Hello,

Thanks for your consult at DoctorSpring.com.

I have gone through your question in detail and I can understand what you are going through.

I understand from your information that you have panic attacks and generalized anxiety disorder. The fact that everything appears like a fake thing or like a dream is infact de-realization and that this symptom is cause of generalized anxiety disorder.

I understand your apprehension for the treatment but try to understand the fact that anxiety disorder if present for a long time will lead to continuous brain damage and hence it needs to be treated. The medications used for anxiety disorder have become very safe and there is almost negligible side-effects if any. Some safe drugs which can help you are escitalopram, sertraline, venlafaxine etc.

Even then if you have apprehension towards the side-effects of the medications, then you should try cognitive behavioural therapy. They are supposed to be as efficacious and medicines. They involve 20 min weekly sessions for 5-6 weeks and they try to bring about a change in the way one thinks about any event.

Hope I am able to answer your concerns. If you have any further query, I would be glad to help you.

Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.

Hello,

Celexa is a good drug and the speciality is that it is free of significant adverse effects.
It generally shows significant effects on 2-3 weeks time. It will help in reducing the panics as well.
You will be fine.

Just have patience.

Regards
Dr. Srikanth Reddy

Hello,

Celexa is a good drug and the speciality is that it is free of significant adverse effects.
It generally shows significant effects on 2-3 weeks time. It will help in reducing the panics as well.
You will be fine.

Just have patience.

Regards
Dr. Srikanth Reddy