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Suggest Treatment For Feeling Uncomfortable Going Outside The House
Question: Hello,
I have difficulty going out i want to go but i am worried that i will burst into tears. This has happened so many times. Then i pluck up the courage to go out again, but this last episode has left me never to go out again. i love going out, but i just feel angry with myself for breaking out in tears, because i feel happy underneath. could this be PBA. In the past i thought it must be depression, but depression drugs have not helped me. Appreciate your advice.
I have difficulty going out i want to go but i am worried that i will burst into tears. This has happened so many times. Then i pluck up the courage to go out again, but this last episode has left me never to go out again. i love going out, but i just feel angry with myself for breaking out in tears, because i feel happy underneath. could this be PBA. In the past i thought it must be depression, but depression drugs have not helped me. Appreciate your advice.
Brief Answer:
Hi
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
In depression patient may cry and remain sad most of the time unlike in your case. Having difficulty in going out and feeling comfortable inside house occur in social anxiety and agoraphobia (type of anxiety disorder).
Anxiety occurs occurs due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter.
There is need for treatment, if symptoms cause significant personal distress or affect personal/professional life (like in your case). Both drug and non drug treatment like cognitive behaviour therapy (form of psychotherapy) are used for treatment. Choice of treatment depends on severity of symptoms, personal preference and availability of treatment.
In drug treatment two types of medicine used. For immediate relief of anxiety benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors like escitalopram/paroxetine) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,
Hi
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
In depression patient may cry and remain sad most of the time unlike in your case. Having difficulty in going out and feeling comfortable inside house occur in social anxiety and agoraphobia (type of anxiety disorder).
Anxiety occurs occurs due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter.
There is need for treatment, if symptoms cause significant personal distress or affect personal/professional life (like in your case). Both drug and non drug treatment like cognitive behaviour therapy (form of psychotherapy) are used for treatment. Choice of treatment depends on severity of symptoms, personal preference and availability of treatment.
In drug treatment two types of medicine used. For immediate relief of anxiety benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors like escitalopram/paroxetine) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Are you able to prescribe this for me?
Brief Answer:
Hi
Detailed Answer:
Hello again,
Thanks for follow up.
Online prescriptions are not permitted and not valid. Before any prescription in person examination of the patient is must according to guidelines.
I can understand your concern but, for prescription you need to meet nearby psychiatrist.
Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you.
Wish you good health.
Regards
Hi
Detailed Answer:
Hello again,
Thanks for follow up.
Online prescriptions are not permitted and not valid. Before any prescription in person examination of the patient is must according to guidelines.
I can understand your concern but, for prescription you need to meet nearby psychiatrist.
Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you.
Wish you good health.
Regards
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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