Episodes of intense anxiety, associated with a fear of death, or impending doom.
Panic attacks are associated with palpitations, sweating, tremors, dizziness and possibly chest pain. Scary as they are, they can be treated effectively.
"Ravi, experienced episodes of intense, incapacitating fear, associated with palpitations and dizziness. After being cleared of medical causes, He was diagnosed with and underwent treatment for panic disorder. Within weeks, his symptoms improved and he was able to resume his normal life."
Specific fears, propagated by avoidance.
Intense fears of specific situations, characterized by avoidance of such a situation and intense distress when faced with the possibility of being in the phobic situation.
"Sharon is afraid of closed spaces, she would rather walk up 20 floors rather than take an elevator, She also has trouble with closed rooms and tight spaces. After an initial evaluation, Sharon was initiated on mindfulness based CBT for the treatment of phobia. She showed a marked reduction in symptoms within a couple of weeks."
Pervasive fears and apprehension about the future.
Everything becomes worrisome, The fears grow and evolve according to the situation and lead to intense distress. Often associated with motor restlessness and muscle tension.
"Tejas, is constantly afraid. The What ifs of life are very scary to him. He constantly wades from one distressing future scenario to another. This interferes with his daily life. Tejas is too scared to see a doctor !". Tejas required meds (Paroxetine) initially to treat his generalized anxiety. Over time, he was able to learn techniques to mitigate anxiety and was able to taper off meds eventually.
Cognitive therapies to address dysfunctional thoughts, behavioral therapy (CBT) to change maladaptive responses , mindfulness, hypnotherapy and pharmacotherapy to assist with the autonomic over activity are effective in the reduction of stress and the treatment of anxiety disorders. Here at
the vivid mind clinic, we offer effective treatment for anxiety so that one can lead their life completely stress free.
Obsessions are unpleasantly repetitive, intrusive, senseless thoughts one cannot resist usually followed by an act that eases tension. These thoughts can be doubts, fears, impulses or a need for symmetry.
"Sameer knows his hands are clean, but feels the need to wash hands every five minutes because he feels there is some dirt on them. Sameer was evaluated and started on behavioral therapy (Exposure and response prevention). He was also prescribed fluoxetine due to the severity of his symptoms. The treatment of OCD resulted in a gross improvement in a very short time."
Psychiatry is a medical speciality, like surgery, general medicine and paediatrics. It involves the study, diagnosis and management of mental illnesses and distressing conditons, pertaining to both the mind and body. Misconceptions about psychiatric illness and treatment have some how prevented help seeking behaviour in those who need it the most. This Wall has to go, wherin visiting a psychiatrist should no longer be taboo, and people should be able to openly and freely discuss mental health issues. More here.
Dr Vikas Prabhav is a psychiatrist in anna nagar, chennai. He runs The Vivid Mind mental wellness clinic in Anna Nagar. We aim at providing holistic, multimodal care for those suffering from mental illnesses and adjustment issues. We offer effective management strategies for depression, anxiety, unexplained physical symptoms, addictions, child/adolescent problems and other behavioural issues.The information provided in this website does not substitute for a medical consult.