[18F] Experiencing panic attacks, muscle weakness, and neurological symptoms

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Psychogenic Non-Epileptic Seizures (PNES)

• Rationale: PNES can present with symptoms like loss of awareness, staring spells, panic attacks, and physical manifestations such as twitching and shaking. These episodes are often triggered by psychological stress rather than electrical activity in the brain, which differentiates them from epileptic seizures.
• Typical Treatments: Treatment often involves psychotherapy, particularly cognitive-behavioral therapy (CBT), to address underlying psychological issues. Medications like antidepressants may also be used to manage associated conditions like anxiety or depression.

Panic Disorder

• Rationale: Your symptoms of panic attacks, shortness of breath, and a feeling of losing control are consistent with panic disorder. The physical symptoms like muscle weakness, twitching, and numbness can also occur during severe panic attacks.
• Typical Treatments: Treatment usually includes a combination of psychotherapy (such as CBT) and medications like selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines for short-term relief.

Medication Adjustment Effects

• Rationale: You recently switched from Zoloft to Prozac, and changes in medication can sometimes exacerbate symptoms temporarily. Prozac (fluoxetine) can take several weeks to reach its full effect.
• Typical Treatments: Continue taking Prozac as prescribed and consult your doctor if symptoms persist or worsen. They may adjust your dosage or suggest additional therapies.

What you can do

For Panic Attacks and PNES

• Seek Professional Help: Consult a mental health professional for a thorough evaluation and to discuss treatment options like CBT and medication.
• Practice Relaxation Techniques: Techniques such as deep breathing, progressive muscle relaxation, and mindfulness can help manage panic attacks.
• Stay Active: Regular physical activity can help reduce anxiety and improve overall mental health.
• Avoid Triggers: Identify and avoid situations that trigger your panic attacks when possible.

For Medication Adjustment

• Follow Your Doctor's Advice: Continue taking Prozac as prescribed and keep your doctor informed about any changes in your symptoms.
• Be Patient: It can take several weeks for Prozac to reach its full effect. In the meantime, use coping strategies to manage symptoms.
• Stay Hydrated and Eat Well: Ensure you are drinking enough fluids and eating balanced meals to support your overall health.

General Tips

• Journal Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.
• Stay Connected: Talk to friends or family members about what you're experiencing. Social support can be very helpful.

What you should look out for

Given the severity of your symptoms, it's important to seek medical care if you experience any of the following:

• Severe or Worsening Symptoms: If your symptoms become more severe or frequent, consult your healthcare provider immediately.
• New Symptoms: If you experience new symptoms like fainting, severe headaches, or changes in vision, seek medical attention.
• Side Effects from Medication: If you notice any adverse effects from Prozac or any other medication, inform your doctor right away.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan.