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Doctor insights on: What Exactly Is Paradoxical Anxiety

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What exactly is paradoxical anxiety?

What exactly is paradoxical anxiety?

Arises inversely: Paradoxical anxiety is anxiety arising from use of methods or techniques which are normally used to reduce anxiety, such as cognitive behavioral therapy, meditation, medications etc.
The most common case would be when taking benzodiazipine medicines such as klonipen which should lull one to sleep but instead causes insomnia or agitation. ...Read more

Dr. Heidi Fowler
3,281 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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I seem to have paradoxical anxiety from 20mg celexa. I started a week ago... how long will this last, and will lowering my dose to 10mg help?

I seem to have paradoxical anxiety from 20mg celexa. I started a week ago... how long will this last, and will lowering my dose to 10mg help?

Possibly: If you have never been on Celexa or similar medications, you may be initially more sensitive to potential side effects. You mention you started a week ago. Was 20 mg your starting dose? If so, lowering the dose to 10 mg may improve tolerability. Recommend discussing with your prescriber before making any changes, as he/she is familiar with your particular history. Hope this helps. Best. ...Read more

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Although alcohol is a depressent, can it cause paradoxical anxiety during intoxication?

Although alcohol is a depressent, can it cause paradoxical anxiety during intoxication?

Alcohol intoxication: This depends on the level of alcohol in the blood. At less than 100 mg/dl level, there is impaired coordination & euphoria. At higher levels, there is labile mood, unpredictable behavior & later on respiratory depression & seizures. ...Read more

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How exactly do anxiety meds work?

How exactly do anxiety meds work?

Different methods: Different meds work differently - some affect serotonin levels by raising them, while others are just sedatives (these are the most addictive like Xanax (alprazolam) and ativan). ...Read more

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What exactly are anxiety headaches?

Anxiety HAs: Are tension headaches occurring with other symptoms of anxiety, due to elevation of adrenaline which affects the blood vessels in your scalp, leading to headaches. ...Read more

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What exactly is the process for curing social anxiety usually like?

What exactly is the process for curing social anxiety usually like?

Hard, But Empowering: U'll face & learn 2handle embarrassing situations! anxiety disorders assn of bc has educational & self-help tools (incl a video) 4 managing & even overcoming social anxiety: http://bit. Ly/yudsfl effective treatment for social anxiety will involve putting urself in feared social situations, going from ones u fear only a little 2 others u fear a lot. A cbt & anxiety expert can be big help! ...Read more

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What exactly is depressive anxiety?

What exactly is depressive anxiety?

Dep./anxiety: Not sure if such term exists, but depression is fairly common with anxiety, either comorbid or in relation to medications or illicit substance use. ...Read more

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How do I know exactly what is anxiety?

How do I know exactly what is anxiety?

Our alarm system: Anxiety is a normal human emotion that enables us to respond to dangerous situations. It is caused by the mind/body reaction to events or interpretations of them that cause the brain to prepare the body to fight or flee an enemy or dangerous situation. Anxiety responses can be triggered unnecessarily, leading to problems with "stress, " like a car alarm going off unnecessarily. ...Read more

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What exactly is by stranger anxiety?

What exactly is by stranger anxiety?

Normal development: Before 6 months of age, a kiddo is generally friendly with most people. At about 6 months, they start to get anxious about anyone but their immediately family. This so-called "stranger anxiety" can apply to friends of the family or occasionally seen relatives and is generally completely normal. ...Read more

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What exactly is generalized anxiety disorder (gad)?

What exactly is generalized anxiety disorder (gad)?

Generalized Anxiety: Excessive anxiety and worry (apprehensive expectation), occurring more-days-than-not for at least 6 months, about a number of events or activities (such as work or school performance).The person finds it difficult to control the worry. The anxiety and worry are associated with three (or more) of the following 1.Restlessness easily fatigued difficulty concentrating, irritability, muscle tension. ...Read more

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What exactly is the process of curing social anxiety with doctors like?

What exactly is the process of curing social anxiety with doctors like?

Talking: For most people it's much more comfortable than they think. You should expect someone to listen to you and understand you. Therapist's have different approaches but the idea is that they will help you help yourself. If you're on the fence about trying, I would encourage you to seek someone out. Best wishes. ...Read more

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Are doctors going take blood and thing from me for an anxiety test and how much is it what exactly do they do?

Are doctors going take blood and thing from me for an anxiety test and how much is it what exactly do they do?

Usually not: Anxiety is diagnosed by talking to the patient, not blood work. However, if you have symptoms of underlying thyroid disease or other medical disorder, your doctor may check blood work. ...Read more

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If I have a fear of something but don't know what it is exactly, does that mean I might have an anxiety disorder?

If I have a fear of something but don't know what it is exactly, does that mean I might have an anxiety disorder?

Possible: Fear that has no object is certainly a sign of anxiety, however it also can be a sign of other mental disorders, in order to get a clearer answer, you may want to get evaluated by a psychiatrist to rule out other causes. After that they can direct you to the best course of action to control the symptoms
feel better. ...Read more

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Does caffeine overdose really cause exactly the anxiety? Or it only has the same symptoms, not the real anxiety disorder..

Does caffeine overdose really cause exactly the anxiety? Or it only has the same symptoms, not the real anxiety disorder..

Symptoms: Too much caffeine just causes the symptoms of anxiety but does not cause tge disorder. Symptoms should resolve once the caffeine wears off. ...Read more

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Any new treatment for anxiety and panic disorders? New meds or promising treatments or tests to pinpoint exactly what chemicals are out of sync?

Some.: Anxiety and panic attacks usually involve gammabutyric acid as well as serotonin and norepinephrine due to associated depression. There are quite a few new antidepressants which can help with anxiety and panic attacks such as viibryd, (vilazodone hydrochloride) Fetzima and brintellix. Initially, the antianxiety medications like ativan, xanax and Klonopin are used short term. ...Read more

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Is it normal if my IBS and anxiety made me lose 10 pounds? My diet isn't exactly the same but I still eat. Not as much but I eat enough. Thanks

Is it normal if my IBS and anxiety made me lose 10 pounds? My diet isn't exactly the same but I still eat. Not as much but I eat enough. Thanks

Weight loss: Sure, you could lose weight with both of these diseases. You also state you are eating less than normal this also will cause weight loss. Do you have any worries about your body or being overweight? Please see your doctor or therapist if you have one and discuss your weight loss and any body image concerns you may have. ...Read more

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I'm on a low does of Prozac (fluoxetine) for anxiety am I able to have a few alcoholic drinks what exactly is the issue with the row if there is even one,?

I'm on a low does of Prozac (fluoxetine) for anxiety am I able to have a few alcoholic drinks what exactly is the issue with the row if there is even one,?

Depressant: Alcohol as a drug is a depressant. It cause depression and anxiety. You already have depression and are taking an anti-depressant. Drinking alcohol when one is trying not to be depressed is foolish. Don't you think? It interferes with your treatment. ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
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I was prescribed anti- nausea medication to help with my anxiety attacks. I'm anxious to take them, what exactly do anti nausea tablets do?

Dr. Alan Ali Dr. Ali
1 doctor agreed:

Anti Nausea: Some are Antivert, Dramamine, Benadryl, Atarax, Emetrol, Phenergan, (promethazine) Reglan, Zofran, Vistaril. We use Vistaril on occasions as needed for anxiety, due to its antihistaminic Anxiolytic effect with less sedation & less addiction potential compared to other anxiety medications such as Ativan. ...Read more

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What exactly happens when we feel our heart "drop" in our chest? Can it be dangerous for your heart if it happens too often because of anxiety?

What exactly happens when we feel our heart "drop" in our chest? Can it be dangerous for your heart if it happens too often because of anxiety?

Anxiety & panic: Do not cause death. The heart does not literally drop. If you have not been medically assessed for these symptoms - please let your parents know so that any medical causes can be ruled out. ...Read more

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What are some of the symptoms of a anxiety attack? A sudden nervous feeling in the stomach? When I put a T-shirt on, I feel it. What is this exactly?

What are some of the symptoms of a anxiety attack? A sudden nervous feeling in the stomach? When I put a T-shirt on, I feel it. What is this exactly?

Anxiety symptoms: Physical symptoms of anxiety often include a range of symptoms including stomach tightness, shortness of breath, agitation, increased heart rate, or other physical sensations. In some cases people may experience a full sense of panic. These are likely due to cognitive and chemical changes that come from autonomic arousal (fight or flight). If problematic consider talking with a provider. ...Read more

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Exactly how much genes matter in height growth & final height. Depress & anxiety. How much nutrition enough to intake for growth. Was fat from 9 to 18yrs?

Exactly how much genes matter in height growth & final height. Depress & anxiety. How much nutrition enough to intake for growth. Was fat from 9 to 18yrs?

Genes: Genes matter greatly in growth and final height. Certainly there can be epigenetic influences such as poor nutrition that can impede growth to full height. If you are now 24, it's unlikely you'll grow taller because your body's growth plates are fused. If you're suffering with depression and anxiety, please see a psychiatrist who can help you. ...Read more

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What exactly is cognitive behavioral therapy and how does it work in the treatment of anxiety?

What exactly is cognitive behavioral therapy and how does it work in the treatment of anxiety?

CBT stands for: Cognitive Behavioral Therapy and it is a form of psychotherapy. It is focused on the here and now and not analytic. Thinking generates feelings and it is focused on changing self talk / thoughts. Peace and good health. There are many types of therapy but the core conditions of things such as empathy, genuineness, and respect are want appear to promote the most progress. ...Read more

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What exactly is the difference between regular depression/anxiety and borderline personality disorder?

Complex question but: I'll try - there are many types of dep & anx. Briefly, dep is like walking thru life w lead boots on & everything sucks; anx is either worry or panic usually & can be exhausting so people describe as feeling "depressed." borderline pd is a long term way of functioning that mostly is about trouble w interpersonal relationships. Google it for diagnostic criteria, but see a therapist to evaluate. ...Read more

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Explain what exactly happens during an anxiety attack. Why feeling faint? Prevention?

As: Your brain feel threatened by an outside event, it sends a signal to your adrenal glands to release a hormone that is usually preserved for life threatening situations. This hormone gets your heart going, and your blood vessels constrict to send more blood to muscle, so you can "get away" you sweat, and get lightheaded after a while. ...Read more

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I'm just curious, how exactly do they test for depression and anxiety and where do you go to get tested?

Although: Psychological testing can be done by a psychologist, the primary way to determine if an individual has an anxiety disorder or some form of depression is through interview. Collateral information may also be obtained. Please see a psychologist or psychiatrist in your area to obtain a diagnostic evaluation. Take care. ...Read more

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My anxiety is quite bad today. I had a light breakfast in the mornings and light snack around 10 am. I didn't have proper meal until about 4 pm. Now my stomach feels kind of burning. It's not exactly painful but it's more of discomfort. Is it because of

My anxiety is quite bad today. I had a light breakfast in the mornings and light snack around 10 am. I didn't have proper meal until about 4 pm. Now my stomach feels kind of burning. It's not exactly painful but it's more of discomfort. Is it because of

Stomach burning: Depends on what you ate. You may have gastritis/ reflux or H pylori a bacteria causing gastritis. May also have gallbladder disease or food intolerances. Keep a diary on your foods and if you have an abnormal response. Try maalox 1 tablespoon 2 x a day x 2 or over the counter ranitidine or omeprazole. And see if it helps f/u and discuss with doctor/urgent care. ...Read more

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Debating on whether to start my antidepressants again I used to take remeron now im switched 2 lexapro (escitalopram). How do these exactly prevent anxiety attacks?

Debating on whether to start my antidepressants again I used to take remeron now im switched 2 lexapro (escitalopram). How do these exactly prevent anxiety attacks?

Discuss this with Dr: Hopefully your dr (or others) can explain too. Drugs will not prevent pas, in fact they can be side effects of those drugs. That said, those are both used for tx of anxiety as well as both being prescribed in depression. I'd like to suggest trying talk therapy too. Cbt can really work for learning ways to both reduce the freq, severity & manage the symptoms you identify. Best wishes. ...Read more

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If someone has a paradoxical reaction to Valium once, is it possible for him to take Valium a second time an not have a paradoxical reaction?

If someone has a paradoxical reaction to Valium once, is it possible for him to take Valium a second time an not have a paradoxical reaction?

Not likely: It's possible, but not likely. If it's not clear that the previous experience was based on valium alone, it is more possible. Having taken another drug that "activates" -- like amphetamines, etc -- can confuse the picture. ...Read more

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What's the highest recommended dose of Valium that can be taken at a time? I took 25 mg and felt nothing and it was not a paradoxical reaction.

What's the highest recommended dose of Valium that can be taken at a time? I took 25 mg and felt nothing and it was not a paradoxical reaction.

Stop: If you gad no response or if you had a paradoxical response then this medicine is not for you. It would be better to try another technique or approach to your problem. You definitely should not take more. ...Read more

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A persaon with a paradoxical reaction to benzos., are they isolated/freak incidences or does it happen everytime that person takes the same benzo?

A persaon with a paradoxical reaction to benzos., are they isolated/freak incidences or does it happen everytime that person takes the same benzo?

It may happen AGAIN: Some people simply do have paradoxical agitation with benzos, period. This will happen every time they use a benzo. If the benzo is taken along with other medications, determining the cause is more confusing. ...Read more

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I'm not an addict but benzos never work to calm me even in high doses. Nor is it paradoxical reactions. The same for everyone else I ask. Why is that?

I'm not an addict but benzos never work to calm me even in high doses. Nor is it paradoxical reactions. The same for everyone else I ask. Why is that?

High tolerance: You and your friends may all have high tolerance. Also, this class of medication tends to work best when combined with an antidepressant. If you're having difficulty getting your anxiety under control, then you have your the counter option of l-theanine or Gabapentin by prescription which I find to work quite well in people who do not respond to benzodiazepines. Buspirone and Hydroxyzine are other options. ...Read more

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What is paradoxical reaction in tb?

What is paradoxical reaction in tb?

Apparent worsening: It can happen up to a couple of weeks after starting therapy for active tuberculosis, with some worsening fever, chills, cough or chest pain, depending on the extent of underlying infection. Its good to see a physician to make sure it is indeed paradoxical, and not aother condition such as pneumonia that can cause these symptoms, ...Read more

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What is a paradoxical effect?

What is a paradoxical effect?

Paradoxical effect: Is an effect of medical treatment, usually a medication, opposite to the effect which would normally be expected. Some patients may react to benzodiazepines by showing irritability, increased excitement, aggression and hostility. When this occurs, this behavior is referred to as paradoxical effect. ...Read more

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Why is paradoxical bronchospasms life threatening?

Why is paradoxical bronchospasms life threatening?

No breath: The spasms limit your bodies ability to get oxygen in to the system. ...Read more

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What is the significance of paradoxical hypotension?

What is the significance of paradoxical hypotension?

Difficult: This is a vague question. If paradoxical hypotension is occurring during a stress test, it may mean significant coronary artery disease, for example. However, if it happens under other circumstances, I am not sure what it could mean. In general, this term is applied when hypotension is noted in response to something that should normally cause hypertension. ...Read more

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If someone has a paradoxical reaction to a benzodiazepine, is there usually some sort of underlying cause like a behavioral disorder?

If someone has a paradoxical reaction to a benzodiazepine, is there usually some sort of underlying cause like a behavioral disorder?

No: Like any other paradoxical reaction, it can just happen. It is seen more commonly in children and individuals with developmental delays, like autism or mental retardation, but it can really happen to anyone. It is like drinking alcohol: you can have a happy calm experience or a bad, angry experience. It depends on the individual and the situation. ...Read more

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If you had had a paradoxical reaction to ativan (lorazepam) once. Is it guaranteed to happen again if taken or could it just be a one time thing?

Paradoxical reaction: By "paradoxical reaction, " most doctors mean an activated and agitated (rather than calming) response to a medication like ativan (lorazepam). If you've had it once, I would be very reluctant to expose you to it again. ...Read more