Talk to Psychiatry on Anxiety Overthinking Hypertension
Asking for Self, Male, 24 years old, Mamunkanjan
Assalamualaikum Dr Doctor, I have been dealing with high blood pressure for five years, and I suffer from severe overthinking and anxiety. Every doctor I have consulted prescribed me 'Relaxen' for the night and 'citanew' for the morning, along with blood pressure medication; however, I haven't noticed any improvement in my anxiety. I am hesitant to take citanew and Relaxen because they cause a strange physical sensation, and I worry about becoming dependent on them.
Homeopathic Dr. Psychologist Basit Chawla - Homeopath
DHMS, Clinical psychologist | Karachi
Aap ka masla both jald homeopathic medicine se bilkul theek ho skta ha, fikr na krain, kindly online appointment ya call krain
042-34500888,
Wa Alaikum Assalam. Thank you for sharing your concerns. Anxiety and persistent overthinking can contribute to temporary increases in blood pressure and make hypertension more difficult to control. If you have not experienced improvement despite treatment, it is important to have a detailed reassessment by a psychiatrist rather than stopping or changing medications on your own. Escitalopram (Citanew) usually takes 4–6 weeks at an adequate dose to show its full benefit, while medications such as Relaxen are generally intended for short term use and should only be taken for longer periods. Feeling unusual sensations when starting these medications can occur in some people and should be discussed with your doctor, as adjusting the dose or changing the medication may help. Effective management often combines medication with cognitive behavioural therapy (CBT), stress management techniques, regular physical activity, good sleep hygiene, and limiting caffeine and nicotine. Since you have had hypertension from a young age, you should also continue regular follow-up with your physician to ensure there is no underlying medical cause for your high blood pressure. With a proper evaluation and an individualized treatment plan, anxiety is highly treatable, and most patients experience significant improvement in both their symptoms and quality of life.
Dr. Shafiq Thahim - Psychiatrist
MBBS, diploma in mental health , Diploma in Public Mental Health | Karachi
71 Positive Reviews
Anxiety disorders often require adjustment of medication, and if you haven’t improved, I would suggest you review your treatment with a psychiatrist. Citanew (escitalopram) is not habit-forming, although it can cause mild side effects during the first few weeks that usually settle with time. Relaxen may cause dependence if used regularly for a long period, so it should only be taken as advised by your doctor. Please don’t stop or change your medications on your own, as a detailed review/assessment is needed to determine the most appropriate treatment.
Anxiety and overthinking can definitely improve with the right treatment plan. The unusual sensations you're experiencing may be medication side effects, but please don't stop or change your medicines without consulting your psychiatrist. Along with medication, therapy is very effective in managing anxiety and overthinking. If you'd like professional guidance, you can book a session through Marham, or WhatsApp me at 042-34500888, for booking assistance
Asst. Prof. Dr. Muhammad Ayub Baloch Gold Medalist - Psychiatrist
MBBS, FCPS Psychiatry ( Gold-Medalist ), Fellow, College of Physicians & Surgeons, Pakistan, Certificated Child & Adolescent Psychiatry. Consultant Psychiatrist & Expert in the treatment of Psychiatric, Neuropsychiatric, Drug addiction & Sexual disorders | Karachi
545 Positive Reviews
وعلیکم السلام، آپ کی پریشانی سمجھ آتی ہے، خاص طور پر جب anxiety کے ساتھ blood pressure بھی ہو اور دوا سے عجیب احساسات آئیں۔ Citanew عام طور پر anxiety کے لیے وقت لے کر اثر کرتی ہے، جبکہ Relaxen اگر benzodiazepine نوعیت کی دوا ہے تو لمبے عرصے میں dependence کا خطرہ ہو سکتا ہے؛ اس لیے اسے خود سے شروع یا بند نہ کریں۔ بہتر ہے psychiatrist سے detailed review کرائیں تاکہ diagnosis، dose، side effects اور BP medicines سب کو ساتھ دیکھ کر treatment adjust ہو۔ ساتھ sleep، caffeine، smoking، exercise اور breathing techniques پر بھی کام کریں۔ صحیح plan سے anxiety اور BP دونوں بہتر control ہو سکتے ہیں۔
ڈسکلیمر: یہ آن لائن معلومات عمومی رہنمائی کے لیے ہیں، مکمل تشخیص یا ذاتی علاج کا متبادل نہیں۔ شدید یا مسلسل علامات میں مستند ماہر سے براہِ راست رابطہ کریں۔
I will help u through homeo medicine..u feel batter after used medicines...for details history plzz book appointment
Farhana Shams - Clinical Psychologist
BS.Hons (Psychology), Post Graduate Diploma (Clinical Psychologist), M.Phil (Applied Psychology) | Mansehra
130 Positive Reviews
Consult a clinical psychologist for proper assessment and therapy sessions. Meed detailed information to assess and diagnose. You can also book an appointment with me. Thank you
Dr. A Z Barkat Ullah - Psychiatrist
MCPS Psych (Pakistan), MRC Psych (UK), MBBS | Lahore
69 Positive Reviews
Let us see u online marham appointt and if Overthinking n anxiety is severe i can guide u better meds but u need lot of relaxation excercises n i can help u in learning that to stay calm without meds in sha Allah
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