How to overcome episodes of nervousness and anxiety?

Hello doctor,

I have been experiencing severe episodes of nervousness, anxiety, and physical symptoms for the past two months. These episodes started after work-related stress and a layoff. During these episodes, I feel like I am choking, my blood pressure spikes, I struggle to breathe, and I feel like I might lose my life. I have done comprehensive medical tests, including a cardiac check-up, CT scan of arteries, and lung function tests, and all results came back normal. Despite this, the episodes persist, and they are severely affecting my daily life. I have tried relaxation and breathing techniques, but they have not helped. I would like advice. Currently, I take medications like Exforge 5 mg /80 mg and Nebilet 5 mg.

Kindly suggest.

Thank you.

Hello doctor,

Thank you for your response.

I do not smoke or drink. The duration of my symptoms depends on the situation. Sometimes, they last for an hour or so, but other times, they persist for longer. On certain occasions, I have had to visit the emergency room due to extreme blood pressure, and after stabilizing me, the doctors have mentioned they did not give any medication apart from something like Paracetamol through an IV.

Recently, I have noticed that when I wake up in the morning, I feel a heaviness in my chest, and my blood pressure spikes. I am wondering if my nasal septum deviation (on the left side) could be causing breathing issues while I sleep, which triggers this, although I have never experienced anything like this before. Could this be related?

Please help.

Hi doctor,

Thank you for the prescription. However, I want to share that I am very sensitive to medications. For example, when I was previously prescribed Lexapro, it worsened my symptoms significantly. So, what doses to start?

Please help.