system
Suggest remedy for panic attack disorder
human
Hi my name is bhupender , i am 34, height is 176 cm and weight is around 78 kg. for last 2 months i am suffering from acute anxiety dissorder. the cardiologist has termed it as cardiac neurosis and the physician call it "Panic attack dissorder". i was a normall human being befor 6th of march,2010 and on 7th that strange wave of fear came all of sudden and and started feeling that m y BP is going high and i may have a heart attack. since then there has been 5 occasions when i was rushed to ER. my TMT test is ok where in i worked out for 9.5 minutes with 3 step increase in speed and reached a maximum heart rate of 190 with bp of 160/80. my LFT, KFT, blood sugar are normal, Thyroide , Vit-B12 and serum foliate is also normal but still i have a fear that my BP will go high anytime and that i will have a heart attack and i am not able to over come it. I am taking Concid twice a day before meal and Nexito 10 mg before i go to bed everyday for last 1 week. how can i reset my mind again. please help
gpt
HHi  dear . I  had  gone  through  your  query . I  understand  your  concern . Panic  attack  define  as  sudden  rise  in  anxiety .Symptoms   like palpitation  /  tachycardia  /  sweating   etc...it may mimic like heart attack . But all investigations came  normal . In panic  attacks  there is no life threatening   but it has severe  anxiety .No need  to  worry . Just relax  and accept   your psychological  problems . Proper  psychological  evaluation  and councelling   will help.Supportive  psychotherapy   will  increase  your tolerance  to bear  that anxiety . It  can  be  treated  with  medicine  like  combination  of  SSRI  and  benzodiazapine . In  SSRI  sertraline  /  escitalopram /  peroxetine  will  help . Sudden attack   can be relieved   by etizolam  and clonazepam . But  consult  psychiatrist  for  better  evaluation  and  assistance . Still  if  you  have  a  query  then  feel  free  to  ask . Happy  to  help  you  further . Thank  you .