I have to take some advise from honorable doctors, I get nervous repeatedly thinking. Fear of what will happen next after covishield vaccine? If I will be .then what will happen with me. Or I will be panic, my heart beat start increasing. How to deal with this? Mood swinging/changes. Sometimes I feel positive but sometimes negative about about same thing. How I can come out of these situation? Please suggest me. Because I have to travel from azamgarh to gurgaon. I take few medicine which are mentioned below. 1:- paxidep cr 12.5 2:- petril beta 20 and for allergy I take below medicine. 1:- leset 5.

Mr. Saul PereiraPsychologist51yrs exp

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You are getting the right treatment but you need to combine medication with therapy for the best results. You have anxiety and depression and obsession because you are not dealing with your basic fear. The covid fears have become too much for you not because it is as frightful but you are making it more serious than it is. This can lead to further complications. Fear is based on looking too much into the future and imagining things that usually do not tend to happen (usually 90% of your fears will not happen), like you are doing withthe fear of the covid vaccine. You need to change your perception of the fearful stimulus then 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. Sometimes, fear may have originated in childhood and your body, more than you brain, remembers the emotion and will react with heightened fear even for the slightest provocation or stimulus. Sometimes, you may not even need a stimulus! these matters can ideally be resolved in therapy only, and exclusively. 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 with anxiety. 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. You need good sleep too. 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. Prayer is really powerful, if you are a spiritual person. Repeat some personally framed affirmations that are geared to calming you down and building confidence. Do a personality development course too. Anything that develops you personally will be of great assistance in building resilience.  

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Dr. Saranya DevanathanPsychiatrist51yrs exp

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Dear lybrate-user, you are still having anxiety symptoms. So you need to visit the doctor again. Doctors usually start with low dose and increase the dose after 2-3 weeks. Paxidep 12.5 mg is the lowest dose. The doctor may increase it, if necessary.  

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Dr. Tejaswi T PPsychiatrist5yrs exp

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It appears like you have panic disorder and you are right now on correct medications. May be dose needs titration. If you are tolerating well paeroxetine 12.5 and if if you have tried it for more than 1 month. Better to increase the dose to 25 mg once at night. In case of any anticipatory anxiety and when. You know you are about to face any stressful situation. Like some important meeting or some situation which can make you anxious, you can take betacap 40 mg stat on sos basis. On a long term basis, you start doing some deep breathing exercises. That will help you keep calm.  

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