Anxiety Disorder

Anxiety disorder is different from general feelings of worry and fear in that this is ever-persistent and interferes with daily life. It may be triggered by simple daily activities such as going out of the house and not just big events like exams or presentations.

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Taking 5mg lorazapam for anxiety disorder gives poor response. Is it safe to take one more tablet?

Query: Dear Doctor, I have panic/anxiety disorder and was prescribed with 5mg lorazepam. I took one tablet at 8 PM but still l would wake up anxious in the morning. Is it safe to take one more tablet?  Read Full »


Dr. Ashok Kumar

Answer: Hi, Thanks for posting your query at icliniq.com. At this moment you can take another 0.5mg but do not repeat it after that. Tomorrow you can discuss your poor response to the 0.5mg lorazepam either with your physician or you can discuss with me online, if online therapy for a psychiatry consultat...  Read Full »

What are the causes of self-doubts and lack of self-confidence, and how to get rid of it?

Query: Hi doctor, I have a lot of self-doubts and feel like I am being watched. I am scared to move into the city and also fear boys. I always feel insecure that someone might find fault in my acts while listening to class with a strength of 200. I have low self-esteem and self-confidence.  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. First of all, Thanks for raising this query. The problem you described affects about 5% of the general population, and most of them never know whether any help is available. Many of them do not admit and confide it to others. You were thinking of what others to think ab...  Read Full »

Have doing Ph.D, unable to concentrate on my thesis and am fatigued. What should i do?

Query: Hello doctor, I am a Ph.D. student. I am struggling to write my thesis. I am trying hard to get it done and have progressed only little since many months. I am all time anxiety driven and I feel fatigue. Every day, I start with a hope to make progress but cannot take a single step. I lie on the bed,...  Read Full »


Dr. Ashok Kumar

Answer: Hello, Welcome to icliniq.com. From the available description, it appears that there is a primary anxiety disorder associated with amotivation. Other symptoms such as fatigue, loss of interest in activities which require consistent attention and concentration, lethargy, excusing yourself, spending...  Read Full »

I am experiencing anxiety, panic attacks, and disturbed sleep. Why?

Query: Hi doctor, I have extreme anxiety. I have not been sleeping. I feel too anxious to sleep. I feel scared and worried all the time. I have panic attacks and cannot leave my house. I know I need help but I do not know how serious it is.  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I would like to inform you that from the described symptoms it seems that there is Generalized Anxiety Disorder with panic attacks. Both of these disorders fall under a broad category of anxiety disorders. T...  Read Full »

Can Etizolam be used for inducing sleep?

Query: Dear Doctor, All my life (since as far back as I can remember in early childhood) I have struggled with chronic insomnia. I have tried every sorts of pharmacological and non-pharmacological treatment you could imagine, having seen at least seven doctors over 15 years. I have tried everything from z...  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. First of all I would like to congratulate you and your doctor for finding a solution for your long standing problem which caused lots of impairment at your end. Regarding your statement "people build a tolerance to etizolam and so it must not be taken long term" I like...  Read Full »

Can anxiety disorder get aggravated during pregnancy?

Query: Hello doctor, I am 28 years of age and 37 weeks pregnant with my first baby, (have had two miscarriages in the past) and I am experiencing a relapse of severe anxiety from past three months. I developed this problem out of nowhere. Three years back (got married two years back), I consulted a psychi...  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. I understand that what you are experiencing is not manageable with anybody. It has been observed in many studies that any anxiety disorders have a high chance of relapse during pregnancy. First I would like to tell you that medications are not that bad. They have the ri...  Read Full »

I had started with treatment for GAD. I cannot do anything without medication after I have withdrawn it. Help me tune the medications for extended usage

Query: Hello Doctor, I have started treatment of GAD before 2.5 months as follows: (60 mg Paxil daily, 150 mg Wellbutrin one time daily and 15 mg Buspar twice a day) in addition to CTB. The results were very good and the anxiety and accompanying depression went away. Now I cannot do anything without medic...  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. At first I would like to tell you briefly about Generalized Anxiety Disorder or GAD that you are already well aware of. This is a chronic, relapsing and debilitating common psychiatric disorder characterized by anxiety and worry about several events and activities for ...  Read Full »

I have an anxiety problem from the past 10 years. Please help.

Query: Hello doctor, Anxiety is every day of my life. I rarely get small breaks without anxiety. It has been 10 years now. Panic attacks do come. I am taking Xanax 0.5 mg 1 to 3 days. I am a 26 years old male, and my height and weight are 5.9" and 80 kg respectively. Please help.  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. With your brief description, it appears that you are suffering from some anxiety disorder most probably generalized anxiety disorder. The drug you are taking is neither sufficient nor appropriate when we have a lot of safer and more effective drugs currently. I assure y...  Read Full »

Is my foggy brain due to an aura or a panic attack?

Query: Hi doctor, I found out that I had an anxiety disorder about six months ago. I have always been worried about my health even when I was a kid, and I think that is the reason why I developed this disorder. The thing is that I am really concerned about my health and I always worry about the worst poss...  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. From the description, it appears that you have experienced depersonalization episode. Depersonalization episode occurs in various anxiety disorders including dissociative disorders. As the name suggests, the person experienc...  Read Full »

What is causing all my symptoms?

Query: Hi doctor, I have the following problems in my daily life. Social phobia, inferiority complex, lack of concentration and fear of everything. I am not interested to do anything. I am leading a sedentary lifestyle. I also masturbate a lot. I am thinking consistently about my future and living without ...  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. First of all, inferiority complex, social phobia, poor concentration and fear of everything can be a manifestation of depression or anxiety disorders. Having said this, we need to understand that the same symptoms can be present in abnormal thyroid function. The presence...  Read Full »

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