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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Mental Health
Satisfied Customers: 31329
Experience:  Specialist is sports medicine psychology. Certified in yoga, relaxation techniques and meditation.
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I have been taking Clonazapan 1mg. Twice a day, and Lexapro

Customer Question

I have been taking Clonazapan 1mg. Twice a day, and Lexapro 20 mg. at night for several years now. I am now going through menapause and the anxiety/panic attacks are back. I hate them. Just wondering about adding something to help. I really don't want to give up the other meds because they really have helped me for years.
JA: OK. The Psychologist will need to help you with this. Is there anything else important you think the Psychologist should know?
Customer: I don't think so.
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Submitted: 6 months ago.
Category: Mental Health
Expert:  Dr. Arun Phophalia replied 6 months ago.
Hello,I am Dr. Arun and will be helping you today.I am sorry that your question was unanswered for long.The best way to deal with panic / anxiety is a comprehensive approach. It can be treated by the following measures by yourself, apart from the medications;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) Hypnosis4) Acupuncture and acupressure5) Yoga6) Meditation7) Group sporting activities8) St. John's wort9) Melatonin10) Valerian root11) 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 panic symptoms and prevent recurrences.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.
Expert:  Dr. Arun Phophalia replied 6 months 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. Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future. This additional service offer can be used for- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you. Thank you.
Expert:  Dr. Arun Phophalia replied 6 months ago.
Best wishes,It was my pleasure to help you.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for fast, reliable authentic answers!This is the link to my profile:
Expert:  Dr. Arun Phophalia replied 5 months ago.
Hope you are doing good. Let me know, if I can help you further.

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