[19F] Experiencing severe anxiety and panic attacks

Patient Description

A 19-year-old female reports experiencing anxiety throughout her life, with daily panic attacks for the past two years. These episodes last at least 30 minutes and include symptoms such as screaming, crying, difficulty breathing, rapid heart rate, vomiting, trembling in hands and legs, and occasional fainting. The anxiety is exacerbated by thoughts that others, including family, intend to harm her, leading to a loss of trust and a breakup with her boyfriend. There is a family history of anxiety. The patient is currently taking Zoloft 50mg once daily and has an allergy to amoxicillin. No other medications or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on your symptoms and history, here are some possibilities:

  • Generalized Anxiety Disorder (GAD): This condition involves persistent and excessive worry about various aspects of life. It can lead to physical symptoms like trembling, rapid heart rate, and nausea.

    • Treatment: Often includes therapy (such as cognitive-behavioral therapy) and medications like Zoloft, which you're already taking. Adjustments to your medication or therapy approach might be needed.
  • Panic Disorder: Characterized by sudden and repeated panic attacks, which include symptoms like rapid heart rate, shaking, and difficulty breathing.

    • Treatment: Similar to GAD, involving therapy and medications. Learning breathing techniques and relaxation exercises can also help.
  • Social Anxiety Disorder: If your anxiety is primarily related to interactions with others, this could be a factor.

    • Treatment: Therapy focused on social skills and exposure to social situations can be beneficial.

What you can do

  1. Consult a Professional: It's important to discuss your symptoms with a healthcare provider. They can help adjust your treatment plan if necessary.

  2. Practice Relaxation Techniques: Deep breathing, meditation, and progressive muscle relaxation can help manage anxiety symptoms.

  3. Stay Active: Regular physical activity can reduce anxiety and improve mood.

  4. Use MDandMe: Journal your symptoms and track your progress. This can provide insights and help you share detailed information with your provider.

What you should look out for

  • Seek Help if Symptoms Worsen: If your anxiety becomes overwhelming or you have thoughts of self-harm, seek immediate help from a healthcare provider or mental health professional.

  • Monitor Physical Symptoms: If you experience new or worsening physical symptoms, consult a doctor to rule out other conditions.

Remember, it's important to work with a healthcare professional to find the best approach for managing your anxiety.

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4 mo ago

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People Also Ask


What are the common symptoms of a panic attack?

Common symptoms of a panic attack include a rapid heart rate, sweating, trembling, shortness of breath, feelings of impending doom, and nausea. These episodes can be intense and frightening but are usually not life-threatening.


How can therapy help with anxiety disorders?

Therapy, particularly cognitive-behavioral therapy (CBT), can help by teaching you how to identify and change negative thought patterns and behaviors that contribute to anxiety. It can also provide coping strategies to manage symptoms and improve your quality of life.


What are some effective relaxation techniques for managing anxiety?

Effective relaxation techniques for managing anxiety include deep breathing exercises, meditation, progressive muscle relaxation, and yoga. These practices can help calm the mind and reduce physical symptoms of anxiety.


What should I do if my anxiety symptoms worsen or I have thoughts of self-harm?

If your anxiety symptoms worsen or you have thoughts of self-harm, it's crucial to seek immediate help from a healthcare provider or mental health professional. They can provide support and adjust your treatment plan to better address your needs.


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