Assessment and treatment of problems related to nicotine, alcohol and drugs

Health Q&A
Anxiety and panic attacks

I really need help with my anxiety and panic attacks , i get scared, fast heart beat, chest pain, i cant breathe, and sucidial or self harm thoughts. Can anyone suggest something stronger or alternatives to petril md I cant find it anymore And i need some med to sleep and feel normal

Anxiety Medication

Hello Doctor, I wanted your guidance regarding my current anxiety treatment. I had my first anxiety episode in June 2021 and recovered fully after about 13 months of medication. I remained stable for nearly 3 years. In June 2025, I experienced a relapse during a period of high work stress and restarted treatment. Currently, I am on Prodep (Fluoxetine) 10 mg for the past 2 months (dose reduced gradually), and Lenozep (Clonazepam) 0.125 mg. I have recently started tapering Lenozep by taking it on alternate days. Over the last few weeks, I have been experiencing low energy, especially in the morning, along with mild uneasiness at times. No major panic symptoms. Could this be due to the reduced Prodep dose or Lenozep tapering? Is alternate-day tapering appropriate, or should it be reduced daily? Please advise on the best way forward. Thank you.

Depression

I have been going through so much, I have no idea want to do Am sitting in the same room for over a month now I don't want to talk about this with my parents or teachers but they are giving me more pressure to attend class which feel too difficult for me right now

Always sad. ... ... ... ...

Im housewife and have 7yr old daughter.feel like only monetary contribution will be regarded in this society helping hand never be appreciate .now I regret every decision i took in life. life was given so many oportunity I only took wrong decision.feels like what is the purpose of life. I always been introvert since childhood.i enjoy being alone. Feels like destiny never been my side. My life is limited only  to cooking cleaning .I lost interest in everything .

Anxiety, dep. insomnia and type 2 diabet

I am taking panazep 12.5, mirtaz 15, fostera 5 for anxiety and depression with negative thoughts, overthinking. All these medicines prescribed by my doctor... I have been taking these medicines for 2 years... Sometimes i felt anxiety, overthinking, poor concentration, after few days it becomes normal and quite ok... I have also type 2 diabets as well.. for diabetic i am taking metformin 1000mg+ glimpride 2mg, vildagliptin 50mg, dapagliflozin 10mg

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Doctors
Dr. L. Eugene Arnold - Psychiatrist
Dr. L. Eugene Arnold Psychiatrist (Medical School, B.S. Biology-Chemistry, Psychiatry Residency, MED - Education) 63 years experience Dr. Edward S. Sterling, DDS
Fifth by Northwest, COLUMBUS
Dr. Dale P. Svendsen - Psychiatrist
Dr. Dale P. Svendsen Psychiatrist (Medical School, Residency - ID, M.S., Psychiatry, B.A., Psychology, Class of 1967, Internship, Transitional Year) 59 years experience Eleonora Sikic-Klisovic, MD
Weinland Park, COLUMBUS
Dr. Richard Alfred Scarnati - Psychiatrist
Dr. Richard Alfred Scarnati Psychiatrist (Medical School, Graduated, Degree In Physical Therapy, Diploma in Physical Therapy, Master’s Degree in Health & Safety, D.O. Degree, Psychiatry Residency Certificate, Certificate Of Training, High School Diploma, Diploma in X-ray Technology, Master of Arts Degree in Health and Safety (Public Health), Doctor Of Osteopathy, Certificate of Training in Psychiatry (Residency), Graduate Medical Education in Psychiatry, Certificate of Training in Psychiatry, Physical Therapy, M.A., Health and Safety, Class of 1976, Residency, Psychiatry, Internship, Transitional Year, Medical Degree, Chief Residency in Psychiatry) 50 years experience Dr. Radhika Gollapudy, MD
Weinland Park, COLUMBUS
Dr. Nathaniel Johns - Psychiatrist
Dr. Nathaniel Johns Psychiatrist (Fellowship in Child and Adolescent Psychiatry, Chief Residency in Psychiatry, Residency in Pathology - Anatomical and Clinical, Class of 1984, Graduated) 41 years experience United Methodist Childrens Home Family Services
Columbus 43215, COLUMBUS
Dr. Renata  Fabia - General Surgeon
Dr. Renata Fabia General Surgeon (Medical School, Residency, Residency in Surgery (Gen), Chief Residency in Psychiatry, Medical degree, DO, Graduate, Fellowship 2, Internship, Residency - ID) 41 years experience The Richard M Ross Heart Hospital
Columbus 43210, COLUMBUS