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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 48478
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I suffered from anxiety I take venlift 150mg Everyday, And

Customer Question

Hello, Good afternoon I suffered from anxiety I take venlift 150mg Everyday
JA: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse?
Customer: And clonazepan
JA: Anything else in your medical history you think the Doctor should know?
Customer: Im not sleeping
Submitted: 14 days ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 14 days ago.

What is your age?

How may I help you, please?

Customer: replied 14 days ago.
Hello
Customer: replied 14 days ago.
I'm 28
Customer: replied 14 days ago.
I'm having more panick attacks
Customer: replied 14 days ago.
I'm treating from anxiety for 1 year
Customer: replied 14 days ago.
But the last few days I'm not sleeping
Expert:  Dr. Arun Phophalia replied 14 days ago.

Thanks for the additional information.

I am writing the answer for you and will get back to you in 5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

Customer: replied 14 days ago.
I take 0.5mg of clonazepam daily
Customer: replied 14 days ago.
What should I do?
Customer: replied 14 days ago.
Take more?
Customer: replied 14 days ago.
Thank you
Customer: replied 14 days ago.
File attached (PM61M53)
Customer: replied 14 days ago.
I sent to you my Brazilian prescription
Customer: replied 14 days ago.
I'm here since Feb
Customer: replied 14 days ago.
When the covid started
Expert:  Dr. Arun Phophalia replied 14 days ago.

You may increase the Clonazepam dose.

You may instead take Valerian root or Melatonin.

The best way to deal with anxiety and panic is a comprehensive approach. It can be treated by the following measures by yourself;

1) Cognitive-behavioral therapy (CBT) and operant-behavioral therapy (OBT); done by a psychologist but there are internet based approach nowadays too. CBT has higher efficacy and lower relapse rates.

2) Relaxation training and biofeedback.

3) Hypnosis

4) Acupuncture and acupressure

5) Yoga

6) Meditation

7) Group sporting activities

8) St. John's wort

9) Melatonin
10) Valerian root

11) Deep breathing exercises.

A major component of therapy involves understanding and assuring yourself that the symptoms are neither from a serious medical condition nor from a mental deficiency but rather from a chemical imbalance in the fight or flight response.

CBT helps to understand how automatic thoughts and false beliefs/distortions lead to exaggerated emotional responses, such as panic, and how they can lead to secondary behavioral consequences. Cognitive restructuring involves substituting positive thoughts and getting rid of negative thoughts. Some studies have suggested that high importance to religion and religious practices also improve anxiety and panic symptoms and prevent recurrences.

Cognitive-behavioral therapy (CBT) is also considered the most appropriate treatment for patients with insomnia. The components of CBT are;

1) Sleep hygiene education

2) Cognitive therapy

3) Relaxation therapy

4) Stimulus-control therapy

5) Sleep-restriction therapy.

Following measures are helpful;

1) Avoid if you do;

a) caffeine or alcohol use,

b) environmental noise,

c) inappropriate room temperature,

d) watching TV in bed.

e) avoid large meals at dinner.

2) Relaxation techniques

3) Acupressure and acupuncture.

Was this information helpful to you?

Please feel free for your follow up questions.

I would be happy to assist you further if you need any more information.

Thanks for using Just Answer.

Customer: replied 14 days ago.
I dont know what to do
Customer: replied 14 days ago.
I dont have enough pills to stay here if I increase my dose
Customer: replied 14 days ago.
I will have to go to an emergency ?
Customer: replied 14 days ago.
Hello?
Expert:  Dr. Arun Phophalia replied 14 days ago.

Yes, you may have to contact your GP or go to A&E.

Expert:  Dr. Arun Phophalia replied 13 days ago.

Wishing you a speedy resolution and all the very best in life.

" I sincerely hope that I have helped you and that I have earned my 5-star rating today! Please remember to rate my service by selecting the 5 stars at the top of the screen ( rating me now does not close your question). We can continue here until you are satisfied, simply use the reply box and let me know. Thank you!”.

Stay blessed.

Stay safe,

Expert:  Dr. Arun Phophalia replied 12 days ago.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited and paid for my work.