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Elliott, LPCC, NCC
Elliott, LPCC, NCC, Psychotherapist
Category: Mental Health
Satisfied Customers: 7662
Experience:  35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
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If you have responded to me in the past please open up the

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If you have responded to me in the past please open up the question to others.

Hello, I have anxiety issues and usually suffer from a lot of physical symptoms which I don't seem to be having but the recurrent thought/obsession is very prevalent when I am not fully distracted. I am very nervous over having a heart attack or that my recurrent thoughts will make this true. I am very in tune as to what is happening inside my body and can't take my mind off of it.
Submitted: 9 months ago.
Category: Mental Health
Expert:  Elliott, LPCC, NCC replied 9 months ago.

Elliott, LPCC, NCC :

Seeking expert counseling is a sign of strength. A personal relationship with a caring professional is proven clinically effective.

Elliott, LPCC, NCC :

Dear friend,

Elliott, LPCC, NCC :

I do not believe I have responded before. The JustAnswer archive is not working for the past few days so I cannot check. I have had over 5000 clients so I am not certain. However, I have received you question and believe that I can help you.

Elliott, LPCC, NCC :

It seems that you are suffering from OCD with Panic Disorder.


Obsessive Compulsive Disorder (OCD) is an anxiety disorder where a person has recurrent and unwanted ideas and impulses that make them anxious (obsessive). To get relief they have to take some action to ease their mind. The common example is the person worrying about security in their home and keeps checking to see if the doors and windows are locked.


In your case, when the level of anxiety about your health (or perhaps other worries) reaches a certain level you react with a variety of symptoms which may include: great fear, chest tightening, racing heart, lack of breath, sweating, feeling you are going to have a heart attack, feeling disconnected to your environment, unwanted thoughts, and/or going crazy.


This can be caused by family history, increased stress, bad coping mechanisms, traumatic experiences in the past, fearful situations, major changes in your life, and other stressful situations.


Hopefully your CBT therapy is helping. Some therapists are more effective with some clients than others. It must be a good match. Hopefully you are making progress.


Sometimes short term medication will stop the panic attacks when you take them AS NEEDED when you feel an attack coming on.


The most effective medication for immediate relief is alprazolam (Xanax).

Elliott, LPCC, NCC :

Some long term antidepressants can also be effective and they would include:

Elliott, LPCC, NCC :

The SSRIs fluoxetine (Prozac), fluvoxamine (Luvox), sertraline (Zoloft), paroxetine (Paxil), citalopram (Celexa), and escitalopram; the tricyclics (lexaprophenelzine (Nardil) and tranylcypromine (Parnate), or bupropion (Wellbutrin) which does not promote weight gain or sexual side effects.

Elliott, LPCC, NCC :


I wish you great success.

Elliott, LPCC, NCC :

You can overcome this and to that end I shall keep you in my prayers.

Elliott, LPCC, NCC :

Warm regards,

Elliott, LPCC, NCC :

Elliott, MAE, LPCC, NCC, CCMHC

Customer: Hello, thank you the recurrent thoughts are heart based which actually causes the panic. It doesn't necessarily come with the panic. I am extremely mindful of my body and its goings on which makes it worse. I am afraid thoughts will actually make something happen when they are that strong.
Elliott, LPCC, NCC :

That is the nature of OCD. You THINK that the thoughts will make things happen, and in a sense they do. You are overly responsive and attentive to your body, and this is obsession.

Elliott, LPCC, NCC :

You respond with these anxiety symptoms which SEEM as if they are coming from your heart, but your physical exam shows no physical problems. This is entirely based on a physiological response to extreme worry or anxiety.

Elliott, LPCC, NCC :

It is a horrible feeling and is overwhelming.

Elliott, LPCC, NCC :

You will NOT get a heart attack or other physical breakdown from these thoughts.

Elliott, LPCC, NCC :

Many people who get panic attacks are rushed to the hospital, go through a myriad of tests, and are finally told that nothing is wrong.

Elliott, LPCC, NCC :

These are NOT heart based, but they feel like it because you get racing heartbeats or chest pains.

Elliott, LPCC, NCC :

Continue with your treatment and you will overcome it.

Elliott, LPCC, NCC :

Let me recommend two books for you:

Elliott, LPCC, NCC :

and

Elliott, LPCC, NCC :

I wish you great success.

Elliott, LPCC, NCC :

Warm regads,

Elliott, LPCC, NCC :

Warm regards,

Elliott, LPCC, NCC :

Elliott

Customer:

Thank you Elliott

Elliott, LPCC, NCC, Psychotherapist
Category: Mental Health
Satisfied Customers: 7662
Experience: 35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
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