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Anxiety and panic attack
I have always been an anxious person but from past few months it increased a lot and from past 1 month its has got to extreme that i feel zoned out or cant feel the present much. During those episodes, I get sweaty, feel hot, sometimes cold, extreme shivering, palpitations, chest pain, less sensation, withdrawal feeling, everything around me looks like demon, breathlessness (almost everytime), extreme weakness, fainting like feeling, cant eat. I have been prescribed with pexep cr 12mg, placida , and clonotril 0.5 mg. I am extremely scared of taking medicines and I have done some research that after stopping these medicines, people get withdrawal symptoms, anxiety or panic attack comes back strong . PLEASE suggest me what should I do .
Answers (7)
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Your feelings and concerns about psychiatric medications are completely understandable. Here is a clear guide on how to proceed safely:
1. **Do Not Stop or Delay Medications Abruptly:** Sudden withdrawal or untreated severe anxiety can make panic attacks significantly worse. Always discuss adjustments with your prescribing doctor.
2. **Discuss Your Fears with Your Doctor:** Share your concerns about withdrawal and side effects. They can reassure you, adjust dosages, or outline a clear, gradual tapering plan for the future.
3. **Combine Medication with Therapy:** Psychotherapy (such as Cognitive Behavioral Therapy) is highly effective for managing derealization and panic symptoms, giving you long-term coping strategies.
4. **Practice Immediate Grounding Techniques:** During episodes, focus on deep, slow breathing (4 seconds in, 4 seconds out) and use the 5-4-3-2-1 sensory technique to anchor yourself in the present.
Please schedule a follow-up consultation with your psychiatrist or psychologist soon to align on a treatment plan you feel safe and comfortable with.
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This describes severe panic attacks, derealization, chest pain, and intense fear regarding psychiatric medication withdrawals. These symptoms resemble Panic Disorder, Agoraphobia, or severe medication-related anxiety.
Next Steps
You can consult Dr. Rupali Mohbe, a licensed clinical psychologist. Book an online or offline session based on your comfort via the official website, BIRDYME.Clinic Address: 208, CENTRAL, Sangath IPL, Motera, Ahmedabad, Gujarat.
Health Tips
Never stop psychiatric medications suddenly.
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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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Hi, how are you? Thanks for reaching out.
What you’re describing sounds like severe anxiety with panic attacks, and the “zoned out” feeling is often an anxiety symptom rather than something dangerous. It’s understandable to be scared about medication, but please don’t let online stories make the decision for you. When prescribed by a psychiatrist, these medicines are usually stopped gradually if needed.
One tip: Whenever a panic episode starts, instead of fighting it, remind yourself, “This is anxiety, not danger. It will pass.” Slow your breathing and let the wave settle.
Take therapy. You can connect with me on nine two six six seven two six zero six five.
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Ms. Ruhi Jain
Psychologist
2 yrs exp
New Delhi
It is understandable to feel worried about starting medication, especially after reading about possible side effects. However, it’s important not to stop, avoid, or change prescribed medication without discussing your concerns with your psychiatrist. Therapy can also help you understand your anxiety, build effective coping strategies, and regain a sense of control over your daily life.
Health Tips
• Practice slow diaphragmatic breathing (inhale for 4 seconds, exhale for 6 seconds) during episodes of anxiety.
• Try the 3-3-3 grounding technique: Name 3 things you can see, 3 things you can hear, and move 3 parts of your body to bring your attention back to the present.
• Limit online searching about medications, as it can increase anxiety. Instead, discuss any concerns or fears openly with your psychiatrist so you can make informed decisions together.
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Mr. John Zachariah
Psychologist
16 yrs exp
Ernakulam
You may consult a psychotherapist directly
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Dr. Archana Agarwal
Psychiatrist
1 yrs exp
Bikaner
Thank you for sharing this. I know it isn't always easy to talk about personal struggles, so I'm glad you reached out. From what you've described, these symptoms are affecting your daily life and deserve proper attention.
I would recommend a detailed psychiatric consultation to understand the underlying cause and discuss the best treatment plan for you.
If you need further guidance or would like to discuss your concerns in detail, feel free to reach on https://topmate.io/drarchana_agarwal/
I'd be happy to help you.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.