Suggest Remedy For PTSD And Anxiety Disorder
panic attacks, anxiety disorder
Detailed Answer:
Dear,
Welcome to HCM
from the discription of complaints you presented, it appears that you are surfereing from anxiety disorder with associated dissociative symptoms.
Possibility of panic disorder, depression and conversion disorders are likely.
It appears that stress happens to trigger anxiety attack in you and there are associated dissociative symptoms. By dissociative symptoms I mean that there are certain complaints like body ache, unconscious episodes, not able to speak, not able to hear, motor movement , etc which present like a physical disorder however they are due to psychological stress. Vulnerability of different individuals to stress determine this.
I need you to answer few questions
1) Do you have these symptoms in episode? if yes what are the triggering stressors?
2) Is it associated with feeling of doom, intense fear, anxiety, racing heart beats, dizziness, vomiting?
3) how long does the episode last?
4) how are you keeping your mood these days?
5) are there ideas of hopelessness, sucidical thoughts?
6) how is your sleep? interest in daily activities?
answer to these question will certainly make the clinical picture clear.
Knidly follow up.
Regards,
Dr Pankaj Borade
This is my last follow up and sorry my follow ups are so long. I need someone to talk to and I thought a doctor could give me some advice. Also to I thought dissociative disorder is Multi- Personality disorder???????
I meant to answer the question you asked "am I suicidle" and the answer is no.
As far as the question about other symptoms --- I have suffered from feeling light headed during an episode and after. I have had times where my legs have felt weak or I feel like I am walking sideways. I have had sensations of falling or moving when I am setting still or laying down. I have had muscle spasms and aches. Over the years I have had racing heart, upset stomach and vomiting due to feeling anxious. You name the symptom and I have had it over the years. I use to be so anxious that any little loud noise would make me shake and jump or bright lights would bother me. I use to have to wear sunglasses all the time just to go outside. But when the anxiety lowers and goes away so does all the symptoms.
Like I have mentioned before I have PTSD and it started when I was 23 yrs old after a terrible thing happened. I even developed Agoraphobia at 23 and couldnt drive a car or go shopping for a year. I had to get help from my family physician and a therapist to get me driving again and go out shopping and living again. Ever sence I was 23 when ever things happen that are very stressful I dont handle it well. I am not the same person sence 23. It frustrates me and saddens me. I use to be so happy, care free, and could go anywhere on the planet and have a blast before all this anxiety crap. But what I have noticed is my anxiety symptoms have evolved over the year. For example I use to have racoing heart and feel sick in my stomach but now I rearly have that. Now its just. "Oh my gosh I feel like I am going deaf and why do I feel numb? Maybe this is a panic attack with new sensations because the old sensations dont scare and disstract me enough from life stressors??? I do have tinnitis now. I will say though that developing tinnitis ( ringing ears) is enough to give anyone anxiety even if they did not have anxiety before. But God help me because I already have enough anxiety for 50 people before tinnitis.
I have not been anxious ever day sence I was 23 years old. I have waves of it from time to time. Some waves are bigger and last longer then others but its always there waiting to hit me when stressors comes along. Well thats it. That's my story. How do I stop reacting this way? I want this anxiety monster off my back for good. Have some advice or insight?
anxiety-depressive neurosis with somatisation
Detailed Answer:
Thanks for the reply. The detailed information was indeed very helpful.
To sum up from the information you have provided here, it appears that you are currently suffering form multiple life related stressors. Relationship issues within in your family, which can be an major contributor of stress.
As i could figure out there are symptoms suggestive of somatic complaints.
There is clear distressing anxiety and mood issues.
Moreover these problems have significantly hampered your life and daily functioning.
Considering these facts there is definitely an anxiety condition with somatic symptoms.
A local psychiatrist consultation is very much advisable here.
A course of SSRI along with long acting benzodiazepines class of drugs can be discussed with him. A sessions of cognitive behavioural therapy can help.
Welcome for further suggestions.
Regards,
Dr Pankaj Borade