How to deal with severe anxiety?

Question

Hi doctor,

I have been on Zoloft 200 mg, and Mirtazapine 30 mg for the last four weeks. I also take Clonazepam 0.5mg. I still have terrible anxiety and tremors that shake my body. I have heavy seats in the morning. I was on 150 mg of Zoloft before this, but my anxiety and depression came back. Hence, my doctor increased the dose. I was diagnosed with GAD last year. I did a blood test two months ago, and my results were normal. Please help.

Thank you.

Answer 1

Hi,

We will pay close attention to your worries and address all of your questions with utmost care.

I can understand your situation. You may have an anxiety disorder. There is non-pharmacological management for it, which you should try to follow. I suggest the following:

1. Exercising daily, like walking for 30 to 45 minutes.

2. Practice meditation for 20 minutes daily. I suggest you sit in a place in comfortable position, and try to concentrate on your normal breathing. Do not stop or force yourself to stop your thoughts. It will help you to relax.

3. Try eating healthy home-cooked foods. I suggest eating small quantities of food but increasing the frequency.

4. You must drink enough water.

5. You should spend quality time with friends and family daily.

6. You should spend time on creative hobbies like reading good books, writing journals, painting, drawing, and learning new skills or language or musical instruments.

7. You should get at least seven to eight hours of sleep daily.

8. You must avoid tobacco, alcohol, or any other substance abuse.

I hope that you get your answer.

Please let me know if you have further queries.

Thank you.

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