Hello doctor this is goutam, I am 29 years, bp 115/75, I have some anxiety, mania and dizziness problem from childhood, so 4 years ago a neurologist suggest me some blood check up and brain mri, blood report ok but in mri there is some small spot in left basal ganglia, on that time my anxiety and depression level was high. So he suggested me clopitab75 for 3 month, betacap tr 40 (propranolol) and zaptra 12.5 (paroxetine+ clonazepam), after 3 month stopped clopitab 75. But for depression continue betacap and zaptra, after 1 year I felt good, depression goes down, but there was some problem like concentration, confusion, memory problem, palpitations, from last 4 year I am taking those medicine, now I take zaptra in alternative days and betacap tr reduce 40 to 20 for last 3 month, how can I get rid off from those medicine? I don't want to get addicted, and I don't know is there any major side effects effect on brian and heart the main tension is that. Please try to help me doctor. Thank you.

Dr. Karuna ChawlaHomeopathy Doctor24yrs exp

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Try to relax yourself -- exercise. Exercise is one of the most important things you can do to combat stress. Take a few minutes to breathe in and out in slow, deep breaths. Reduce your caffeine intake. Write it down. Chew gum. Spend time with friends and family. Laugh. Massage. Eat a healthy diet. Pursue one hobbywalk in nature meditation. Yoga. For more details you can consult me.  

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Dr. Saul PereiraPsychologist49yrs exp

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Sir, I suggest that you go for counseling in tandem with the medication. Whatever all the tests show, in your condition, it is recommended that you do some talk therapy and learn some coping skills and tools to further assist you in your recovery. I believe there may be some genetic predisposition apart from the mri report or there has been some childhood issue, related to anger, that needs urgent attention. You must go and meet with a counselor immediately and cooperate to your utmost. Please visit these professionals along with your parents. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: have a good night?s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do yoga meditation exercises, spend time in nature or gardening, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend yoga classes etc. Watch sitcoms on tv or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in god to alleviate your sufferings. Don?t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.  

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Dr. Urmil BishnoiPsychologist13yrs exp

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Dear user you have a long history of depression and anxiety. You tried almost every kind of treatment but you didn’t try counseling sessions. With medicines you need proper counseling and then we will taper you medicines accordingly. I don't know what are the circumstances under which you are taking medicines, I want to know the whole details about your disorder. But due to certain reasons if you are on antidepressants you have to take some extra care of yourself. You need counseling session for a better control on this disorder and medicines. Medicines are not the only solution, do not make it a habit fir future, counseling is a best option for you so that you could better understand yourself and save yourself from the side effects of medicines. Please call and discuss your problem in detail and then will be able to help you better. My contact no is mobile.  

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