri, 5 Sep 2014
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Psychiatrist 's  Response
You should not be concerned. The opinion of your cardiologist that you don't have heart problem is very likely to be right.
You may be suffering from Panic Disorder, where one gets sudden episodes of intense anxiety last from a few minutes to a couple of hours. The patient often feels something is going to happen to him or he is going to lose control. The patient runs to emergency room of hospital or cardiologists.
Panic Disorder is a disorder of nervous system that has psychological manifestations.
Since your cardiologist has done the necessary tests and given you 'all clear', there is not need to go to a cardiologist at this stage.
You should consult a psychiatrist. He/she will evaluate you properly, counsel you about the nature of your condition and prescribe medicines if necessary. He/she may also suggest a therapy such a cognitive behavioral therapy. Combination of medicines and therapy gives best results.
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What Causes Anxiety?

You should not be concerned. The opinion of your cardiologist that you don t have heart problem is very likely to be right. You may be suffering from Panic Disorder, where one gets sudden episodes of intense anxiety last from a few minutes to a couple of hours. The patient often feels something is going to happen to him or he is going to lose control. The patient runs to emergency room of hospital or cardiologists. Panic Disorder is a disorder of nervous system that has psychological manifestations. Since your cardiologist has done the necessary tests and given you all clear , there is not need to go to a cardiologist at this stage. You should consult a psychiatrist. He/she will evaluate you properly, counsel you about the nature of your condition and prescribe medicines if necessary. He/she may also suggest a therapy such a cognitive behavioral therapy. Combination of medicines and therapy gives best results.