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Severe anxiety disorder
(Looking for online treatment as I'm posted far from any city for regular clinical visits)
Health History:
Suffering from anxiety disorder for almost 3 years.
Been on meds but relapse twice. Every time everything seems fine and the doctor tells me to stop meds after tapering, it all starts again and more severely. Currently not taking any meds and anxiety is back again.
Symptoms:
Whenever I feel stressed (office or personal life) my legs start shaking and I breathe with my mouth, chest tightness like asthma , upper stomach tightness. (Visited a pulmonologist, said stress is the main reason), panic attack feeling at night whenever I try to sleep, feels like I'll stop breathing anytime due to slow breathing, can't exercise as sudden change in breathing pattern triggers anxiety. Brain feels hyper active towards sudden sound or touch. Ct scan showed no head injury, cbc always normal, mild bronchitis and sinus problem.
Looking for online treatment/consultation
Answers (12)
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Hi,
Let's have a comprehensive and detailed clinical interview to understand your situation better.
For a personalized plan, find me by searching "Dr Abhinav Tewari Neuropsychiatrist Lucknow" on Google Maps â my details are listed there.
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Kind Regards,
Dr Abhinav Tewari
Consultant Neuro-Psychiatrist
MBBS (A.I.I.M.S., New Delhi)
MD (Psychiatry) (A.I.I.M.S., New Delhi)
DNB (NBEMS)
Answered
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Hello,
I can understand how exhausting and frustrating this must be, especially when symptoms keep returning despite previous treatment. The good news is that anxiety disorders are very treatable, and many people who experience relapses do well once the treatment plan is adjusted appropriately.
Since your symptoms are significantly affecting your sleep, breathing comfort, exercise, and daily functioning, I would recommend a detailed psychiatric evaluation. Along with medication, therapy can be very helpful in reducing panic symptoms and improving long-term recovery.
I provide online psychiatric consultations and therapy support. If you would like a detailed assessment and personalized treatment plan, you can contact me directly on seven eight seven seven six three nine six eight two or book an online appointment directly through practo.
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Hi
Your symptoms sound very similar to anxiety and panic symptoms. The fact that your medical tests are mostly normal and the symptoms get worse during stress also points in that direction.
Since you’ve relapsed twice after stopping medicines, it may be a good idea to consult a psychiatrist again and discuss a longer-term treatment plan. Along with medicines, CBT therapy can help you manage panic attacks, breathing fears, and anxiety triggers more effectively.
Try not to constantly monitor your breathing or body sensations, as that often increases anxiety. A gradual return to exercise and stress-management techniques can also help.
Since you’re looking for online treatment, both online psychiatry consultations and online CBT sessions can be effective options. Take therapy. You can connect with me on nine two six six seven two six zero six five.
Next Steps
Connect for same
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"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."
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Hey, i understand your situation and what you are going through. You have taken treatments properly, firstly I'm so proud of you for doing that.
And I understand it's very exhausting to still feel the severe anxiety all the time, but we need to dug more. We will be needing more history so that we can evaluate properly and then prescribe the appropriate treatment.
Next Steps
Please consult online.
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Your symptoms are suggestive of anxiety disorder with panic symptoms. Since symptoms return after stopping medicines, you may require longer-term treatment along with therapy for better relapse prevention.
Next Steps
Consult a psychiatrist for reassessment and restart treatment if needed. Online consultation and regular follow-up can help. CBT, relaxation training, and gradual lifestyle changes are also important along with medicines.
Health Tips
Avoid repeatedly checking breathing or pulse, as this can increase panic.
Practice slow diaphragmatic breathing instead of mouth breathing during anxiety episodes.
Reduce caffeine, nicotine, energy drinks, and excess screen exposure at night.
Maintain regular sleep timing and light physical activity; start exercise gradually rather than intense workouts suddenly.
Try grounding techniques during panic symptoms (focus on surroundings, slow exhalation, muscle relaxation).
Seek immediate medical help if you develop severe breathing difficulty, fainting, chest pain on exertion, or suicidal thoughts.
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