###Human: I have extreme anxiety and unable to sleep. I also have IBS. Please help. ###Assistant: Hi. I read your query and understand your concerns. First of all, I would like to inform you that from the described symptoms it seems that there is Generalized Anxiety Disorder with panic attacks. Both of these disorders fall under a broad category of anxiety disorders. The condition is so disabling that many patients with this disease get significant difficulty in doing day to day activities. As I can see your symptoms are quite distressing, it is clear that you need help to cope with these symptoms. Untreated anxiety disorder lowers the quality of life, and over time it becomes difficult to treat when compared to new onset disorder. Regarding treatment, it can be treated by either medications or psychotherapy. Among the medications, SSRI (Selective Serotonin Reuptake Inhibitors) are generally effective in this condition. Examples of SSRI include Escitalopram, Fluoxetine, Fluvoxamine, Paroxetine, and Sertraline. They show improvement after using these medications for at least 4-6 weeks. Among psychotherapy, Cognitive Behavior Therapy (CBT) is most commonly used and it takes about 8-12 sessions of one session per week lasting for one hour. Although definite treatment is required from a psychiatrist, before you could make an appointment with a psychiatrist, I recommend the following things for better management of anxiety symptoms and stress arising from them. These are simple measures which will help you a long way when practiced regularly.