Q. Am I suffering from any neurological disorder?

Answered by
Dr. J Mariano Anto Bruno Mascarenhas
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 30, 2016 and last reviewed on: Mar 21, 2020

Hi doctor,

I am a 30 year old male. I am suffering with the below symptoms which feels like a disorder. I have this disorder running in my family. A few of my paternal uncles also have them, but in a mild form. I had these symptoms since childhood, but it was very mild at that time. I had ignored them previously, but over the course of time this has got severe and now it has started to concern me. The symptoms are severe anxiety, panic struck, sweating palms, facial sweat, getting nervous, trembling hands and legs, voice breaking down, throat gets dry, extensive sweating of palms and sweat starts dripping from palm within a few minutes (hyperhidrosis). I am having the above symptoms when I attend any public or office meetings where I have to speak in front of a crowd, in any social gatherings where I feel I am at focus and when I face any adverse condition or under mental stress due to work pressure. However, I am perfectly normal when I am alone or relaxing at home, having no sign of anxiety or sweat. I have tried a lot to keep my anxiety under control before going out for meetings, but these symptoms appear involuntarily and starts making conditions worse for me. This is making my life difficult and I have started avoiding meetings or gatherings. Am I suffering from any neurological disorder? If yes, please suggest what kind of treatment I should undergo to bring my life back to normal.

Dr. J Mariano Anto Bruno Mascarenhas

Neuro Surgery Neurology Spine Health Spine Surgery
#

Hi,

Welcome to icliniq.com.

I have read your question with care and understand your concerns.

  • All the symptoms you have mentioned are consistent with agoraphobia with anxiety. This is very likely to be a structural problem in your brain.
  • All you need is proper practice and you can be normal within weeks with talk therapy or psychological counseling.
  • The treatment options for your are,
  1. Psychotherapy.
  2. Cognitive behavioral therapy.
  • You can learn that your fears are unlikely to come true. Also try to manage those symptoms until your anxiety gradually decrease if you remain in public.
  • Find out the factors that trigger a panic attack or panic-like symptoms and what makes them worse. Also learn how to cope with these symptoms.
  • Change unwanted or unhealthy behaviors through desensitization, also called exposure therapy, to safely face the places and situations that cause fear and anxiety.
  • Drugs are needed only if your anxiety persists even after the above treatment.

For further information consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist


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