Hi,
Welcome to icliniq.com.
I understand your concern.
Thank you for taking help from a psychiatrist. I can understand your situation and concern about your work. You are already tried one of the best medications for panic attacks. If you have anxiety daily then you need to start regular SSRI (selective serotonin reuptake inhibitors) group medication to prevent your panic attack. You should start a tablet of Escitalopram 10mg daily in the morning after breakfast. You can try table Etizolam 0.5 mg when you are going to do a presentation. You are on quite a high dose of tablet Diazepam. You must not take such a high dose without a psychiatrist's prescription. You should also follow the below lifestyle to prevent panic attacks. It is non-pharmacological management for it. It will also reduce the need for medication.
- You should do exercises daily for 30 to 45 minutes like at least going for a walk.
- You should do meditation for 20 minutes daily, just sit in one place in a comfortable position and try to concentrate on your normal breathing, do not stop or force yourself to stop your thoughts, just let it be. It will reduce panic attacks.
- You should eat healthy home-cooked foods, and avoid junk foods.
- You must drink enough water.
- You should spend quality time with friends and family daily or do video calls if you are leaving away.
- You should spend time on creative hobbies like reading good books, writing journals, painting, drawing, and learning new skills or language or musical instruments.
- You should take enough seven to eight hours of sleep daily.
- You must avoid tobacco or alcohol or any substance abuse.
- Live your life, do not just spend it.
- Be bold and confident.
You must do the following blood reports and follow up within week.
I hope that you get your answer.
Please, let me know if you want some help.
Thank you.