Is anxiety disorder or Gerd comes first.

Hi, Yes, it looks like anxiety and episodes of panic attacks. Stress and unexpressed emotions can cause Anxiety. Anxiety is a very common part of our life. We should know how to deal with it and learn coping skills. Anxiety can also cause lot of worries and lead to gastric problems, overthinking, restlessness, irritability, sleep disturbances, low confidence, low self esteem continuous negative thoughts, constant worrying. We humans are different from each other, no human is perfect hence we all have our own limitations. Maybe you are a sensitive personality. Sensitive personality can have less tolerance or capabilities to face emotional stressful condition. Hence they might suffer lot of body symptoms like gastritis etc. Sometimes long-term gastritis can also lead to Anxiety episodes. Hence in your case, detailed history and evaluation can help to find the cause, what lead to what?

Consult me for psychotherapy (counselling,CBT, relaxation therapy, talk therapy etc) and if necessary medications.

Tips and tricks to overcome Anxiety and Low Mood. 1 Learn relaxation techniques like slow deep diaphragmatic breathing, progressive muscle relaxation technique 2. Practice yoga and meditation 3. Practice mindfulness 4. Regular physical exercise 5. Avoid alcohol and smoking 6. Good balanced diet 7. Good night sleep 8. Quality family time 9. Good social network 10. Keep yourself occupied with work that you love All the best be happy 💐💐