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Based in your clinical history, your doctor plans the type of medicine and it's dose and duration. For first episode of anxiety/ depression/ panic, the usual maintenance phase is 6 months of asymptomatic period, after which medicines can be gradually tapered. But treatment may need to continue longer depending on severity and frequency of episodes. To take any decision to change medication or stop them, several factors have to be taken in account for which regular follow up with your psychiatrist is important. For second opinion, seek a proper consultation with another psychiatrist and take along your previous prescriptions.

Gastric symptoms are often cause by stress and anxiety. Stress cause chemical response in brain with number of physical and psychological effects. Acute stress can trigger of anxiety and long term stress, even if it is low intensity can cause permanent changes. Your heart, muscles, nervous system, immunity, all get affected. Fatigue, lethargy, muscle aches and pains, lack of enthusiasm, irritability and sleep disturbance may occur. Lifestyle malfunction result and social and interpersonal health suffer. Psychotropic medicines correct those chemical responses so that impact of stress is lower. Additional psychotherapy helps develop better coping. For further information, you may go through the following link- http://drjyotikapoor.com/2015/01/26/stress-its-effects-on-our-body-and-mind/

Anxiety is the result of a hyperarousal state of nervous system due to a low threshold for threat perception. In simpler words, it's an ongoing flight or fight response. It can elicit a neuro-hormonal response understood as Flight or Fright reaction kicking in physiological cascade of symptoms ranging from palpitations, tachycardia, breathlessness, increased bowel movement, increase frequency of urination, dizziness, muscle tension or pain, trembling, dizziness, blurring of vision to restlessness, confusion and fainting spells. Chronic stress causes prolonged anxiety response with the consequences of slowed cognition , lack of concentration, headaches, fluctuations in blood pressure, irritable bowel syndrome with persistent Bowel movement issues and increased wear and tear of body tissues. Identifying your stressors, learning to deal with them, de stressing regularly by doing something that makes one feel good, yoga and meditation are some non pharmacological strategies to deal with it. If the condition is persisting for a long time, it's better to see a psychiatrist.

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Hello Mr PATIENT symptom can be a part of many disorders, mostly of the anxiety or depression spectrum. The medicines you are mentioning are helpful in elevating your depressed or anxious mood and for relaxation. It is essential to visit a psychiatrist and have a good follow up with regular medicines. If you were better on these medicines then the psychiatrist will prescribe you the same. Also practice Jacobsons Relaxation exercises to decrease the social anxiety that you are facing. Take care.

No problem in planning for a baby dear with these.