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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Overcome High Anxiety?

Hello doctor, I was a cocaine addict for almost a year, I have been sober for 2 months now, I am suffering from lack of motivation, tiredness and fatigue, I also have a hard time being around people because of suspiciousness and high anxiety. There are some thoughts of paranoia about the world also. I feel my mind is constantly talking and worrying and this is when I have bad headaches and tiredness. I have seen a psychiatrist and he prescribed me many medications but has not worked, I also received psychotherapy, I am exercising 1-2 hours a day in group exercise classes which helps, all of my symptoms I noticed are slightly getting better as days go by since I have been sober. Any advice can you give me will be appreciated
posted on Wed, 19 Feb 2014
Twitter Fri, 21 Feb 2014 Answered on
Twitter Fri, 21 Feb 2014 Last reviewed on
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Psychiatrist,  's  Response
welcome to HCM !
What you have currently is very usual presentation after quitting cocaine. I prefer to prescribe Venlafaxine 37.5 to 150 mg to such patients( at night). With that you may need an antipsychotic like- olnazapine for some weeks ( to help in paranoia). I'm sure that this will help you out.

The constant use of drugs, when stopped- lead to decline in various chemicals in brain and cause anxiety and depression. it takes time and lot of hard work to come out if it. you are very right in doing workouts daily, it is very very helpful.

Also, take more of nuts, salads and veggies in your diet, take lots of water in form of sips every few minutes. This will hydrate your body and support neurons in getting better.

Worst and toughest part was quitting substance which you have achieved, now with each passing day you will get better.

Hope this helps you

Wish you good health!
Dr. Manisha Gopal
MD Psychiatry
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How To Overcome High Anxiety?

welcome to HCM ! What you have currently is very usual presentation after quitting cocaine. I prefer to prescribe Venlafaxine 37.5 to 150 mg to such patients( at night). With that you may need an antipsychotic like- olnazapine for some weeks ( to help in paranoia). I m sure that this will help you out. The constant use of drugs, when stopped- lead to decline in various chemicals in brain and cause anxiety and depression. it takes time and lot of hard work to come out if it. you are very right in doing workouts daily, it is very very helpful. Also, take more of nuts, salads and veggies in your diet, take lots of water in form of sips every few minutes. This will hydrate your body and support neurons in getting better. Worst and toughest part was quitting substance which you have achieved, now with each passing day you will get better. Hope this helps you Wish you good health! Dr. Manisha Gopal MD Psychiatry