Sir / mam I am so stress feel now rhe, stress for no reason, shortness of breath, feel uncomfortable when I go to out, fear feeling all the time, feel anxious in crowed, travelling, I get more anxious and panic attacks, heart beat get fast, shakiness into the ,sweating, unable to enjoy things, mood off, again n again swallowing, feeling tired and weakness. Before I take lonazep 0.25 but from 2 3 days I feel tightness on neck, swallowing for no reason, so I go to the Dr. so he recommends me ciplar 10 but it also not working I am really upset nd choking feeling, I feel so awkward please sir help me nd gave me a good advice which helps me to come out with this all I really upset because of my problem, all the time fearful thoughts running into my mind which get me scared so please help me. Jab bhi me bath lene jaati hu mujhe tab bhi fear feel hota hai asa lagta hai ke jaldi se bahar nikal jao washroom se and face fash karta waqt bhi gala ekdum choked hota hai bht prblm hoti hai please help.

Dr. Soumen KarmakarPsychiatrist9yrs exp

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You'll need additional medications for your anxiety symptoms. Consult your psychiatrist.  

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Mr. Saul PereiraPsychologist51yrs exp

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Sir, you are getting panic attacks with your anxiety. It is not enough to take medication alone: you must combine therapy also for a long time. In thee meantime you can uses some of these adaptations: 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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