How to manage anxiety disorder?

Question

Hello doctor,

I had rapid heartbeats and woke up many times during the night. I had chest pressure and constant worries. I wake up tired, lately feeling emotionless, or sometimes, extreme emotions. I am losing friends because I do not go out anymore. I am playing games without enjoying them. Is it time to consult a psychiatrist and seek for a medication?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

You may have an anxiety disorder. There is non-pharmacological management for it. You should try to follow the below guidelines to deal with it. These include:

You should exercise daily for 30 - 45 minutes, at least going for a walk. It will uplift your mood.
You should meditate for 20 minutes daily. Sit in a comfortable position and try to concentrate on your normal breathing. Do not stop or force yourself to stop your thoughts. Just let them be. It will help you reduce your anxiety.
You should eat healthy, home-cooked food, and avoid junk food.
You must drink enough water.
You should spend quality time with friends and family daily.
You should spend time on creative hobbies like reading good books, writing journals, painting, drawing, and learning new skills or language or musical instruments.
You should get enough seven to eight hours of sleep daily.
You must avoid tobacco, alcohol, or any substance abuse.

I advise you to undergo the following tests:

Complete blood count (CBC).
Thyroid profile.
Vitamin D3.
Vitamin B12.

If you still have symptoms that persist after following the advice for four to six weeks, then you need to start medications for a short duration.

I hope that you got your answer.

Please let me know if you need help.

Thank you.