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Doctor insights on: A Significant Limitation Of Drug Treatment For Panic Disorder

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Can Xanax be used for long term treatment of general anxiety/ panic disorder . ?

Can Xanax be used for long term treatment of general anxiety/ panic disorder . 
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Yes: In the past Xanax has been used for general anxiety/panic as a primary medication. However, most providers today would use other medications for daily use. ...Read more

Panic (Definition)

Panic is a psychological and somatic state of anxiety usually involving extreme fear, characterized by symptoms such as shortness of breath, rapid pounding heartbeat, sometimes dizziness or light-headedness, tunnel vision, a sense of unreality, and a feeling of needing to escape from ...Read more


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What are a few safe medications for severe anxiety for someone with a significant cardiac history?

What are a few safe medications for severe anxiety for someone with a significant cardiac history?

SSRI: The typical treatment for anxiety is not contraindicated for patients with cardiac diseases - short-term benzodiazepines (diazepam, clonazepam, etc.) or ssri/snri, or wellbutrin (bupropion) can all be good choices. ...Read more

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What is a good medication for severe social anxiety disorder and generalized anxiety disorder(gad)?

What is a good medication for severe social anxiety disorder and generalized anxiety disorder(gad)?

Monitoring is key: Probably the best are the ones that are prescribed and monitored by a physician. These medications that are the best in some cases can be the worst if they are taken incorrectly. There are pro's and con's to all of them. If you are considering anxiety medication your doctor will take into account your personal history and needs and try to find the one that is best for you. ...Read more

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What is known about the use of ketamine in treatment of depression? Would it be a good maintenance medication, or more for severe depressive episodes?

What is known about the use of ketamine in treatment of depression? Would it be a good maintenance medication, or more for severe depressive episodes?

Ketamine ; MDD: Some studies are available showing that IV ketamine given in highly specialized clinics can offer rapid relief in severe, treatment-resistant depression, such as: http://tinyurl.Com/l76qma8 however, problems remain in that the beneficial results may not last more than a few days. Some cities have such clinics. It would not be a maintenance medication that someone could use at home. ...Read more

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Which type of medication will i most likely recieve for panic disorder and agoraphobia?

Which type of medication will i most likely recieve for panic disorder and agoraphobia?

COMBINATIONS: I start most of my patients on a combination of antidepressants (which also reduce anxiety) and tranquilizers. This improves things when you arrive at the right doses. Psychotherapy then brings control and resolution. ...Read more

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Is there any reccomended medications or treatment for borderline personality disorder ?

Is there any reccomended medications or treatment for borderline personality disorder ?

DBT: Dbt, or dialetic behavioral therapy, formulated and developed by marsha linehan, pH.D. Is currently though of as being very effective. Just about the biggest goal of this kind of therapy for this kind of disorder is to maintain boundaries. ...Read more

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What are the criteria for a generalized anxiety disorder?

What are the criteria for  a generalized anxiety disorder?

Too long for space : The complete diagnostic and statistical manual criteria for generalized anxiety disorder are too long to write in 400 characters -- but involve chronic worrying, nervousness, and tension. This link lists signs ; symptoms in more detail, and provides more information too: http://www.Helpguide.Org/mental/generalized_anxiety_disorder.Htm. ...Read more

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Is tms indicated for someone with long term chronic general anxiety and social anxiety ?

TMS for Depression: Primarily indicated for depression that is refractory to adequite pharmacotherapy i.e., proper dose levels & adequate time on drug;. ...Read more

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What is the most effective form of medication for depersonalization disorder with panic attacks? Currently on SSRI to no avail.

What is the most effective form of medication for depersonalization disorder with panic attacks? Currently on SSRI to no avail.

Depersonalization Di: Depersonalization Disorder is persistent or recurrent experience of feeling detached from, and as if one is outside observer of, one's mental processes or body. During this experience reality testing remains intact. There is no specific medication for this Disorder. psychotherapy can be beneficial. Panic attacks respond well to Medications like Ativan or Xanax (alprazolam). Please see a Psychiatrist . ...Read more

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What is the treatment for social anxiety disorder?

What is the treatment for social anxiety disorder?

Therapy +/- meds: Many individuals respond to congitive-behavioral therapy, individually or in groups. Some people benefit from medicaiton, and some combination therapy. A former resident and i put together a web-page: http://cpancf.Com/articles_files/overcomingsocialanxietydisorder.Asp. ...Read more

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For a dsm-iv-tr diagnosis of any mental disorder there must be evidence of what thing?

For a dsm-iv-tr diagnosis of any mental disorder there must be evidence of what thing?

Impairment: Each diagnosis has specific criteria appropriate to the problem. The only overarching requirement is that the signs and symptoms associated with a specific disorder such as depression or anxiety be causing impairment to the individual. ...Read more

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Is there a treatment for extreme anxiety and agoraphobia?

Is there a treatment for extreme anxiety and agoraphobia?

CBT and anxiolytics: Cognitive behavioral therapy in combination with ssris (prozac, zoloft, (sertraline) celebs etc) will help.Treatment is very effective. ...Read more

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Is there a medication for paranoia and minor hallucinations?

Is there a medication for paranoia and minor hallucinations?

Yes : Going to see a psychiatrist, and having them to do a thorough medical/psychiatric exam and then the doctor decides what medicine to give and how much to give based on your medical history, allergies, temperament, weight, and history of medications that worked. ...Read more

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I have bipolar disorder, social anxiety, panic disorder, and ocd. Is there a cure that doesn't require tons of meds?

I have bipolar disorder, social anxiety, panic disorder, and ocd. Is there a cure that doesn't require tons of meds?

Probably: Bipolar disorder could account for social anxiety, panic attacks, obsessive thoughts, and compulsive behaviors so you do not necessarily have 4 separate disorders. Mood stabilization may help to allay the other syptoms. A mood stabilizer such as depakote, lithium, lamictal, trileptal, seroquel, or Abilify (aripiprazole) would be the place to start. Discuss this with your psychiatrist. ...Read more

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Is there any type of cure or therapy for mental retardation?

Is there any type of cure or therapy for mental retardation?

No cure, but help.: Mental retardation, now referred to as intellectual disability, is defined as having an iq of less than 70 and also experiencing difficulty in social areas. A person's iq does not change over time, but it is important to do everything to help them reach their potential. In many cases, speech, occupational, and/or physical therapies are useful. They also need the best educational setting available. ...Read more

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A patient with 5-year history of Parkinson's disease, takes no drug treatment.Is there any advanced treatment protocol to this condition in the US?

A patient with 5-year history of Parkinson's disease, takes no drug treatment.Is there any advanced treatment protocol to this condition in the US?

Sort of: We have some newer forms of L-DOPA, like Duodopa, and Rytary, and Deep Brain Stimulation seems to be used earlier and in more patients, but otherwise, not any profound advances, so far. However, loads of research programs under supervision of some outstanding Movement Disorder Specialists. If you are available, there may be some areas of benefit to consider. ...Read more

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What kind of treatment is available for anxiety due to long term prior ecstasy use? Is there a surgery available to reduce anxiety level?

What kind of treatment is available for anxiety due to long term prior ecstasy use? Is there a surgery available to reduce anxiety level?

Anxiety: Is sometimes at the root for people who use substances. Now that you have a clearer picture of what you want to work on, anxiety, please see a mental health professional who specializes in this. Please do not use medication alone but get treatment. Clinical Hypnosis can be helpful. See www.asch.net for a list. Peace and good health. ...Read more

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What is the best type of therapy for panic disorder w/agoraphopia and gad? I've been in therapy for several years.

What is the best type of therapy for panic disorder w/agoraphopia and gad? I've been in therapy for several years.

Agoraphobia: Is a complex disorder. Cognitive behavioral techniques combined with some insight oriented psychotherapy have worked well for my clients. Progressive desensitization followed by exposure to situations that have caused anxiety help overcome the phobic situations. The insight oriented work can help uncover how the phobias developed in the 1st place. ...Read more

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What are the factors that complicate a diagnosis of anxiety versus an adjustment disorder?

What are the factors that complicate a diagnosis of anxiety versus an adjustment disorder?

No complication: An adjustment d/o can take shape of an anxiety d/o, . Under the umbrella of anxiety d/o's falls panic d/o, generalized anxiety d/o, social anxiety d/o, ocd, ptsd, phobias such as of heights , tunnels, or blood, adjustment disorder with anxious mood, anxiety resulting from abuse , and /or withdrawal from alcohol and drugs , and anxiety resulting from physical conditions such as hyperthyroidism. ...Read more

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Dr. Heidi Fowler
669 doctors shared insights

Panic Disorder (Definition)

Panic disorder includes recurrent and unexpected panic attacks accompanied by fear of having additional panic attacks. Common symptoms of a panic attack can include increased heart rate, sweating, difficulty breathing, rapid thoughts ...Read more