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Dr. Rossi
Dr. Rossi, Psychotherapist
Category: Mental Health
Satisfied Customers: 4627
Experience:  PsyD, LPC, CHt
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My daughter is having anxiety she is away at college and says

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My daughter is having anxiety she is away at college and says she always feels keyed up feels like she has to go to the bathroom all the time when she comes home on the weekend she feels alot better but not normal I am looking for someone for her to go to talk to don't really no where to start
Submitted: 5 years ago.
Category: Mental Health
Expert:  Dr. Rossi replied 5 years ago.

Hi,

 

The college most likely has a counseling center that she can go to for free treatment. If she is attending college out of state, you may phone your insurance company to find out if she would need a "guest membership" while away or not. The ins can also give you in network referrals.

 

As long as she is willing to get help, she can work with any clinician such as: counselor/therapist, social worker or a psychologist. A psychiatrist will be someone who would generally prescribe medication such as antianxiety medication. Her frequent urination may be related to high anxiety levels as well as other causes i.e over active bladder, Interstitial cystitis, kidney stones, diabetes, etc.

If the urination is connected to her anxiety, she can work with a cognitive behavioral therapist. Usually this involves goal oriented short term treatment that would address what is behind her anxiety and how to manage her symptoms.

If she's noticed that the frequent urination occurs even when she is not anxious/stressed out, she can have her GP check for medical causes for it. Her GP is another person who can prescribe anti anxiety medication if your daughter wants to try that option. There are also medications that for the time being can help control her frequent need to urinate such as Vesicare, Oxybutin, Gellnique patch, Toviaz, etc.

 

Dr. Rossi and other Mental Health Specialists are ready to help you
Customer: replied 5 years ago.
she is not urinating she is having bowel movements thru the day does not wake her up at night or anything like that but if she has to go somewhere her stomach acts up and she feels like she has to go she doesn't always go but is afraid she will have to go in public
Expert:  Dr. Rossi replied 5 years ago.

Thank you for clarifying. That is then connected to her anxiety level. The fact that she feels like she has to go also can increase her already pre-existent anxiety.

She can respond well to both medication and counseling. Of course, she can decide to try either one. A counselor would be someone who can help her learn how to manage her anxiety level, while the medication would address her physiological reaction to it.

There are also natural supplements used for anxiety such as: L-trytophan, Lady's Slipper, Lemon balm, kava-kava to name a few.

 

Individuals struggling with anxiety also practice abdominal breathing and monitor their internal dialog (what she is thinking, how much she spends on anxiety provoking thoughts and the ability to redirect her thinking) The next step would be for her to see a counselor and then if she can decide whether or not she wants to take medication as well.

 

Customer: replied 5 years ago.
what is your advice as far as a 20 year old taking menication everyday
Expert:  Dr. Rossi replied 5 years ago.
The medication is really a personal issue. Personally, if medication is improving the quality of her life, she can consider it as an option. That is why I suggested she tries the counseling first and see how effective it is before she looks into the medication. There are different medications that are not habit forming that she can discuss with her physician. Some individuals do not take the anti anxiety medication daily but on as needed basis.

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