[21M] Experiencing anxiety with physical symptoms

Patient Description

A 21-year-old male reports experiencing anxiety for the past 2 years. The patient describes persistent worry about dying and difficulty breathing during anxiety episodes, although he acknowledges that he is physically fine. These episodes are often triggered by situations or thoughts that the patient finds distressing. Symptoms include a rapid heartbeat, shortness of breath lasting a few minutes, and occasional vomiting (three times in two years). The patient finds relief by talking to someone about his feelings. He has a history of a leaky valve from childhood but currently does not feel physically harmed. The anxiety does not significantly impact his daily life, but the symptoms are distressing when they occur.

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Arora's Assessment

What might be happening

Based on the symptoms you have described, it sounds like you might be experiencing anxiety or panic attacks. Here are some possible explanations:

  • Generalized Anxiety Disorder (GAD): This is characterized by persistent and excessive worry about various aspects of life. Symptoms can include rapid heartbeat, shortness of breath, and a feeling of impending doom.

    • Treatment: This often involves a combination of therapy (such as cognitive-behavioral therapy), lifestyle changes, and sometimes medication prescribed by a healthcare provider.
  • Panic Disorder: This involves sudden and repeated episodes of intense fear, which can include physical symptoms like a racing heart, shortness of breath, and nausea.

    • Treatment: Similar to GAD, treatment can include therapy, lifestyle changes, and medication.
  • Health Anxiety (Hypochondria): This is characterized by an excessive preoccupation with having a serious illness, despite medical reassurance.

    • Treatment: Cognitive-behavioral therapy is often effective, and sometimes medication may be prescribed.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some tips that might help alleviate your symptoms:

  1. Practice Deep Breathing: Techniques like deep breathing or diaphragmatic breathing can help calm your nervous system.
  2. Stay Active: Regular physical activity can help reduce anxiety and improve your mood.
  3. Avoid Triggers: Since you mentioned that weed triggers your anxiety, it's good that you've stopped using it. Continue to avoid substances that exacerbate your symptoms.
  4. Talk About It: As you mentioned, talking to someone helps you feel better. Continue to reach out to friends, family, or a mental health professional when you're feeling anxious.
  5. Mindfulness and Relaxation Techniques: Practices like meditation, yoga, or progressive muscle relaxation can help manage anxiety.

What you should look out for

Reasons to seek medical attention more urgently include:

  • If your anxiety symptoms become more frequent or severe
  • If you experience chest pain or other symptoms that could indicate a heart condition
  • If you have thoughts of self-harm or suicide

Remember, it's important to consult a healthcare provider for a formal diagnosis and appropriate treatment. They can help you develop a personalized plan to manage your symptoms effectively.

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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 heartbeat, shortness of breath, chest pain, dizziness, sweating, trembling, and a feeling of impending doom. These symptoms usually peak within minutes.


How can I differentiate between anxiety and a heart condition?

Anxiety and heart conditions can have overlapping symptoms like chest pain and rapid heartbeat. However, anxiety symptoms often occur in response to stress or specific triggers and improve with relaxation techniques. If you experience persistent chest pain or symptoms that do not improve, seek medical attention to rule out a heart condition.


What lifestyle changes can help manage anxiety symptoms?

Lifestyle changes that can help manage anxiety include regular physical activity, practicing deep breathing or relaxation techniques, maintaining a healthy diet, getting adequate sleep, and avoiding substances like caffeine and alcohol that can exacerbate anxiety.


When should I seek medical attention for anxiety symptoms?

You should seek medical attention if your anxiety symptoms become more frequent or severe, if you experience chest pain or other symptoms that could indicate a heart condition, or if you have thoughts of self-harm or suicide.


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1 Comments


Prerana#31484

10 mo ago

Along with practicing breathing and relaxation techniques, it would be really good to visit a doctor and get your heart checked using an echocardiography. Given your past history of leaky valve, the palpitations and shortness of breath can be a symptom of a worsened heart valve as well.

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