Common "Panic Disorder" queries answered by top doctors | iCliniq

Panic Disorder

A panic disorder occurs when you have sudden unexpected panic attacks recurrently. The symptoms of panic disorder are sweating, trembling, raised heart rate, weakness, breathing problems, and chest pain. It occurs commonly in women than men. Taking cognitive behavioral therapy and medications helps a lot.

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Is it okay to take antidepressants during an exam?

Query: Hello doctor, I am 18 years old. Today I finally got the courage to talk to my doctor about the stress obsessive thoughts, and the physical harm it does to me. I got an appointment with a psychologist. She diagnosed me with anxiety, panic disorder, and being severe hyperemotional. The doctor did n...  Read Full »

Dr. Ruhi Satija

Answer: Hello, Welcome to First of all, I am so sorry to hear about your problem. I can imagine how hard it is for you, especially when you have so much to deal with. Although therapy is essential in treating anxiety, medications are a must to control the physical symptoms. You have not ment...  Read Full »

I have been suffering from anxiety disorder. Please help.

Query: Hi doctor, I believe I may be experiencing symptoms of an anxiety disorder, but I am not sure. Can you describe the common types of anxiety disorders, their symptoms, and the process of diagnosis and treatment? Are there any lifestyle modifications or self-help strategies that can help to manage mil...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to I understand your concern. I will try to explain anxiety disorder in brief, as it is not possible to cover all the details in a query. Anxiety disorders encompass a range of conditions characterized by excessive worry, fear, or apprehension. Here are some common types: ...  Read Full »

EKG for shortness of breath showed QTc 470. Do I have a prolonged QT?

Query: Hello doctor,I went to the ER for shortness of breath. I suffer from panic disorder and hypochondria. My doctor did an EKG and released me and told me it was benign. I saw my QTc was 470. Is this correct? She told me there was a benign ST elevation. I am so nervous. Please help me. Is this EKG norma...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to No, it is not a long QT (attachment removed to protect patient identity). Manually, QTc fine. There are S waves in lateral leads suggestive of some conduction delay and early stages of RBBB (right bundle branch block), which can also be seen normally in some individu...  Read Full »

I have bipolar 2 and panic disorder. Am I in psychosis?

Query: Hello doctor,I was diagnosed with bipolar 2 and panic disorder. I currently take Zoloft and Klonopin. My psychologist believes I am functioning normally, but sometimes I worry that I may be in psychosis, or displaying symptoms. My only concern is that recently, I have been having paranoid thoughts. ...  Read Full »

Dr. Suresh Kumar G D

Answer: Hello, Welcome to It is common to have some paranoid thoughts, especially when you are feeling stressed, anxious, and feeling low in confidence. From the way you have described your symptoms, psychosis appears very unlikely. You can recognize the paranoid nature of your thinking, and ...  Read Full »

I have not slept in 30 hours. What should I do?

Query: Hi doctor,I have been having symptoms synonymous with a panic disorder. I have constant panic attacks and a constant dread feeling inside me. My main question is this. My doctor prescribed me Mirtazapine, and like everyone, I would drift off to sleep. Just as I was about to dream, I would wake up wi...  Read Full »

Dr. Vipul Chelabhai Prajapati

Answer: Hello, Welcome to I understand your concern. Mirtazapine may require several weeks to fully manage your anxiety. Be patient, communicate any concerns with your doctor, and adhere to their prescribed dosage. I suggest you follow the below-mentioned instructions: 1. Cognitive-behavior...  Read Full »

How do I stop my medications for seizures?

Query: Hello doctor,I am a 23 year old male. I want to quit my medicines permanently. I am taking Valkem OD 500, Soltus 100 mg, Flunil 20, and Ativan 2 mg. How to reduce the doses and completely stop taking these medications without any side effects?  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to I went through your post. You are on Divalproex (Valkem) which is used for epilepsy; in addition, you are on antidepressants and antipsychotic meds. Firstly, if you have a seizure disorder, for which you are taking Valkem, then your EEG (electroencephalogram) shoul...  Read Full »

Can I take another lorazepam for anxiety?

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 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 »

Can panic attack occur while taking antidepressants?

Query: Hi doctor, I am a 29 year old female with a 15 year history of panic disorder with medicine sensitivity. I have been on Effexor XR 75 mg for six months and have been stable. Last week my tooth was pulled out and I was put on Motrin 800. I had around two tablets for three days and it made me feel fuz...  Read Full »

Dr. Saraswat Kumarshri Shriniwas

Answer: Hi, Welcome to The heightened anxiety, panic attacks, uneasiness, hot or cold flushes, sleep disturbance, low grade fever could all be the symptoms of Venlafaxine withdrawal. Did you miss a dose of Venlafaxine? Another explanation is that these medicines that you are taking for your too...  Read Full »

After being diagnosed with panic disorder 19 years ago, I stopped my prescribed medication recently. This led to a severe relapse. Why?

Query: Hi doctor,I have a history of anxiety or panic disorder which was first diagnosed 19 years back and I was in in-patient psychiatric care for two months. I was prescribed the medicines Celexa 20 mg (once daily), and Clonazepam 0.25 mg (thrice a day- PRN) 50 pills with a repeat of 50 upon discharge. I...  Read Full »

Dr. Vipul Chelabhai Prajapati

Answer: Hello, Welcome to I welcome you to icliniq with a loving heart and with confidence that I will be able to help you with your medical issues better. Did you quit taking medicines very gradually? Since you have been on medicines for the past 19 years, you need to reduce the dos...  Read Full »

I have been dealing with generalized anxiety disorder, premenstrual dysphoric disorder, and panic disorder. Please guide me on tapering off my medication.

Query: Hello doctor,I have been dealing with generalized anxiety disorder (GAD), premenstrual dysphoric disorder (PMDD), and panic disorder. I have been taking tablet Sertraline 100 mg, currently. Before that, I was on 75 mg for about three months. I used the tablet Alprazolam at a maximum dose of 0.75 mg,...  Read Full »

Dr. Vipul Chelabhai Prajapati

Answer: Hello, Welcome to Thank you for your query. Firstly, there is no need to worry about serotonin syndrome at your current dosage. Since you are only taking Sertraline and no other antidepressants, serotonin syndrome is not a concern. Regarding Diazepam, if you wish to reduce or discont...  Read Full »

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