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Doctor insights on: Track Marks Er Anxiety Panic Attacks Hippa

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Dr. Heidi Fowler
3,299 Doctors shared insights

Anxiety (Definition)

Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more


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My almost 9yr old having panic attacks. I have anxiety really really bad. I was thnking about taking her to the ER its been hrs. What will they do 4 her?

My almost 9yr old having panic attacks. I have anxiety really really bad. I was thnking about taking her to the ER its been hrs. What will they do 4 her?

In distress?: Unless your child is in acute distress with these attacks, the er isn't the best place for her to receive care for panic attacks. For the best help, she needs an in-person evaluation with her pediatrician and/or a child psychiatrist. In the doctor's office they would interview her and you, try to understand what's happening, and recommend helpful treatments. The er would stabilize and refer her. ...Read more

Dr. Alan Ali Dr. Ali
2 doctors agreed:
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Take klonopin (clonazepam) for anxiety for over a year now. It is not working now. Having panic attacks. Dr will not change med. Should I go to. Er?

Dr. Alan Ali Dr. Ali
2 doctors agreed:

Panic: Anxiety medications along with cognitive behavior therapy works. If not already doing so, consult a mental health professional. ...Read more

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Do people normally go to the ER for panic attacks and anxiety?

Do people normally go to the ER for panic attacks and anxiety?

Panic: People often go to the er for panic/anxiety; however, there is nothing they can do for you since the key is seeking psychological assistance to learn to manage the panic. If you are certain you are suffering with panic disorder, you may consider seeking appropriate treatment. Since you are near me, I will be happy to see you for this condition. ...Read more

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Is it ok to take 10mg of citolapram, 1 mg of clonazepram and 10 mg of cyclobenzaprine for anxiety/panic attacks/depression? The ER prescribed them!

Is it ok to take 10mg of citolapram, 1 mg of clonazepram and 10 mg of cyclobenzaprine for anxiety/panic attacks/depression? The ER prescribed them!

Medications: I'd suggest starting with only the citalopram and Clonazepam -- and for sure get yourself a psychiatrist to follow you. For best outcome you may also need a psychotherapist, unless the psychiatrist also does psychotherapy. Psychotherapy (cognitive behavioral especially these days) can help you discover and deal with thoughts that trigger your anxiety feelings. Those skills out-last meds. ...Read more

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I've been placed on Venlafaxine ER with an initial dose of 150mg. Is this recommended? I have major depression and anxiety with panic attacks.

I've been placed on Venlafaxine ER with an initial dose of 150mg. Is this recommended? I have major depression and anxiety with panic attacks.

Therapy?: Have you yet tried any form of psychotherapy? Typically, the optimal combination of things to treat emotional issues such as depression is medication (which, on your best day, is supposed to take the edge off symptoms) but the real gruntwork takes place in psychotherapist's consulting room. ...Read more

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What causes constant chest/rib tightness? Started after having anxiety/panic attacks. Been to ER many times and PCP all say my heart is fine. There's some cracking I push down on the sternum but no pain. Just tight. What could it be and how to treat?

What causes constant chest/rib tightness? Started after having anxiety/panic attacks. Been to ER many times and PCP all say my heart is fine. There's some cracking I push down on the sternum but no pain. Just tight. What could it be and how to treat?

PANIC: Get an evaluation from a psychiatrist to help identify what panic means to you and whatever else may be bothering you. Consider recommendations for medication if any are given. Get a referral for a reputable psychotherapist to speak with. Meds and therapy combined are most optimal; no just one or the other. ...Read more

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Last 4 months 27 pounds unintentional weight lost, fatigue, panic attacks, anxiety, 26 y female now 145 pounds, could I have cancer?

Last 4 months 27 pounds unintentional weight lost, fatigue, panic attacks, anxiety, 26 y female now 145 pounds, could I have cancer?

Possible: Unintentional wt. Loss of 27 lbs require some form of evaluation especially when associated with fatigue and anxiety. A good physical exam and PET/CAT essential to R.O. lesions that may have arisen in pancreas, ovary lung as well as other sites. If neg. Other causes to be ruled out. ...Read more

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How can I treat horrible anxiety and panic attacks?

Meds and therapy: Panic attacks occur when our brain believes we are in danger, and engages the fight or flight response. The good news is that panic attacks are usually easily treated with a combination of medications and cognitive behavioral therapy. Learning relaxation strategies is helpful, as are soothing self talk and distraction. Here is a relaxation link to get you started: http://tinyurl. Com/bnodn8y. ...Read more

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How should one take care of anxiety and panic attacks?

How should one take care of anxiety and panic attacks?

Treat it: Anxiety is very treatable with psyhotherapy and or psychiatric medication. Seek a good psychiatrist and clinical psychologist. As always, rule out medical causes first. For basics on anxiety disorder see: http://cpancf. Com/anxietydisordersbasics. Asp. ...Read more

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Any tips for traveling with anxiety and panic attacks?

Any tips for traveling with anxiety and panic attacks?

People who have: Panic attacks are ok but often fear dying or some other catastrophic event. The fear of another panic attack becomes the real issue. Some therapists will even prescribe panic attacks to help the person see that they are ok and that the attacks are self-limiting. Please see a psychologist for support. Peace and good health. When traveling remember that panic attacks are self-limiting. ...Read more

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What are some methods of coping with anxiety/panic attacks?

Panic attacks: F you can find a quiet place - do so. Breath in slowly ; deeply through your nostrils. Fill your lungs with air (but not to the point of discomfort). Hold for a count of five then slowly begin to exhale through an open mouth. Repeat at least 12 times, longer if you need to. ...Read more

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What should I do to take care of anxiety and panic attacks?

Anxiety: Sometimes it is genetic. See a psychiatrist and ask that question after they have interviewed you. Psychotherapy and meds can definitely help. ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
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What should I do if anxiety and panic attacks getting worse?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
What should I do if anxiety and panic attacks getting worse?

Panic: Best therapy is combination of cognitive behavior therapy, relaxation, breathing exercises, and medications to block panic attacks. ...Read more

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I have awful panic attacks from anxiety--how can I stop these?

Panic and meds: The best approach is medication such as ssris (ex:prozac, lexapro) and initial use of benzodiazepines such as xanax (alprazolam) or Klonopin to stop the panic and later as needed (rescue) along with cognitive behavioral therapy (cbt). ...Read more

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What could I do to find out if I'm having anxiety/panic attacks?

What could I do to find out if I'm having anxiety/panic attacks?

Get med eval: Panic attacks can develop rapidly and can include: marked anxiety; rapid, pounding heart beat; chest tightness or pain; shortness of breath with hyperventilation; hot or cold flashes; a sense of butterflies in the stomach, nausea or even vomiting; tingling of mouth or extremities; increased sweating; feeling faint or lightheaded; headache, shaking; difficulty swallowing or throat tightness; a >>. ...Read more

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What is the best medicine and dosage for panic attacks and anxiety?

No best medicine.: Any of the antidepressants FDA approved for panic attacks, and /or benzodiazepines can help you. For example Paxil, (paroxetine) Prozac, Zoloft etc. Start with lowest dose and then increase as needed. ...Read more

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Can you please tell me how panic attacks and anxiety attacks differ?

A Way 2 Think About: Most people don't differentiate the experience of (a) panic, which involves intense symptoms that take hold suddenly (e.g., racing heart, sweating, fear of dying, etc.) and which is relatively short-lived, from (b) a state of anxiety, which involves worry along with prolonged symptoms that tend to be less intense, but may persist (sleep disturbance, trouble concentrating, restlessness, etc.). ...Read more

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I get a lot of anxiety attacks and panic attacks, how can I get btter?

I get a lot of anxiety attacks and panic attacks, how can I get btter?

Accept professional: Help. Medical evaluation to rule out underlying medical causes is important. Consider seeing a psychologist or a psychiatrist. Psychiatric medications are often indicated but if you don't add in non-pharmacological approaches you won't have a full a response. Take care. ...Read more

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What are the routine test to determine panic attacks from anxiety attacks?

What are the routine test to determine panic attacks from anxiety attacks?

Panic & anxiety: Panic attacks are a type of anxiety disorder. Their symptoms usually peak within 10 minutes and dissipate within about 30 minutes. Plain anxiety can be very uncomfortable also, but may persist for many hours and doesn't come in circumscribed "attacks." diagnosis is by description, and ruling out other conditions that may imitate it. Limited symptom panic attacks are possible also. ...Read more

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Are there any good medicines for anxiety attacks? To cure anxiety or panic attacks

Are there any good medicines for anxiety attacks? To cure anxiety or panic attacks

Yes: Nowadays we use the ssris like prozac, paxil, (paroxetine) sertraline (or zoloft), lexapro, citalopram, Celexa etc. Benzodiazepines like Alprazolam (xanax) too. Also talking to a therapist may help to confront fears. ...Read more

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What is the cause of panic attacks and how are they different from anxiety attacks?

What is the cause of panic attacks and how are they different from anxiety attacks?

Amygdala: Panic attacks are thought to result from inappropriate activation of the amygdala, an area of the brain which in animals is associated with the fight or flight response. In essence your body is activating mechanisms meant to help your fight or flee, but there is no threat present to justify the response. Typically anxiety attack is a colloquial term for panic attack. ...Read more

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What to do if I have an anxiety problem and tend to have panic attacks now and then. But what causes them?

What to do if I have an anxiety problem and tend to have panic attacks now and then. But what causes them?

past&present stress: Even with psychotherapy we may not always find the root cause of anxiety &/or panic; it is possible in some of us that a stressful event has become buried in the unconscious, or may be in the subconscious, or we may not recognize & recall the importance of a past event which can impact us. Psychotherapy such as cognitive behavioral treatment may not even focus on the past events. ...Read more

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How can I get over anxiety and panic attacks?

How can I get over anxiety and panic attacks?

Evaluation-Treatment: It's important to understand the cause of these symptoms-medical or psychological.
Hyperthyroidism and a host of other conditions can cause them.
If psychological, it's helpful to start with stress reduction, relaxation and medication. Medication can also be helpful. ...Read more

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Best med for anxiety - stress -- panic attacks?

Best med for anxiety - stress -- panic attacks?

Apart from Meds...: Suggest finding clinical psychologist who is anxiety specialist - someone who (a) uses behavioral & cognitive-behavioral techniques, esp. To help u build skills to gain control of anxiety/panic; (b) uses experiential & mindfulness techniques to help u identify & experience ur emotions as u're feeling them; & (c) uses techniques that trace roots of ur feelings & explore patterns in ur relationships. ...Read more

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How do I treat chronic anxiety and panic attacks?

Meds/ counseling: The therapy for these problems is usually a combination of anti-anxiety medicines and counseling to help deal with and diminish the anxiety and panic attacks. ...Read more

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Anxiety, stress, worry, panic attacks. Are they a continuum.?

More like a mix.: The first three often are used interchangably, though they differ. One can feel "stressed, " which usually means worried and anxious, but stress also makes people worried and anxious. One could be worried without necessarily being anxious. Panic attacks, though, are a different level. They are a specific reaction to anxiety to which some people are vulnerable and others are not. ...Read more

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What is the least addictive PRN medication for anxiety & panic attacks?

What is the least addictive PRN medication for anxiety & panic attacks?

No benzos and: As well no medical evidence that chasing anxiety with any psychotropic is ever effective and in fact is counter-productive eg the anxiety will worsen. Scheduled dosing is the preferred way eg once a day, twice per day, etc depending on the med. Ssri's are best med but you may want to start w/regular exercise, meditation, increased antioxidants for instance. See ur pcp for a referral to psychiatrist if necessary. ...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


Dr. Alan Ali
1,191 Doctors shared insights

Panic Attack (Definition)

Panic disorder is a type of anxiety disorder in which someone has repeated attacks of intense fear that something bad will occur when not expected. The person lives in fear that ...Read more