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Dr. K
Dr. K, Psychiatrist
Category: Mental Health
Satisfied Customers: 358
Experience:  15 years clinical experience in all areas of psychiatry. Holistic and practical approach.
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Hi, I have having chest pains and Ive also been extremely

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Hi, I have having chest pains and I've also been extremely anxious. Went to see my internal medicine Doctor who performed an EKG that didn't come back ok. She said that I'm experiencing anxiety so she prescribed clonazepam (0.50) and it didn't do anything for me, she then switched it to alprazalom which works, but it burns my stomach in spite of taking prevacid. What can I do?
Submitted: 6 years ago.
Category: Mental Health
Expert:  Dr. K replied 6 years ago.

I recommend taking a holistic approach to treating your anxiety.


As far as medications, keep in mind benzos (e.g. clonazepam & alprazolam) can be quite addictive. Use them with extreme caution...or consider not taking them if there is any history of alcohol or drug abuse in your family or yourself. If you & your doc feel you can take them safely, consider lorazepam. It's very similar to alprazolam (which is the most addictive of this family of meds) but not as addictive. Also, there is a dissolvable version of alprazolam (called Nirvam) that you observe through your tongue & cheeks so that might cause less or no stomach pain.


Antidepressants like zoloft & lexapro can also treat anxiety. Buspar is a unique medication that is inbetween antidepressants & benzos.


Most studies on moderate to severe anxiety show a combined approach with medications and psychotherapy is the most effective treatment. Many studies actually show that psychotherapy (a specific form called cognitive behavioral therapy, or CBT) has better long term results than medications. There are also more studies on MCBT, which combines CBT with mindfulness.


Mindfulness is related to formal relaxation therapy; by formal relaxation therapy I mean yoga, meditation, or similar methods. Having relaxing hobbies is also important, but not quite the same as formal relaxation therapy.


Psychotherapy & relaxation therapy are proven by sophisticated studies using brain scans (CT, MRI, EEG, pet scans) to improve brain function.


Nutrition & exercise are vital as well. There are also many good self-help books worth considering: 1) The Feeling Good Handbook by David D. Burns, 2) The Relaxation & Stress Reduction Workbook (New Harbinger Self-Help Workbook) by XXXXX XXXXX; 3)Panic Attacks Workbook: A Guided Program for Beating the Panic Trick by David Carbonell; 4) The Anxiety & Phobia Workbook (New Harbinger Self-Help Workbook) by Edmund J. Bourne, & 5) The Mindfulness and Acceptance Workbook for Anxiety: A Guide to Breaking Free from Anxiety, Phobias, and Worry Using Acceptance and Commitment Therapy by John P. Forsyth. Here's an example of a simple exercise to start with:


I hope this helps. Let me know if you need more feedback. Good luck & take care.

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