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Therapist Leslie
Therapist Leslie, Mental Health Professional
Category: Mental Health
Satisfied Customers: 251
Experience:  Owner and Psychotherapist at Self-Employed, Private Practice
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I haveneed had the time but I'll keep this short and simple

Customer Question

I haveneed had the time but I'll keep this short and simple I've had several anxiety my whole life and at first the non medical reduced my anxiety but now it's I teetering with everything I do, sleeping, working friend ships
JA: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse?
Customer: Since I could remember going to bed and I feel overwhelmed at things I don't think I should be at work and I stay to panic my boss said if I can't get it together she might have to let me go and my friend a always want me to go out withere them ND when it starts I go to the bathroom take a couple deep breaths and then a few min later I have to call a cab Cuzco my h a art and mind are going crazy is just gotonight worse
JA: Anything else in your medical history you think the psychologist should know?
Customer: I was diagnosed with bipolar and depression when I was 14
Submitted: 1 month ago.
Category: Mental Health
Expert:  Therapist Leslie replied 1 month ago.

Good morning and thank you so much for your message. I realize it's difficult to reach out. Please know I honor your courage.

My name is ***** ***** I am a psychotherapist in the Metro Boston area.

I am so sorry to hear you are struggling, sweet soul. Anxiety can be incredibly challenging and I understand you have tried just about everything non-medical without relief at the current time and fear it might be time to work with a psychiatrist to determine what medicine may be most effective. You have clearly put this off but sadly it is now interfering with every aspect of your life.

Are you currently working with a therapist? This will be incredibly helpful in understanding your anxiety further, developing strong coping skills and understanding any patterns to it. A therapist can also work closely with your psychiatrist ensuring your care is coordinated.

I know you have many of your own coping techniques but I wanted to suggest a few I tell my clients......

1. psychotherapy to learn some coping skills

2. psychiatry (medication for anxiety)3. exercise (to raise serotonin levels in the brain)4. yoga/meditation (to overall ease anxiety) I would also recommend the following coping techniques:<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Take a time-out. Practice yoga, listen to music, meditate, get a massage, or learn relaxation techniques. Stepping back from the problem helps clear your head.<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Eat well-balanced meals. Do not skip any meals. Do keep healthful, energy-boosting snacks on hand.<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Limit alcohol and caffeine, which can aggravate anxiety and trigger panic attacks.<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Get enough sleep. When stressed, your body needs additional sleep and rest.<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Exercise daily to help you feel good and maintain your health. Check out the fitness tips below.<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Take deep breaths. Inhale and exhale slowly.<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Count to 10 slowly. Repeat, and count to 20 if necessary.<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Do your best. Instead of aiming for perfection, which isn't possible, be proud of however close you get.<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Accept that you cannot control everything. Put your stress in perspective: Is it really as bad as you think?<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Welcome humor. A good laugh goes a long way.<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Maintain a positive attitude. Make an effort to replace negative thoughts with positive ones.<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Get involved. Volunteer or find another way to be active in your community, which creates a support network and gives you a break from everyday stress.<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1;tab-stops:list .5in">Learn what triggers your anxiety. Is it work, family, school, or something else you can identify? Write in a journal when you’re feeling stressed or anxious, Have I answered your question? Is there anything else I can do to assist you further? I want to ensure you are pleased with my service. I also gently request you provide a star rating for me. Of course, we can continue to talk after the rating is provided. Please take good care of yourself and feel free to contact me with any questions you may have. Warm regards,Therapist Leslie
Expert:  Therapist Leslie replied 1 month ago.

Good Afternoon,

I just wanted to check in as I haven't heard from you. Have I answered your question? Is there anything else I can assist you with? I gently request you provide a star rating for me so I may be compensated. Of course, we can continue to talk after a rating is provided.

Please take good care of yourself and feel free to contact me with any questions you may have.

Warm regards,

Leslie