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Having fear of going out to public places.Can you suggest any treatments?

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Patient's Query

Hello doctor,

I am 30 years old and my height and weight are 5'8" and 88 kg respectively. I have symptoms of agoraphobia from my childhood. I cannot go to public places like mall, theater or grocery store. I cannot even travel alone and every time I depend on someone. I feel sad every time with negative thoughts running in my head 24*7. I mistrust everyone and, it is getting worse day by day. I also lack confidence.

Answered by Dr. Nidhi Jain

Hi,

Welcome to icliniq.com. From your history, it is definitely agoraphobia. Along with that you have developed some depressive symptoms also.

Investigations to be done

Thyroid function test.

Probable diagnosis

Agoraphobia

Treatment plan

I am prescribing you medications for agoraphobia, which will be helpful in depression also. Tablet Pari CR plus (12.5 mg Paroxetine + 0.5 mg Clonazepam) in the morning for one week. After one week shift to tablet Pari CR forte ( 25 mg Paroxetine + 0.5 mg Clonazepam) and continue it.

Preventive measures

Do deep breathing exercise,specially before going to any public place. Start daily yoga/ meditation. Psychotherapy - (exposure and response prevention) close your eyes, imagine yourself in a public place, when anxiety reaches 100 or maximum level, try to relax yourself and control your anxiety. Do it daily . After a few days, expose yourself in real situation (public place) and try to control your anxiety in the same way as you had done in your imagination.

Regarding follow up

Revert back to a psychiatrist online after 15 days, to adjust the dosage of medication according to the effect.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist

Answered byDr. Nidhi Jain

Medically reviewed byiCliniq medical review team

Published At May 23, 2018
Reviewed AtJune 20, 2024

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Nidhi Jain
Dr. Nidhi Jain

Psychiatry

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