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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedies For Anxiety And Panic Attacks

Panic Attacks.




I have a job where I need to present regularly. Had ti for 15 years. 3-8 people in the room, no problem. But over time, presenting to larger groups has gotten worse and worse. To the point where if I'm put on the spot, I get the anxiety attack. It passes, but the initial attack is debilitating.


If the room is larger than 10 people, even if they're all half my age, I feel the walls closing in.


Its been something I've lived with since I was in college. Trying meditation... visualization... avoiding caffiene and alcohol... practice... I've just dealt with it. I always know the attack will pass, but I never know how long. In my current job, it's been horrible and debilitating. I actually now plan to miss meetings to avoid it. Which will get me fired eventually.


I just ordered Panicyl, and would like your views on it... or other ideas on helping. I have a huge presentation coming up, and I'm telling myself yes, the attack will happen... yes, it will pass... yes, I'll live... the sun will rise the next day... but I can't even face the idea of presenting... I'm still not going to be able to sleep with anxiety.

>Let me know your advice.

Thanks.
Wed, 11 Jun 2014
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Psychiatrist 's  Response
Hi
Thanks for using healthcare magic

I think, you have performance anxiety. In that case, you need antidepressant with low dose benzodiazepine that would help to control anxiety. You can also take help of psychologist to get exposure therapy. That would increase your tolerance and decrease anxiety symptoms in tense situation. In case, you need further help, you can ask.

Thanks
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Suggest Remedies For Anxiety And Panic Attacks

Hi Thanks for using healthcare magic I think, you have performance anxiety. In that case, you need antidepressant with low dose benzodiazepine that would help to control anxiety. You can also take help of psychologist to get exposure therapy. That would increase your tolerance and decrease anxiety symptoms in tense situation. In case, you need further help, you can ask. Thanks