🧠 My Opinion (As a Psychiatrist):
From your description, it seems like your palpitations and chest discomfort are likely being triggered or worsened by panic attacks and underlying anxiety, especially since your symptoms respond to clonazepam. However, severe left hand and chest pain must always be evaluated thoroughly to rule out any cardiac cause—even if your ECG is interpreted as "normal" by your physician. Panic attacks can mimic heart issues but we should never assume this without a proper evaluation.
Next Steps
🔍 Next Step (What Should the Patient Do Next):
1. Kindly consult a cardiologist once to rule out cardiac causes (including angina or coronary artery issues), especially if your symptoms are persistent or worsening.
2. If cardiac causes are ruled out, then a structured treatment plan for panic disorder is essential — which may include medications and/or psychotherapy like CBT.
3. You can consult a psychiatrist like me to personalize your treatment, reduce SOS medication use, and manage your anxiety holistically.
Health Tips
⚠️ Helpful Tips / Word of Caution:
Never ignore chest or left arm pain, even if you're young or have panic disorder — always get a cardiac evaluation first.
Avoid excessive use of clonazepam without psychiatric supervision, as it can cause dependency and reduce effectiveness over time.
Practice daily deep breathing, grounding, and relaxation exercises — these can help reduce panic frequency.
📍 Feel free to connect if you need help managing panic attacks and emotional health.
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📍 Dr Shivam Bhandari Jain — Consultant Psychiatrist
🏥 Health 4 U Clinic, 249 Gufa Mandir Road, Near First Step School, Jain Nagar, Nayapura, Lalghati, Bhopal
🕕 Clinic Timings: Monday to Saturday, 6 PM – 8 pm
📲 Instagram: @mentalhealth.4you
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