Panic Disorder. Assist me on this. b!

Along with medicine psychotherapy and cbt is required

Taking deep breaths. That tells your body “Hey, we’re okay. Everything is okay.” Disengaging from whatever is causing my anxiety (if there is something). Crying. It’s always okay to cry. Talking to someone. Often frantically. There are many people I feel I should apologize to for the messages I’ve sent them when I’m having a panic attack. Lying down. I turn on slow music—nothing that will make me more anxious. Trying to introduce positive self-talk. Anxiety often comes with many negative thoughts that cause a terrible anxious cycle. Driving (if I’m safe to do so)

I'm sorry to hear that you're feeling confused about the medications prescribed to you for panic disorder. I hope some general information about the medications you mentioned will help you. Mirtazapine is an antidepressant that is sometimes prescribed off-label for anxiety disorders, including panic disorder. One of its common side effects is drowsiness or feeling tired, which you mentioned experiencing. This side effect can be more pronounced when starting the medication and may lessen over time. It's generally recommended to take mirtazapine in the evening to help with sleep and minimize daytime sedation. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat panic disorder and other anxiety disorders. SSRIs help regulate serotonin levels in the brain, which can help alleviate anxiety symptoms. It's important to note that SSRIs may take several weeks to start having an effect on symptoms, so it's essential to be patient and consistent with taking the medication as prescribed. Clonazepam is a benzodiazepine that is sometimes used for short-term relief of panic attacks or acute anxiety symptoms. Benzodiazepines can be effective in providing quick relief, but they are generally prescribed for short periods due to their potential for dependence and tolerance. It's important to follow your psychiatrist's guidance on the duration of clonazepam use and any tapering plans if you decide to discontinue it. The choice of medication and the specific dosages depend on various factors, including your individual symptoms, medical history, and response to treatment. It's crucial to have open and honest communication with your psychiatrist about your concerns and any side effects you experience. They can evaluate your situation and make any necessary adjustments to your treatment plan. Additionally, therapy, such as cognitive-behavioral therapy (CBT), is often recommended as a first-line treatment for panic disorder. CBT can help you learn techniques to manage panic attacks and address the underlying thought patterns and behaviors contributing to your anxiety.

In the meantime, here are a few tips that may help alleviate your anxiety symptoms: Practice deep breathing: When you feel yourself becoming anxious, try taking deep breaths in through your nose and out through your mouth. Focusing on your breath can help you calm down and reduce feelings of panic. Get regular exercise: Exercise has been shown to reduce symptoms of anxiety and depression. Even a 20-minute walk each day can make a difference. Prioritize self-care: Take time each day to do something that you enjoy and that helps you relax, such as reading a book, taking a bath, or listening to music. Avoid caffeine and alcohol: Both caffeine and alcohol can worsen anxiety symptoms, so it's best to avoid them or limit your intake. Talk to someone: It can be helpful to talk to a trusted friend or family member about how you're feeling. If you don't feel comfortable talking to someone you know, consider reaching out to a mental health professional or joining a support group.

Hi sir,    Are u regularly attending psychotherapy sessions....was there any distressing event a year ago when ur symptoms began...

Continue with tab escitalopram and clonazepam

follow up with the psychiatrist

practice JPMR exercise three times. day