Questions And Answers On Medications For Panic Attacks During Pregnancy

By Mark B

Paul asks…

Anyone take Paxil or Effexor XR during pregnancy?

I take both of these medications for severe anxiety and depression. It is an absolute medical necessity for me. I am considering getting pregnant in a few years, as my wedding is in October. My ob/gyn told me today that neither of those medications should be taken during pregnancy. Ideally I would like to not take anything during pregnancy, but I am pretty sure that may not be plausible as I have a history of horrible panic attacks and hospitalization due to psychiatric symptoms. I have been stable for several years now on medication and haven’t been hospitalized in 12 years.

Has anyone here taken these drugs during pregnancy? What happened, if so?

PS: Don’t bother to go on about how I should just stop taking them and I really don’t need them. I know from personal and professional experience (I’m a psychotherapist) that some people have no quality of life without medication.

Mark B answers:

I would not want to risk my baby’s health. Are there any other drugs that have the same effect that have been shown to be safe for pregnant women?

Sometimes they do just make these recommendations because they don’t know what will happy to the baby, and they think ‘better safe than sorry.’ but still, it’s a big risk to take.

Caroline asks…

Has anyone taken Paxil or Effexor XR during pregnancy?

I take both of these medications for severe anxiety and depression. It is an absolute medical necessity for me. I am considering getting pregnant in a few years, as my wedding is in October. My ob/gyn told me today that neither of those medications should be taken during pregnancy. Ideally I would like to not take anything during pregnancy, but I am pretty sure that may not be plausible as I have a history of horrible panic attacks and hospitalization due to psychiatric symptoms. I have been stable for several years now on medication and haven’t been hospitalized in 12 years.

Has anyone here taken these drugs during pregnancy? What happened, if so?

PS: Don’t bother to go on about how I should just stop taking them and I really don’t need them. I guarantee I know more about this than you, if you agree with the previous sentence. I know from personal and professional experience (I’m a psychotherapist) that some people have no quality of life without medication.

Mark B answers:

If your a medical professional, why are u asking on yahoo answers? You should already know this information and have the statistics/alternatives..?

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Questions And Answers On Panic Attacks Treatment Uk

By Mark B

Susan asks…

Tooth Has Just Broke?

Earlier today quite a large piece of tooth broke off from the inside edge of one of my back teeth. This tooth has a metal filling which is now showing. I’ve also has problems with this tooth for the past 6 months, was told by dentist it was infected and was given antibiotics twice which has cleared it up on both occasions.

I have a real big fear of dentists, last time I went I had a really bad panic attack.

I’ve made an appointment for tomorrow morning but I’m really panicking.

My question is …. what possible treatment will my dentist offer me tomorrow? I would like to know before I go in LOL

By the way….. I’m in the UK

Mark B answers:

First I will say, to handle your anxiety you could call your Dentist today and ask for an RX for Valium or Xanax–which you will pick up from your Pharmacy today. If he will do that, take as prescribed for tomorrow only, and make sure you have a ride tomorrow. You can’t drive on your own if you take a relaxer.
If you don’t want to do that, than tomorrow ask for N2O. (Nitrous). Nitrous will not put you to sleep, it is simply used to take the edge off of your anxiety. He will still numb you for whatever the treatment will be.
The treatment maybe a Root Canal. If the tooth is “saveable” it will be a root canal. It sounds scary, root canals have bad reputations, but believe me Endodontics have come a long way. You won’t feel any pain. If they decide the tooth can’t be saved, they will extract it.

It always best to save the tooth if it can be saved. Your other teeth will drift and shift if you pull that tooth.
If you have to pull it, an implant is a great option.

Jane asks…

How can I get more help for my mental problems?

I live in the UK and I’m fifteen, and the doctors won’t do anything other than refer me to various counsellors- some of whom reject me as a patient. They haven’t even tried to diagnose me (if there’s anything to diagnose) at all, they just refer to me as having problems with anxiety and depression. I feel ignored, as if I don’t matter.
I’ve been in counselling for two years now, both at school and at CAMHS (Child and Adolescent Mental Health Services) but it’s not helping at all. If anything, it makes me feel worse!
I’ve had severe anxiety and depression for a few years now, to the point where I have panic attacks, make myself ill by worrying so much, self-harm and contemplate suicide, although I’d never do it.
I’ve tried everything that’s been suggested to me, and I’ve stuck to all sorts of ‘therapeutic’ treatments, but none of them seem to help me at all.

My question is: How am I supposed to get more help if doctors are so reluctant to do anything?
It’s not puberty.
My doctor put me on the pill to make sure it wasn’t that.

Mark B answers:

Well maybe you need peoples help instead of doctors help then. I believe you can scarf down all the depression pills you want to but i don’t think they do anything. Nothing beats just talking to someone that you love or just letting it all out with them. It helped me and then i was just like what am i doing.

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Questions And Answers On Cure For Panic Attacks While Pregnant

By Mark B

Mark asks…

Can Pregnancy help anxiety disorders?

have been diagnosed with general anxiety disorder and have been on meds. (lexapro) for a few years now. The meds. seemed to be helping me for a couple of year but I noticed when I first became pregnant with my daughter about 2 years ago that during my 2nd trimester and throughout my pregnancy my anxiety got better. By the end of my first pregnancy my neck tension and panic attacks totally disappeared (and I have anxiety pretty bad). When I was postpartum I noticed within a few days after giving birth my anxiety came back full force and slightly worse than before I had became pregnant.

Shortly after I had my daughter almost 3 months after I had her I became pregnant again with my son. I am recently still recovering from having him only a couple months ago and noticed as soon as I had him that my anxiety came back. When I was in the hospital recovering my anxiety reached its worse and now that its been a couple months later I noticed my neck tension coming back extremely bad and my anxiety has worsened. I went back on my lexapro after having quit it completely when I was pregnant with my son but it seems to not be helping at all…my psychiatrist prescribed me a muscle relaxer and it still doesn’t seem to be helping with my neck tension and even though I’ve uped the dosage of my lexapro my anxiety is still horrible…=(

I have brought all of my concerns up to my doctor and she says their has been some case studies suggesting that pregnancy can even out hormones and seritonine levels that lead to anxiety and in some people pregnancy has been known to cure their anxiety.

Has anyone experienced anxiety levels lower while pregnant?

If pregnancy helped cure my anxiety would going on birth control do the same (since it tricks your body into thinking its pregnant)?

PLEASE HAS ANYONE EVER EXPERIENCED THIS?

Mark B answers:

I think going on birth control might be an excellent idea for you! Smart girl!

((Hugs)) Pregnancy either cures or worsens a lot of things. I’m not surprised by anything of that. You could also try like 5 flax seed oil caps a day. It levels out my hormones SO MUCH that i have no words. Periods hurt less, pms isn’t as bad, and flow is less. It might help

Susan asks…

Can Pregnancy help anxiety disorders?

have been diagnosed with general anxiety disorder and have been on meds. (lexapro) for a few years now. The meds. seemed to be helping me for a couple of year but I noticed when I first became pregnant with my daughter about 2 years ago that during my 2nd trimester and throughout my pregnancy my anxiety got better. By the end of my first pregnancy my neck tension and panic attacks totally disappeared (and I have anxiety pretty bad). When I was postpartum I noticed within a few days after giving birth my anxiety came back full force and slightly worse than before I had became pregnant.

Shortly after I had my daughter almost 3 months after I had her I became pregnant again with my son. I am recently still recovering from having him only a couple months ago and noticed as soon as I had him that my anxiety came back. When I was in the hospital recovering my anxiety reached its worse and now that its been a couple months later I noticed my neck tension coming back extremely bad and my anxiety has worsened. I went back on my lexapro after having quit it completely when I was pregnant with my son but it seems to not be helping at all…my psychiatrist prescribed me a muscle relaxer and it still doesn’t seem to be helping with my neck tension and even though I’ve uped the dosage of my lexapro my anxiety is still horrible…=(

I have brought all of my concerns up to my doctor and she says their has been some case studies suggesting that pregnancy can even out hormones and seritonine levels that lead to anxiety and in some people pregnancy has been known to cure their anxiety.

Has anyone experienced anxiety levels lower while pregnant?

If pregnancy helped cure my anxiety would going on birth control do the same (since it tricks your body into thinking its pregnant)?

PLEASE HAS ANYONE EVER EXPERIENCED THIS?

Mark B answers:

Yeah, that can happen. It’s likely the progesterone that causes the calming and low anxiety. Progesterone has a calming effect on the brain in general, and is protective of neural tissue. The reason you started feeling better in the 2nd trimester is that in the 1st trimester, your progesterone is produced by your ovaries, and that is a different type than what is produced in the 2nd and 3rd trimesters by the placenta. For some reason, the placental progesterone is better received than the ovarian progesterone.

As for birth control pills: they don’t trick your body into thinking it’s pregnant–that’s just a glib slogan the marketers of birth control pills came up with in the early days to explain to women in simple terms what the pill did, so they could accept it. But actually, it’s more accurate to say that it mimics the hormone profile present in your body just after your body has produced an egg. It’s hard to say if the pill would help your anxiety or not. The principle you are basing it on is not sound because, first of all, birth control pills do not contain progesterone, they contain an artificial chemical that has a lot of the same effects as progesterone. But it’s not the same. Second, when you take birth control pills, they partly shut down the ovaries, so the hormones in the pill wouldn’t be in addition to those you make in your body, but instead of those you make in your body. Third, we don’t know if your anxiety is related to progesterone levels or not. Fourth: the pill contains estrogen, which is an excitant, and could increase anxiety. Or not. Who knows? But despite all this stuff I’m saying, it may well be worthwhile for you to try the pill and see if it helps. If you are breastfeeding, you might want to take the “mini pill”, which is what breastfeeding mothers are prescribed if they want a pill at that time. It is a birth control pill that ONLY has an artificial progesterone in it, no estrogen. So maybe you’ll tolerate it better. Who knows? I’ve tried to explain the mechanism of why you have less anxiety, but neither I nor anyone else actually knows what will happen when you try a pill.

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Questions And Answers On Anxiety And Panic Attacks In Children

By Mark B

John asks…

What are some key differences between shyness and social anxiety?

Ever since I was a child I’ve been the quiet non-social type. Even today at the age of 21 I only have a couple close friends and am extremely shy. I often wonder if it’s social anxiety or just simply extreme shyness. It’s hard for me to initiate conversations with people, I hate when people compliment me sometimes, I feel awkward sometimes in public. I try to get out on weekends, but mostly by myself or with just one friend.

I also suffer from panic attacks from time to time, but is rarely initiated from social situations

Mark B answers:

I don’t know if there’s a better clinical explanation, but to me shyness is just one way of avoiding social anxiety. Shyness is more of a personal trait of yours, whereas anxiety can be seen as more of a condition.

There’s a lot of things that can make you shy or at least appear to be. Most of the time I think it all just branches from being very self-conscious. If you worry about how you look, how you come off, how you sound, you will be very uncomfortable in any social situation.

But if you do feel really nervous talking to people or even just being around them you probably have some kind of anxiety. I used to be like this. I’m more comfortable but I’m still bad at conversation. Anxiety is something you can really feel. You need to just put yourself out there to know. I personally don’t think it’s too relevant to know if it’s anxiety. The most you can get from that diagnosis is some pills, and I honestly think those do more harm than good.

It takes time and practice really to get over it. I don’t see it as being too much of a problem. If you have some friends and you’re happy with them, that’s great. I think too many friends can just a hassle. It’s the really good ones that count, and those are few. If you are having non-related panic attacks then that is something else, but still important to look at.

Graham asks…

Anxiety and tingling sensations on my head?

In the beginning of this year I went through a lot of anxiety, depression, and my first full-on Panic Attack. I am claustrophobic and have a fear of deep/dark water. Yesterday, I went with my family (mom, dad, older and younger brother) and a few friends of the family to a sailboat trip. My mom had not told me that the beach party before the boat trip was going to be a huge party with about 70-100 people. I am terribly afraid of large crowds like that because I’m afraid something like a panic attack will happen to me. Then my mother started insulting me and swearing at me right in front of everyone. At first I was really mad at her, then I started thinking about what she said and started to cry. That kind of thing was exactly what I was afraid would happen. My dad took me over to the loudest and most crowded part of the party and I started to panic. My old brother (Joel,22) was the one to help me through all of my anxiety/depression/panic attacks. So Joel took my out to the parking lot and started to ask me what was going on. I explained everything to him and told him about how scared and anxious I was, and about these weird tingling sensations in my head. He started to get worried because he used to get the same thing when he was a child. My parents and I talked everything over and it seems to be okay. But I’m still getting the feeling that they’re unhappy with me. I’ve had the tingling sensation in my head from the beginning of my neck all the way across my head and onto my forehead. I’m still anxious and scared, and I feel like crying.
Could someone please explain to me what I can do to stop these sensations in my head?
Also, I’m only 13, I’m turning 14 on the 18th.

Mark B answers:

Ensure your emotion is controlled daily. Don’t over reacted, stay calm and don’t get depress easily
Step 2: Think before your action. Don’t repeat your past experience on yourselve
Step 3: Be confident to yourselves. Remember everyone is the winner. “Only One sperms out of millions fertilize a eggs”
Step 4: Get a group of close friends to share your experience and get some activities that would occupied your time
Good Luck.
You may read more articles of mine through
Besides, If you have more psychological problem, please write to me at
http://drgeorgeleow.blogspot.com/

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Questions And Answers On Panic Attacks In Dogs

By Mark B

Lisa asks…

Can dogs have panic attacks? Please I need help!!!?

3 months ago we adpopted a 4 year old terrier cross from the lost dogs home. She is usually a nervy dog and jumps when she hears a loud sound or if you make any sudden movements around her. Tonight my mum was sitting with her on her knee watching TV, she said she was perfectly calm and then all of a sudden she started looking up towards the roof, her eyes really wide a starring, and she started to shake and wipe her paws over her eyes. When we put her on the ground she couldn’t walk very well (which makes me think it may not be panic attacks, but something more serious) she started to stagger and wobble. She spent most of the day in my bed which is highly unusual, but we thought this may have just been because I went back to work today after a long period off, and she may have been missing me. After abot 10 minutes she was okay again. Any idea what this may be? Any serious answers appreciated.
She hasn’t been near any posions that I know of. We took her to a vet but he doesn’t have a great rep, and sort of rushed us in and out without really checking her, but he was the only one open so we had to go there.
We definately know better than to give her chocolate as our neighbours dogs died after stealing and eating a whole easter egg :-(
Just to remind everyone again, we did take her to the vets straight after it happened, but isn’t a trusted vet in our town, and he didn’t really check her at all, then they shut, but he was the only one open tonight

Mark B answers:

Yes they do, a friend of mine used to have a yorkshire terrier that did exactly the same thing! He (the dog) was taken taken to the ve and diagnosed with an anxirty/panic disorder and prescribed a sedative and hasnt suffered an attack since.
Its a serious illness that depletes quality of life for humans and is now recognised and treated in animals (its more prevelant in dogs from dogs homes due to previous owners). Best wishes to you both

David asks…

Do dogs suffer panic attacks?

My dog usually sleeps at the living room in her rug. One night three weeks ago she started crying and scratching our bedroom door with her paw, desperately, like she had a tremendous fear. When I went to see what was happening, she refused to come back to the living room and her tail showed she was scared for something. From then on, it happened a couple of times more, I had to place her in the kitchen in order to be able to sleep the rest of the night. Two nights ago it happened again but it was even worse, when we left her at home (in the living room always) to go work, as usual, she broke one of the windows screen and ran away. A neighbor caught her and bring her back, leaguing her outside, and in the afternoon we again left her inside, and when we came back we found out the she had tried to break another (higher) window screen. She seems to be scared for something specially when nobody is with her in the same room. Do dogs suffer panic attacks? What could happen? and What can we do?

Mark B answers:

Is she a rescue dog? I would try crating her when you go out, just so she does not break any more windows and hurt herself.
Dogs do get stressed, some hate to be left and will act in different ways.
I have one that is fine when I leave her, but she refuses to talk to me for days on end, I will get a hug in the morning, and she is happy when I call her for food and her walks. After that she will not socialise and just goes to my bed and chills.
I used to panic, but she has been like this for 7 years. The vet has told me to ignore her attention seeking.. So that is what I do. No big deal, she knows I am coming home.. Just gets grumpy.

Yours seems to be really stressed. Get DAP diffuser which vets sell or you can buy online or in some pet stores and human chemists.
It’s a plug in diffuser which calms the dogs down. It’s not a drug so don’t worry about side effects. Just the natural pheremones that calm puppies down.. Good for adult dogs too.
You can get a collar or tablets or even a spray. Your choice which you prefer.

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