Dr. Suresh Kumar G D
Pediatrics
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Patient's Query
Hello doctor,
I have a problem with unity. And for me, it is a big problem that threatens my future. When talking to my face, my mouth tends to cry like a child when I am afraid of something, and this causes me a significant inconvenience. Please help me to overcome this problem before I lose my job as a manager.
I have met a doctor, and he prescribed me Cipralex 20 mg for two years, and the result was almost 60 % excellent, and I stopped because the problem still exists. Kindly help.
Hello,
Welcome to icliniq.com.
I understand you took Cipralex or Seroplex (Escitalopram) 20 mg for two years which is a good medication for managing anxiety disorder, depression, and other emotional disorders.
Did your doctor prescribe it for anxiety? Did he also diagnose any other problem? You report that result was 60 % and the problem still exists. Did you stop the medication on your own? Sometimes it is advisable to continue for a more extended period especially if the problem is persistent. Has there been any relapse in your symptoms since the medication was stopped? How long has anxiety been a problem? Is it something present since your early age or start only in recent years? Can you please clarify what you mean by problem of unity? You have described some symptoms suggestive of excessive anxiety in some situations. You need to develop strategies and techniques to manage anxiety.
Did you receive any psychological therapy like CBT (cognitive behavior therapy) to manage your symptoms? Kindly explore the availability of CBT at your place. Along with medication, CBT is very helpful in managing excessive anxiety. Please also try these self-help measures at home to help manage stress and lower your anxiety.
1) Practice deep breathing techniques.
2) Do progressive muscle relaxation exercises daily.
3) Avoid too much coffee, tea, and fizzy drinks. Also, avoid alcoholic beverages.
4) Regular walking or exercise will help to improve your mood and lower your anxiety. Go for at least 20 minutes of brisk walking daily.
5) If possible, you can start some martial arts training (like karate, etc.) as it will help to improve your confidence and self-belief.
6) Do not isolate yourself and do not bottle up difficult emotions. Talk to trusted family member or friend regularly.
You are welcome to contact again for any further advice.
Patient's Query
Thank you doctor,
The diagnosis given by my doctor was social phobia. He did not diagnose anything else and that I only met him twice in a few years. I did not stop the medicines completely, sometimes in a month, I took one tablet. The result of anxiety and tension was less, but the panic remained and the change in my face to cry still happening. The concern was from an early period.
The problem of unity I meant one problem that kept me in sync with facial features that tends to cry when I speak to people. I have not received any cognitive behavioral therapy. The problem I suffer from are facial features when talking like a child tends to cry with anxiety and fear. Sometimes I have much better, but the only problem is the features in my face if it is possible, please help me.
Hello,
Welcome back to icliniq.com.
Your description fits in with a diagnosis of a social phobia which is a form of excessive anxiety in social situations. Your description of facial features manifesting like crying is probably linked to underlying extreme anxiety. It will gradually improve when your fear subsides, and self-confidence gets better. Try progressive muscle relaxation exercises I mentioned earlier which includes activities to facial muscles as well, and it will help you to relax. You can do it twice daily.
Medication like Cipralex (Escitalopram) should be taken daily until it is stopped. It cannot be taken once a month or as needed. It does not work like that. So if there are no side effects, I will suggest taking it daily. You can consider stopping it when anxiety is better. If you can access CBT (cognitive behavioral therapy), it will help as well to decrease panic and anxiety. Also kindly follow the other suggestions given earlier.
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Pediatrics
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