Hi I am 20 years old suffering from generalized anxiety disorder I never had it before but recently have it since october. I have no stresses in life, they are unexpected. I get panic attacks every month. But am able to control with xanax however it gives me heavy sleep paralysis. Which other medication would be good, one doctor offered me anti depressants like citalopram but I am convinced it will make my condition worse and I don't wanna deal with the sexual side effects.
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Dear Arushi, At this young age of 20 years, your anxiety disorder needs to be treated by jacobson's deep muscle relaxation or therapy or yoga pranayama. You can not depend on xanax. Not only sleep paralysis with xanax, but also you should be aware of dependence on xanax. Antidepressant is a better treatment than xanax. Only problem is, it takes 2-3 weeks to reduce your anxiety. There are antidepressants without sexual side effects. Sexual side effect with citalopram will not happen in majority of persons. Are you married? i see that you are a girl. No erectile dysfunction in girls.
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Anxiety Stress patients worry too much...Stress In today?s day & age where stress is high, feelings of frustration can emerge. It is our perception that can change our current negative situation into a healthy & positive one. Another way of perceiving these feelings of frustration can be by looking at them as an opportunity to push ourselves to go that little extra mile until we achieve our objective. However, there are times when we all can go around in circles; and being in this space can be quite upsetting and lead to feelings of dissatisfaction, frustration and can even cloud our mind and judgment. Exercise one hr daily, Oil massage body, Hobby, Support from friends family, help others, weekly holiday, Yoga, Meditation
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Ssris are the treatment of choice for gad and panic symptoms. But they need to be prescribed after a detailed evaluation and then proper ssri selected. Xanax is for short term immediate control and is not advised for long term use due it s harmful long term side effects. Consult an astute psychiatrist and get remedy. Good luck.
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Ssris are the best available drug and you can start low dose of ssri and gradually titrate to reduce dose dependent side effects. Sexual side effects are not so common as you think. It occurs in 1-2 patients out of 10. So, there is a bright chance you might not have major side effects. You got to take this small risk considering risk and benifit ratio. You will need a preliminary evaluation before starting medications. So, you can consult me online or any other good psychiatrist nearby before starting medications. All the best.
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