Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health
This answer was rated:

Doctor Z- This is sort of question after yesterday and if I

Doctor Z- This is sort...
Doctor Z- This is sort of a follow up question after yesterday and if I wasn't struggling so much this evening I promise I wouldn't be asking you and bugging you yet again...and I am definitely calling tomorrow and getting back in therapy. Anyway I have been have just this extreme amount of anxiety for several hours now. I usually can handle it when this happens but it's so out of control right now it is making me feel physicallly ill. I can't really do the thought record because I'm not really having any negative thoughts. This is just relentless though to the point I'm feeling desperate for relief, I just need to know what I can do..
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 1 minute by:
7/15/2013
Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 10,643
Experience: Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
Verified
DoctorZ :

Hi, and you do not have to worry about asking too many questions, I am here for you, so you are definitely not bugging me at all

DoctorZ :

So the anxiety is really severe for you right now, has it ever been like this before for you?

Customer:

Not usually this bad, and usually it doesn't last this long

DoctorZ :

Well so the thought record I gave you is a part of therapy that I subscribe to called Cognitive Behavioral Therapy which states that the thought comes before the emotion, so with this theory there might be some overwhelming thought causing your emotion

DoctorZ :

But that doesnt help us necessarily because the anxiety may be too severe to "think straight"

DoctorZ :

Have you tried doing activities that are pleasurable and relaxing for you?

Customer:

Well I tried reading but I couldn't sit still to hardly do anything, and that's even with the Adderall which I sometimes forget to take, and I haven't really been able to watch tv either

DoctorZ :

What about a jog or swimming? Something to get your energy going

Customer:

I was feeling like I didn't want to leave the house it was so bad so I haven't been out at all today

DoctorZ :

I understand, anxiety can be very severe. There are breathing exercises can lower your heart rate to help calm the anxiety down. Yoga is also a good technique for relaxation.

DoctorZ :

Or meditation if you are familiar with that

Customer:

I have never done any meditation myself, my breathing is like I keep holding my breath but I'm not trying to

DoctorZ :

Okay I want you to take a deep breath, I mean as deep as you can (you are a swimmer so you must have great lung capacity) and then let it out. Keep repeating until you feel a little more calmer

Customer:

ok

DoctorZ :

Here is a good link for the deep breathing and other relaxation techniques

Customer:

ok I am already feeling a little better, that works quickly

DoctorZ :

Yes it does, it is a simple technique, but it lowers your heart rate so that you are not feeling a lot of the physical effects of anxiety

Customer:

I'm still doing it as I type, it really is relaxing, my stomach doesn't hurt as much either

DoctorZ :

I am glad it is working. These techniques will help you calm your anxiety when you are having these episodes, and therapy will help with the root cause so that these anxiety episodes become less and less severe and less frequent

Customer:

It was just weird because it really didn't start until the middle of this afternoon but I was feeling ok before that, nothing even happened

Customer:

I kept thinking it would go away but it didn't

DoctorZ :

Sometimes anxiety attacks happen spontaneously and they can be severe like you had

Customer:

I forgot to mention I took extra Intuniv and that wasn't even helping, it didn't even make me tired

DoctorZ :

It would have went away eventually, but the relaxation techniques hasten the process by making them go away faster.

DoctorZ :

Intuniv is for ADHD so it would not have helped for anxiety usually

Customer:

I feel like I wasted a day and now it's already going to be Monday

Customer:

oh i thought it did

DoctorZ :

You didnt waste a day, you just learned some good relaxation techniques

Customer:

true I did :)

DoctorZ :

So that is a positive that will help for a long time

Customer:

Thanks for that

DoctorZ :

So I know you mentioned seeing your psychiatrist later in the week, you may want to ask about a benzodiazipene medication for anxiety. These are great for anxiety attacks, but you do get physically dependent on them, which is the downside to them

Customer:

I usually forget to take meds if anything, so I would probably not be as likely to get addicted I would guess

DoctorZ :

That may be true, but medications work more effectively for you if you take them regularly and Im pretty sure you know that. A good way to remember to take your medications is to set an alarm on your watch or phone

Customer:

could the anxiety med be taken just as needed? yeah i keep thinking i need to set alarms on my phone, esp for the adderall because i have to remember that one 3 times a day

DoctorZ :

An alarm will help especially with the adderall. The benzodiazepine medication is usually fast acting, but most psychiatrists want it to be taken regularly. There is also a medication called gabapentin (its a hypnotic) that can be used as needed, and its off label use is for anxiety

DoctorZ :

Also gabapentin is not physically addictive

Customer:

Oh ok that's cool, so maybe i will ask about that one

DoctorZ :

I do not think it would hurt to try it

Customer:

Yeah I don't want this to interfere with having to go to work, because right now I still feel like hiding

DoctorZ :

I understand your feelings. The combination of the relaxation techniques, therapy, and the medication will help you a lot so that the anxiety is no longer as severe

Customer:

That would be great because today really was bad and I don't want to have to go through this again

DoctorZ :

I know you dont and no one wants to, it will get better. You are starting to feel better from doing the relaxation techniques, so you know now the anxiety is not permanent

Customer:

yeah thats true, its not half as bad now with the breathing that I'm still trying to be aware of and I think just talking about it has helped

DoctorZ :

That is good, I am always happy to help make you feel better

Customer:

I didn't tell anyone earlier because people who don't have it don't understand, at least the people i know don't

DoctorZ :

It is a tough situation because you are right, those who do not have severe anxiety do understand its effects on people. Mental health is still a mystery to most people

Customer:

yeah which is why I tell no one about the adhd or anything unless i have to, like i did have to tell work

DoctorZ :

I understand, but sometimes opening up to people and letting them in to help you can increase your support system so you do not have to feel alone. But only with people you trust

Customer:

That makes sense, I usually try to do things alone, I always have

DoctorZ :

We cannot do everything alone, sometimes it takes greater strength to ask for help then to do it alone.

Customer:

That I believe, asking is hard, it was hard enough to ask you even

DoctorZ :

I know, but I am here for you to help you. And your friends care for you and would be there for you too

Customer:

Yes they would, you're right, it's just embarassing...but like you said it takes greater strength to ask

DoctorZ :

So far you have taken the right first steps, you asked me for help, you are going to see a therapist. These are good first steps, so you are on the right track

Customer:

Yes, it feels like I am :)...thank you so much for everything again

DoctorZ :

Anytime, I am always here to help. You never have to think that you are "bugging me" because you never will. I am just happy helping you

DoctorZ :

And you know you can ask me anything or if you just want to voice your concerns with me at anytime and I will get back to you as promptly as I can.

Customer:

That is really good to know, just knowing that makes me feel better

DoctorZ :

No problem. Good luck with your therapy appointment tomorrow :)

Customer:

thank you I am looking forward to it :) have a good night

DoctorZ :

Good night

Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 10,643
Experience: Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
Verified
Dr. Z and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Ask Dr. Z Your Own Question
Dr. Z
Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 10,643
10,643 Satisfied Customers
Experience: Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.

Dr. Z is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

3,984 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

More than twenty years of expertise in counseling, psychological diagnosis and education

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
What would you recommend to someone with a bad anxiety
Hi, what would you recommend to someone with a bad anxiety disorder, 25 years old, 134 lbs, who keeps worrying about fainting if he doens't... eat yet another meal? Driving and walking has become hard… read more
Nancy
Nancy
Psychotherapist
MS, PhD can.
492 satisfied customers
I have generalized anxiety disorder with panic attacks at
I have generalized anxiety disorder with panic attacks at times. For the most part I have improved a great deal through BCT and other lifestyle changes. I had it terrible after I quit smoking for abou… read more
Linda D.
Linda D.
Master\u0027s Degree
721 satisfied customers
OKMH1212211 I have an extreme medically diagnosed anxiety
OKMH1212211 Hello. I have an extreme medically diagnosed anxiety disorder. Recently, it's been getting worse. Everything makes me anxious and I have panic attacks regularly. I am allergic to all SSRIs… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
I would like to know if it is possible for anxiety to cause
Hello,I would like to know if it is possible for anxiety to cause bladderproblems like urinary retention and bladder overactivity. Like if you fear it and you are constantly conscious regarding it, it… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
3,984 satisfied customers
I have a history of health anxiety and panic. I went to hear
Hi. I have a history of health anxiety and panic. I went to hear a band Saturday and smoked about 5 cigarettes. I never smoke! I am very health conscious with diet, running, etc. I did smoke a few in … read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
3,984 satisfied customers
OKMH115211 My daughter struggles with anxiety depression
OKMH115211 My daughter struggles with anxiety depression OCD. She has tried numerous medications without any luck. She is at a new inpatient facility and her psychiatrist put her on zyprexa and Prozac… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
Bipolar2,anxiety, avoidant pd.having swirling pinballing
bipolar2,anxiety, avoidant pd.having swirling pinballing dark thoughts. depressed, frustrated, feeling hopeless. I have taken many different meds in the past but what i am taking now doesn't work that… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I struggle with severe anxiety and depression and self love
i struggle with severe anxiety and depression and self love and self esteem and self confidene issues. i need help … read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
I've had anxiety due to trauma... I've had anxiety due to
Hello, I've had anxiety due to trauma... Hello, I've had anxiety due to trauma in the city I lived in, I moved out to a different city, I accidentally spoke to somebody associated with the trauma , in… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,906 satisfied customers
I am desperate for something to help with my anxiety. For
I am desperate for something to help with my anxiety. For instance, I'm sitting here inn a Dr's office ave a lady behind me id's chewing gum and I am so course to turning around and saying something b… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
719 satisfied customers
I've been experiencing a lot of depression and anxiety after
second opinion] Hello!I've been experiencing a lot of depression and anxiety after a health diagnosis. I am constantly paranoid that something else more serious may be wrong with me. Constantly readin… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
I've been experiencing a lot of depression and anxiety after
Hello!I've been experiencing a lot of depression and anxiety after a health diagnosis. I am constantly paranoid that something else more serious may be wrong with me. Constantly reading forums and med… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,620 satisfied customers
I experience a lot of Generalized chronic term anxiety and
I experience a lot of Generalized chronic long term anxiety and it pains my heart and chest and surrounding areas a lot and legs and arms numbness and tingling which drains me out daytime drowzyness all day and coffee and teas don't help anymore … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
719 satisfied customers
OKMH925100 Is it possible to treat panic disorder/anxiety
OKMH925100 Hi! Is it possible to treat panic disorder/anxiety disorder without medication?? I'm in my mid-thirties and just started having panic attacks after a very stressful past 4 years (I thought … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
719 satisfied customers
I I have extreme anxiety especially social anxiety I over
I I have extreme anxiety especially social anxiety I over worry about everything and I have PTSD from being stabbed and assaulted I've been prescribed Xanax for years and I got up to 2 mg which was wo… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,906 satisfied customers
I have a question regarding anti-anxiety and sleeping
I have a question regarding anti-anxiety and sleeping tablets. Can you help me with this? … read more
Linda D.
Linda D.
Master\u0027s Degree
721 satisfied customers
I HAVE ANXIETY DRIVING MY TRACTOR TRAILER.HAVE TRIED ANXIETY
I HAVE ANXIETY DRIVING MY TRACTOR TRAILER.HAVE TRIED ANXIETY BUSPAR,LEXAPRO,CYMBALTAL.NONE HELP.BUT MADE SITUATION WORSE.BUT XANAX WORKS.NO SIDE EFFECTS AT ALL.HOW CAN I LEGALLY GET PRESCRIPTION FOR X… read more
Dr. Mark
Dr. Mark
Doctoral Degree
129 satisfied customers
Im struggling with anxiety, I started having anxiety about
I started having anxiety about 12 years ago after going through a divorce and then becoming self employed. However the frequency of my anxiety and strong attacks are happening more frequently. … read more
TherapistJen
TherapistJen
Licensed Clinical Social Worker
Master\u0027s Degree
950 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x