I am 50 year man diabetic but in control since 8 y suffering from panic disorder n on xet cr 25 n trika .25 but less results .suffocation issue in small room n lift. Please advise medicine or anything and I am very much in trouble.
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The important sign in panic attack is the feeling that you cannot handle fear and you are using an extreme reaction to the fear. You cannot control panic attack but you can do two things: you can change your perception of the fearful stimulus and you can change your response to the fear. The first one is the best and will preempt the need for the second. If you are already far gone into the reaction mode, then you need both responses to counter the attack. The way we see things in life (like half empty or half full glass) is very dependent on our attitude. Attitude may have developed over many years but fortunately can change in a matter of sustained choices made and acted up on now. Accordingly you choose to see things as either threatening or as an opportunity. The opportunist will be positive and work with the situation to make good out of it. The individual who sees it as threatening, will, out of fear, try to avoid/run away from the situation or react in a panic. Yes, self-belief does impact it too, but you can see that prior to that, perception will tarnish the belief system too. Here, you can see that all the resolution lies in just changing your perception/attitude, even if it is against odds. Changing your response, despite the perception, is building up of your reserves and resources to handle any contingency that life throws up at you. And life throws up situations quite regularly and heavily. For this you need to develop a fit mind and body: the former, by meditation and mind exercises; and the later, by exercises and proper diet. Included in the development of the mind is the handling of emotions, in your case fear. These changes will give you a handle on life and your perceptions and responses.
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Panic disorder could really be disabling & greatly compromise our life. I think you need to have bit of dose adjustment than present prescription & keep some more patience until drugs start to work. You must try jpmr exercise with deep breathing. Cognitive therapy like systematic desensitization is helpful if given by a trained therapist. Try to list out the situations that make you panic & arrange them in hierarchy. Later you meet a therapist to discuss how to overcome those.
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Xet cr dose can be increased. Psychotherapy like behaviour therapy is good option. Get another opinion from a psychiatrist and a clinical psychologist.
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If xet cr (paroxetine) is not working, other alternatives are there. You need to consult your psychiatrist and consider alternate medications, also combining with cognitive behavioral therapy would help. Good luck.
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