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मेरे लगातार ओवरथिंकिंग और पैनिक अटैक्स का कारण क्या है, और इसे कैसे ठीक किया जा सकता है?
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Mental & Emotional Health
Question #29464
67 days ago
160

मेरे लगातार ओवरथिंकिंग और पैनिक अटैक्स का कारण क्या है, और इसे कैसे ठीक किया जा सकता है?

Client_4cfc9d

हैलो डॉक्टर, मैं पिछले 4 सालों से लगातार ओवरथिंकिंग का सामना कर रहा हूँ, लेकिन हाल ही में यह और भी खराब हो गया है। मैं एक JEE उम्मीदवार हूँ और यह मेरी पढ़ाई को बहुत प्रभावित कर रहा है। मुझे अचानक पैनिक अटैक आते हैं, जिसमें मुझे सांस लेने में दिक्कत होती है, ऐसा लगता है जैसे मैं घुट रहा हूँ, मेरा दिल तेजी से धड़कने लगता है, मेरा शरीर कांपने लगता है, और मैं बेकाबू होकर रोने लगता हूँ। मैं इसे कुछ दिनों तक कंट्रोल करने की कोशिश करता हूँ, लेकिन फिर यह अचानक बहुत तीव्र हो जाता है। मैं अपनी नींद को भी ठीक से मैनेज नहीं कर पा रहा हूँ। कभी-कभी मैं बहुत बेचैन महसूस करता हूँ, और दूसरी बार मैं सामान्य से बहुत ज्यादा सो जाता हूँ। मैं रिश्तों की समस्याओं और पारिवारिक तनाव से भी जूझ रहा हूँ, और मेरे पास कोई दोस्त या ऐसा कोई नहीं है जिससे मैं खुलकर बात कर सकूँ, जिससे इसे संभालना और भी मुश्किल हो जाता है। मुझे कोई बड़ी पुरानी मेडिकल समस्या नहीं है और मैं किसी नियमित दवा पर नहीं हूँ। क्या आप मुझे बता सकते हैं कि यह क्या हो सकता है, और कृपया कोई सुरक्षित दवा या उपचार सुझाएँ जो मदद कर सके क्योंकि यह बहुत बार होता है?

How often do you experience panic attacks?:

- Several times a week

How long do your panic attacks typically last?:

- More than 30 minutes

What do you usually do to cope with your panic attacks?:

- Seeking quiet or solitude

How would you describe your overall mood during the day?:

- Generally okay but anxious

Have you noticed any specific triggers for your overthinking or panic attacks?:

- Family issues

How is your appetite and eating habits lately?:

- Decreased appetite

How would you rate your energy levels throughout the day?:

- Moderate energy

Have you experienced any significant changes in your life recently?:

- Yes, major life changes
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
65 days ago
5

Hello dear See you have combination of Anxiety Depression Fog Earlier three was overactivity of brain but now the processing speed has fallen Reason is Change of diurnal cycle of sleep Emotional instability Lack of Focus However it can be modified by following precautions Do meditation Take good balanced diet for good health Engage in social media Indulge in hobbies like reading and writing Avoid overthinking Avoid junk food and alcohol/ smoking Set your goals for every day In addition please get following tests routinely for confirmation CBC Serum ferritin Serum tsh Serum dopamine and serotonin Serum bradykinin EMR Regards Brain USG Hopefully you recover soon Regards

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Overthinking and panic attacks like you’re describing can often be linked to anxiety conditions, which are notably exacerbated by high-stress situations. Your upcoming JEE exams and personal stressors could be contributing factors. Panic attacks can manifest as sudden bouts of intense fear, accompanied by physical symptoms like the ones you’re experiencing. Disrupted sleep patterns, like restless or excessive sleep, can further compound anxiety levels. Since your panic attacks and anxiety are frequent and impacting your daily life, you should consider a comprehensive management approach. Cognitive Behavioral Therapy (CBT) is a highly effective treatment option, helping modify dysfunctional thinking patterns. Reaching out to a mental health professional or counselor can be a solid first step. Additionally, lifestyle modifications may offer some support. Regular physical activity, whether it’s walking, stretching, or something more vigorous, can reduce anxiety. Ensure you’re maintaining a balanced diet and minimizing caffeine or sugar, which can aggravate symptoms. Controlled breathing or relaxation techniques practiced daily can also improve symptoms over time. Medications like SSRIs or benzodiazepines might be considered by a doctor to manage severe or persistent symptoms, but they must be prescribed and monitored by a healthcare provider. Establishing structured routines, including dedicated study times with uninterrupted breaks, can be beneficial. Since family dynamics and isolation seem to be central stressors, discussing support avenues with a therapist may provide strategies to cope better. It’s crucial to seek a timely consultation with a healthcare provider to more accurately assess your situation and formulate a detailed care plan aligned with your unique needs. If panic attacks intensify or you feel unsafe, contact a medical professional promptly, as immediate attention might be required.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
65 days ago
5

Hello dear Please be aware See following medications can bring large amount of involution in your clinical symptoms

Minoxidil (2% or 5%) or rosemary oil for hair gain OTC solution to be given topically

Finasteride on recommendation only by dermatologist only in person Biotin- medications for growth Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day

Selenium Sulfide (Selsun Blue) – antifungal shampoo for 1 month ( twice use)

Clotrimazole or Miconazole – antifungal creams for topical use In addition following preventive measures are must Avoid excess moisture and keep the infected completely dry If possible dry with clean towel Use bhringraj or onion oil gently twice a day for both massage and nourishment In case of no improvement in 1 month, consult dermatologist for better clarification . Hopefully you recover soon Regards

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