How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Kaushik Your Own Question

Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 3988
Experience:  MD Psychiatry
Type Your Mental Health Question Here...
Dr. Kaushik is online now
A new question is answered every 9 seconds

i have ptsd with phobia behaviors like dizziness in crowds

Resolved Question:

i have ptsd with phobia behaviors like dizziness in crowds driving on highways which i never had a problem with.How do i release these feelings and get back to my own self again
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Kaushik replied 1 year ago.

Hi there,

 

Welcome to Just answer !

 

1) Since when are you experiencing such situational phobia ?

 

2) What sort of remedies have you tried so far to manage this condition ? Any medications ? Therapy ?

 

I will get back to you once you reply to my queries.

 

Regards..

 

 

 

 

 

 

Customer: replied 1 year ago.
I've tried Paxill herds ent specialist Kat scan acupuncture
Expert:  Dr. Kaushik replied 1 year ago.

Hello, thanks for the inputs. kindly please answer the first question as well that is since how long have you been struggling with situational phobia ?

 

Regards..

Customer: replied 1 year ago.
At least 8 years
Expert:  Dr. Kaushik replied 1 year ago.

Thanks for the valuable inputs.

 

Well the phobia that you are talking about is called as Agoraphobia that is defined as phobia of open spaces which are crowded with unknown strange faces and it evokes a sense of dread , dizzy spells, feeling discomfort , anxiety ,etc

 

So you have two co-morbid psychological conditions most likely to be related to each other and these are PTSD and Agoraphobia. Now both of these are clubbed together under the same class of disorders and that is Anxiety disorders , so this helps us in formulating a formidable treatment plan to counter both of these disorders at the same time .

 

So the treatment plan that works best for managing such anxiety disorders is Drug therapy coupled with Psychotherapy ( counseling ).

 

1) Drug therapy is essential to kick start the recovery and to maintain serotonin levels in your body within the normal limits which tend to become abnormal in such anxiety disorders. Plus drug therapy is till date considered as first line of management for managing PTSD and Agoraphobia , so why not to use the best plan of treatment.

 

You have mentioned that you have tried paxil, while paxil is a decent drug but is known to become ineffective after a while because of development of resistance against within the body , plus it comes with it's own set of frequent side effects like nausea. vomiting, constipation / diarrhea , decreased libido , weight gain, etc.

 

So I believe what you need here is a formidable anti depressant which is most suited to your conditions and comes with least side effects and that drug is Lexapro( escitalopram ) at dose of 10-20 mg / day , to be taken as a single morning dose.

 

This drug needs to be coupled with an anti anxiety drug such as Klonopin ( escitalopram ) at dose of 0.5 mg twice a day , to be used only for 2-3 weeks initially and then stopped. This drug will provide instant allaying of anxiety and feeling of dread that accompany you almost always in the situations mentioned above.

However Lexapro alone needs to be continued for at least 4-6 months to recover fully from these conditions.

 

2) Psychotherapy ( counseling ) -- Well psychotherapy , also known as counseling in colloquial language is to be used in your case in order to teach you coping skills and strategies so as to make you emotionally stronger and to overcome your emotional traumatic past and help you to learn how to cope with stress in your life in future.

 

The best counseling technique used for both PTSD and Agoraphobia is called as CBT ( Cognitive Behavioral Therapy ) to be sought from a Clinical psychologist and it may span over 12-16 weeks , with flexible once a week sessions.

 

So the combination of Drug therapy and Counseling shall finally get you past your PTSD AND AGORAPHOBIA , so please discuss this with your doctor and get started on it so as to appreciate the results yourself.

 

I hope this helps.

 

Wish you all the best.

 

Regards..

 

 

 

 

 

Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 3988
Experience: MD Psychiatry
Dr. Kaushik and other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 

Related Mental Health Questions