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What is causing my constant overthinking and panic attacks, and how to treat it?
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Mental & Emotional Health
Question #29464
140 days ago
337

What is causing my constant overthinking and panic attacks, and how to treat it?

Client_4cfc9d

Hello doctor, I have been experiencing constant overthinking for around 4 years now, but recently it has become worse. I am a JEE aspirant and this is affecting my studies a lot. I get sudden panic attacks where I feel breathless, like I’m choking, my heart races, my body shakes, and I start crying uncontrollably. I try to control it for a few days, but then it suddenly becomes very intense. I am also not able to manage my sleep properly. Sometimes I feel very restless, and other times I end up sleeping a lot more than usual. I am also dealing with relationship issues and family stress, and I don’t really have friends or anyone I can open up to, which makes it harder to cope. I have no major past medical issues and I am not on any regular medication. Could you please guide me on what this could be, and please, suggest any safe medications or treatment that might help as it's very frequent?

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

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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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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