Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health
This answer was rated:

OKMH813100 I have been having some anxiety issues which have

OKMH813100 I have been having some...

OKMH813100 I have been having some anxiety issues which have manifested themselves in weird physical symptoms (Which are from the anxiety). I am 52 and have an appt. to see my gyn for my yealy later this month. This is a new Dr. and she has not ordered blood work yet to see if I am in perimenopause. My MD has me on Paxil 10 mg. Today is day 9. I am feeling a bit better. The physical symptoms see, to be going away very slowly as I work through my anxiey. I was originally on Zoloft 25 mg but couldn't take it because I thought it was giving me side effects with my stomach and nervoueness, but I think it was just my anxiety knowing that there are possible side effects so I created them. I am currently seeing a counselor and we are working on some CBT techniques. I have taken a lot of Ambien over the past year and OTC sleep aids (not together) and also had an RX for Lorazepam. Could all of the meds I have been taking possibly be reating my physical symptoms or do you think it is the anxiety? Thanks!!!

Show More
Show Less
Ask Your Own Mental Health Question
Customer reply replied 4 months ago
Causing my physical symptoms.......sorry
Answered in 55 minutes by:
8/13/2017
LeahMSWuofm
LeahMSWuofm, Clinical Social Worker
Category: Mental Health
Satisfied Customers: 742
Experience: 10 years post-MSW experience
Verified

Hi, thanks for writing. My name is***** am glad to hear you are feeling some relief from the Paxil. These meds do typically start to take the edge off anxiety pretty quickly so you may be benefiting from the med a little already. That should hopefully expand over the next few weeks.

As far as the physical symptoms - my guess is these have been a combo of effects from both the meds and also the anxiety. As far as the meds, this class of meds (the SSRIs including Paxil and Zoloft) has a pretty common set of "activation" side effects like headache, nausea, spike in anxiety, spike in depression, impacted sleep, and general feeling kind of crummy. These effects tend to start pretty soon after you begin taking the med as your body gets used to it but very rarely last more than 30 days. These are quite common and as long as they are considered to be just uncomfortable but not intolerable it would be recommended that you keep taking the med as the side effects should dissipate just about the time the med starts really working.

As far as the physical symptoms being correlated to your anxiety, this also commonly happens. Anxiety manifests itself in alot of physical ways - stomach discomfort. chest pain, lightheartedness, GI issues, etc. So it could well be these are part of your anxiety as your symptoms are all typical experiences when anxiety is present.

In summary, your anxiety is probably causing some discomfort and the meds probably added to that due to their early side effects. I think it is ideal that you keep on taking the Paxil and power through the first few weeks which will allow your body to adjust to the side effects and subsequently continue to feel relief from the anti-anxiety components of the medicine. If you do start to feel things getting worse or side effects are not gone in another few weeks, then you should talk to your doctor about considering an alternative med to the Paxil. You also could consider reducing the dose of the Paxil by half and working your way up more slowly but you are already days in so this may not be ideal as it may delay the help from the med even if it reduces your potential side effects.

I hope this helps and I hope you continue to feel better!! Last thing I;ll add is that the ideal treatment for anxiety is a combination of medication and counseling so if you haven;t considered working with someone trained in the behavioral aspects of anxiety, this can be REALLY helpful! http://therapists.psychologytoday.com

-I am here to hat more if you'd like,

Leah

LeahMSWuofm
LeahMSWuofm, Clinical Social Worker
Category: Mental Health
Satisfied Customers: 742
Experience: 10 years post-MSW experience
Verified
LeahMSWuofm and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Customer reply replied 4 months ago
Hi Leah,
Thank you so much for your reply. I am actually doing counseling and CBT at the moment. I am not sure if you caught that above. :) I am not having any side effects from the Paxil (or at least I don't think so). I asked my MD to switch me from Zoloft because I thought that was giving me side effects, but I think I just thought about the side effects so much, that in my mind, I actually developed them. My physical symptoms are actually not indicative of any illness. In other words, they are very weird and I have discussed this with my Dr. and Therapist and both told me they are probably anxiety induced. I am feeling a bit better today. I checked my calendar and I am actually on day 10 of the Paxil (Proxetine). Do you think 10 mg is therapeutic for me? I go back for a med check in September and he hasn't indicated to increase the dosage. I worry lot about sleep and if I will be able to sleep without some type of an aid whether it be RX or OTC. I am hoping the sleep will get better with the continuation of the Paxil. I also have this inner conflict going as to whether or not I should continue with antidepressant or just take B-stress complex vitamins. I did this for the 10 days I was on the Zoloft at first. I would take it for 5 days then tell myself, I don't need this, then my husband strongly suggested I take it and so did quite a few others. Maybe I should just stick with it, like you said. I feel like the weird physical symptoms are slowly lessening.
Customer reply replied 4 months ago
Also, if I am having anxiety due to perimenopause, will the Paxill help with that too?
Therapist Leslie
Category: Mental Health
Satisfied Customers: 5
Verified
Phone call session started

Hi, thank you for the rating and the reply. I am sorry I can't talk on the phone today - have a lot of family engagements and am sneaking away to answer this.

I am very glad to hear your physical symptoms aren't cause for any sincere alarm. This is telling of it being anxiety - it sure can feel concerning as your brain doesn't do a very good job teasing out why the physical problems are there - it just senses them and it triggers its anxiety alarm that something is off creating a cyclical pattern of symptoms-anxiety-symptoms - anxiety. Good thing is that the anxiety can definitely be a false alarm! I definitely think you should keep on the Paxil and I think you should do your best to try not to think too far ahead about things like sleep problems, etc. 10mg is actually half of the normal starting dose but it makes sense to start you low because of your sensitivity to the Zoloft and other physical symptoms (that match side effects of these meds). In the future, you have a lot of room to go up but you may find that the 10mg works just well enough. Still, most people on a starting dose of Paxil would be at 20mg and usually can tolerate this without huge detriments. As you are saying and I agree, anxiety can make a lot of things manifest' just by nature of the worrying condition. So until you have a certain side effect, there is no good sense in being concerned whether it will happen or not - cross that bridge if/when you come to it.

I apologize too, I did read that you had a counselor then promptly forgot as I wrote my answer to you. i think sticking it out with the therapist and combining this with meds will give you the best shot at feeling your best.

As far as the perimenopausal, I imagine your body has all sorts of hormonal changes it is working through and this alone can promote anxiety and other physical symptoms. While it is not something I am highly familiar with, I do think the Paxil and the CBT should help to control some of the active worry you have going on regardless of why and this should help reduce the physical manifestations. I also know that sometimes SSRIs are prescribed to help mitigate against some of the symptoms that menopause can bring, such as hot flashes and mood swings.

I wish you all the best!

-Leah

Ask Your Own Mental Health Question
Ask LeahMSWuofm Your Own Question
LeahMSWuofm
LeahMSWuofm
LeahMSWuofm, Clinical Social Worker
Category: Mental Health
Satisfied Customers: 742
742 Satisfied Customers
Experience: 10 years post-MSW experience

LeahMSWuofm 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

4,013 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
I have issues with anxiety. I meet with a behavioral
I have issues with anxiety. I meet with a behavioral therapist and have practices to help with my anxiety, but I'm feeling super anxious with some current ongoing stress that may continue for the next… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
742 satisfied customers
Various diagnosis since 2010; generalized anxiety was the
Various diagnosis since 2010; generalized anxiety was the most popular. PTSD diagnosis in 2016 because of a loss of a child in 2009 as well as the end of my 10 year relationship in 2013. Possible re t… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
742 satisfied customers
Is this a paid service? History of depression and anxiety.
Past 8 months. Relationship problems make it worse.… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
OKMH124211 What is the vest way to prevent anxiety, gain
OKMH124211 What is the vest way to prevent anxiety, gain more self confidence and get rid of tmj syndrome-sometimes teeth grinding affects night into daytime as a bad habit?… read more
Linda D.
Linda D.
Master\u0027s Degree
748 satisfied customers
OKMH1130211 Hiw can I handle stress better especially when I
OKMH1130211 Hiw can I handle stress better especially when I have several situations in my life which are overwhelming and seems impossible?… read more
Linda D.
Linda D.
Master\u0027s Degree
748 satisfied customers
I feel stressed, I don't know if my stress levels are normal
Hello , I feel stressed , I don't know if my stress levels are normal or do I need to seek medical help … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
742 satisfied customers
I have generalized anxiety disorder with panic attacks that
I have generalized anxiety disorder with panic attacks that I treat and keep managed with BCT, exercise, eating a well balanced diet, and breathing exercises. For the most part this works well. This p… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,013 satisfied customers
Can stress in the workplace cause indigestion, stomach upset
Can stress in the workplace cause indigestion, stomach upset and bloating? … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
742 satisfied customers
I have a new job. It's highly stressful and I work hours
I have a new job. It's highly stressful and I work long hours sometimes 15 a day. I'm starting to have what I think are panic stacks. What do I do? … read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 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
748 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
1,898 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
4,013 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.)
3,942 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 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
742 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
742 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.)
3,942 satisfied customers
I was dx with add, ocd tendencies and anxiety 10 years ago.
I was dx with add, ocd tendencies and anxiety 10 years ago. I stopped the adderal.meds bc if the crash they caused. I hear there is a time release that works good but in a new state and need doc tnst … read more
llw26
llw26
Private Practice
Doctoral Degree
11 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