Q. Please help me come out of my anxiety, stress and forgetfulness.

Answered by
Dr. Ashok Kumar Choudhary
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 12, 2018 and last reviewed on: Oct 05, 2020

Hi doctor,

I am suffering from severe anxiety and heart attack like debilitating panic attacks when presented with work deadlines, enclosed spaces such as subways, elevators and small airplanes. I have relationship fears. Nothing in my life provides me joy or relieves me of my symptoms. I had the same feeling six years ago after a break up. Now, symptoms return easily when in fear of life. I had Zolpidem for depression before to get sleep, but I stopped because of the side effect of brittle bone. I am fuzzy headed, stressed, forgetful, regretful of any decision I make and I cannot make decisions without fear. I do not have any friends. I do not belong anywhere. I am not a part of anything. I exercise outside every day. I eat only healthy foods. I am underweight. Please help me to come out of this.



Welcome to

  • From the available description, it is almost clear that you are having depression along with claustrophobia (fear of confined spaces).
  • It is obvious that you are not enjoying anything, fallen down to social ladder, feel distressed, loss of pleasure in almost all activities and guilt feelings along with fear of closed spaces.
  • If I need to assess the severity of your symptoms it will fall somewhere between moderate to severe depression along with functional impairment. Having said this there is definite need of treatment as moderate to severe depression almost never remits without medication.
  • For a 45 year old woman, I feel Desvenlafaxine (Pristiq) will be the right choice followed by SSRI (selective serotonin reuptake inhibitor) group of medications.
  • I understand your concern about the brittle bones and other side effects of these antidepressants. But, we need to consider both harms and benefits of medication as well as depression. If you consider both of them there are definite benefits with medications which outweigh the potential side effects.
  • I like to assure you that antidepressants are not the harmful or dangerous medications as described over some online platforms. I think you understand better that how they helped you in past, what they can deliver when we are one of saddest person in the world (depression).
  • Small dosage of Zolpidem can help you for sleep to some extent, but they do not help in depression which is our primary concern.
  • I request you to see a psychiatrist for detailed evaluation and to discuss the right choice for your treatment.

For further information consult a psychiatrist online -->

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
How can I get rid of severe depression with anxiety?

.. opinion, you can discuss with treating psychiatrist regarding the following options: Increasing dose of Prozac (Fluoxetine). Substituting Prozac with Prestiq (Desvenlafaxine), Wellbutrin (Bupropion) or Zoloft (Sertraline). You can also opt fo...   Read full

Depression - a State of Mood Imbalance

.. growing more advanced in every field possible, depression is becoming a common term talked about by almost everyone .. ...   Read full

Postpartum Depression

History of bipolar disorder ... Family history of depression or other psychological disorders ...   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Listeriosis - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Listeriosis is a bacterial infection, that can result in severe complications like meningitis, sepsis, and even death. R...  Read more»
Myositis - Types, Symptoms, Causes, Treatment, and Prognosis
The term "myositis" refers to a set of uncommon diseases. To know more about myositis, read the full article below.  Read more»
Osteoporosis: an Important Public Health Problem
Osteoporosis is a problem that is largely preventable. This article focuses on the causes of osteoporosis and the availa...  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.