Hi I am suffering from anxiety disorder for almost 10 years. I am on and off with medicine due to my travel for onsite assignment. I am doing well. But sometimes I am not able to speak well the voice is not coming from mouth sudden fear bad thoughts some thing will go bad. Something in my head fell like my nerve is break in head. What I suppose to do. Please advice.

Dr. Ambadi KumarIntegrated Medicine Specialist32yrs exp

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While most people with anxiety disorders need psychotherapy or medications to get anxiety under control, lifestyle changes also can make a difference. Here's what you can do: Keep physically active. Develop a routine so that you're physically active most days of the week. Exercise is a powerful stress reducer. It may improve your mood and help you stay healthy. Start out slowly and gradually increase the amount and intensity of your activities. Avoid alcohol and other sedatives. These substances can worsen anxiety. Quit smoking and cut back or quit drinking coffee. Both nicotine and caffeine can worsen anxiety. Use relaxation techniques. Visualization techniques, meditation and yoga are examples of relaxation techniques that can ease anxiety. Make sleep a priority. Do what you can to make sure you're getting enough sleep to feel rested. If you aren't sleeping well, see your doctor. Eat healthy. Healthy eating — such as focusing on plant based food -vegetables, fruits, whole grains and fish — Take a consult for specific advice.  

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