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A 41-year-old male asked:

Lately i've had bad anxiety, focused on my breathing, my heart beat and bp..then i panic and it speeds up, getting palpitations n scared wanting to go to er. been to pcp, says heart ok. what to do? :(

4 doctor answers7 doctors weighed in
Dr. Satish Sundar
Pediatrics 35 years experience
Rest assured: The heart is likely ok. You need to take care of the anxiety. Your autonomic nervous system can increase the hr with change in level of anxiety. In simple words, talk to a psychologist or consider anxiolytics.
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Dr. Laura Wuarin
25 years experience
Best is SSRI: Hello, best treatment for anxiety is an antidepressant. If you have insomnia recommend Remeron (mirtazapine) 15-30 mg at night. Other options are citalopram or sertraline- would start at 10 or v25 mg/d respectively. It will take a few weeks but can help anxiety safely. Beware that you don't have bipolar disorder because it can make you worse. Rec you see a mental health provider.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Steven Griggs
Clinical Psychology 40 years experience
Best treatment is medication plus psychotherapy, statistically, not only one. Best treatment may also be counseling, focusing specifically on anxiety-reducing techniques. First you need a dx to determine that anxiety is functional, not physical. Here's a self-help reference: http://www.psychologyproductsandservices.com/page2.html
Sep 14, 2014
Dr. Carol Fishbein
A Verified Doctoranswered
32 years experience
Panic Attacks : Congratulations for showing the good judgment of going to your primary care physician to get worked up for your symptoms. That was an excellent decision you made. Congratulations too on being told that your physical health appears fine. It sounds like you are suffering from an anxiety disorder. Your symptoms described can commonly be found with people who suffer from panic attacks.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Jane Steiner
Psychiatry 44 years experience
See a therapist trained in Cognitive Behavioral Therapy and if necessary, see a psychiatrist who will prescribe the appropriate medication for you. You don't need to suffer!!
Feb 2, 2014
Dr. Mary Weatherford
23 years experience
Anxiety: If you md says you are ok you might want to consult with a mental health professional to help you deal with your symptoms.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 9, 2018

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