Hi

"Hi there, I understand that seeking help can feel overwhelming, but you’ve already taken the first brave step. I can guide you with a clear treatment plan tailored just for you, so you can feel better and regain control over your life. You can reach me directly on WhatsApp for quick support on seven zero eight two zero two two zero six two."

Hi, how are you? Thanks for reaching out. Your symptoms sound complex and are causing significant distress. The burning sensations, panic, derealization (feeling like you’re in a dream), and persistent low mood can occur with severe anxiety and depression, but since these symptoms have continued for many years despite treatment, it’s important to have both a thorough psychiatric review and a medical evaluation to rule out conditions such as thyroid problems, vitamin B12 deficiency, diabetes, or other neurological or medical causes. One suggestion: keep a symptom diary noting when episodes occur, their duration, possible triggers, and physical symptoms. This can help your psychiatrist identify patterns and decide whether your diagnosis or treatment plan needs to be revised. CBT, especially for panic and anxiety, can also be very beneficial alongside medication. Take therapy. You can connect with me on nine two six six seven two six zero six five.

You have been struggling for a long time. Your symptoms could be related to anxiety/panic with depression, but they also warrant evaluation for medical causes. I recommend a detailed review by a psychiatrist (including your previous treatment history) and basic tests such as CBC, thyroid profile, vitamin B12, vitamin D, blood sugar, liver and kidney function, and electrolytes. Please avoid changing medications on your own, as your treatment may need optimization rather than just sedation. If you ever develop thoughts of self-harm, seek immediate medical help.