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Psychiatric Medication Side Effects Respond to Management Strategies

With the world’s seemingly unending stressful events, such as money issues, family problems, random violence in the news, many people can develop a mental health issue. Whether or not the problem is short-lived or becomes chronic, both respond to psychiatric medications that when properly managed lead to the successful treatment of life-disrupting mental illness.

Psychiatric Medications Critical Part of Treatment Plan

Psychiatric medications are often a critical element in the development of a successful mental health treatment plan. The National Institute of Mental Health separates psychiatric medications into six main groups which include medications used to treat ADHD, anxiety disorders, clinical depression, bi-polar disorder, mood disorders, or medications used as a sedative. A qualified psychiatrist carefully diagnoses and prescribes after a thorough evaluation and history taking.

Top Five Psychiatric Medications Prescribed

Psych Central reports that the top ranking medication from 2005 forward to today is Xanax / alprazolam used for anxiety, with almost 48 million U.S. prescriptions written on an annual basis. The other four psychiatric medications range from almost 24 million U.S. prescriptions a year to well over 37 million.

The 2nd ranked medication includes Zoloft/sertraline for anxiety, PTSD, OCD, and depression; 3rd, the drug Ativan for panic disorder and anxiety; 4th, Prozac/fluoxetine for anxiety and depression; and 5th, Celexa/citalopram for anxiety and depression. The variety of psychiatric medications used for ADHD rank all the way from 15th to 25th with yearly U.S. prescriptions totaling up to more than 35 million a year.

Common Psychiatric Medication Side-Effects

Psychiatric medication side effects vary from one person to the next. There are numerous factors that change how your body will react to any one or a combination of medications. The four main psychiatric medication side effects are:

  • Weight gain
  • Sexual issues or dysfunction
  • Restlessness, hyperactivity, irritability or agitation
  • Tiredness, drowsiness, memory deficits or clouded thinking

Other significant side effects which may require more immediate psychiatrist medication adjustment and management include:

  • Diarrhea or GI upset such as nausea and vomiting
  • Impaired coordination and control of body’s extremities
  • Insomnia
  • Blurred vision
  • Cardio-pulmonary issues
  • Drop in blood pressure with feelings of dizziness or syncope
  • Black outs or feeling like you are in a trance or stupor
  • Becoming despondent or having feelings of great sadness and despair
  • Any change in your emotional or physical state that may be due to psychiatric medication side effect which is causing you emotional stress.

Atlanta Psychiatrist, Expert in Managing Medication Side Effects

If you are currently taking psychiatric medications and are experiencing side effects that have negatively impacted family, social relationships or work related interactions, it is time for a change – call Atlanta’s expert in managing and adjusting psychiatric medications.

Dr. Darvin Hege, M.D. Atlanta’s psychiatric medication side-effects doctor is ready to help you make the change for the better – call to set up an appointment today.

Post Traumatic Stress Disorder Treatment with Medication after Evaluation

Post traumatic stress disorder, PTSD, is a mental health condition that disrupts a person’s daily routine, relationships with family and friends, and the ability to manage steady employment or attend college. Research data reports that since 9/11 almost 25 million Americans and up to 30% of combat veterans have PTSD.

June is National PTSD Awareness Month

The National Center for PTSD is working to educate and reach out to those suffering from undiagnosed PTSD. Many people view PTSD as a problem for soldiers returning home from combat. However, any traumatic event can trigger post traumatic stress disorder; a fire, robbery, car accident, threat of random violence, a death, or a serious medical diagnosis are a few situations many people face in their lifetime.

While a person may experience varying degrees of reactions to stressors, many do not develop PTSD. Medical professionals do not know why some have PTSD and others do not. Receiving proper evaluation and diagnosis is key to starting on a proven treatment plan for PTSD symptoms.

Three Types of Post Traumatic Stress Disorder Symptoms

PTSD symptoms typically fall into one of three types which are:

  • Intrusive Memories:  Type one includes flashbacks or repeatedly going over the traumatic event in your mind or having unsettling and disturbing dreams about the event.
  • Avoidance and Emotional Numbing:  Type two includes feelings of hopelessness, difficulty with focus and concentration, feeling emotionally numb, avoiding previously enjoyed activities or having difficulty maintaining close personal relationships.
  • Anxiety and Increased Emotional Arousal: Type three of PTSD includes overwhelming guilt or shame, poor sleep patterns, becoming easily irritated or angry, being easily frightened, experiencing auditory or visual hallucinations, or displaying self destructive behavior like drinking, drugs or sexual promiscuity.

PTSD Medications Integral Part of Successful Treatment Plan

Specific medications prescribed by an Atlanta PTSD psychiatrist positively alter PTSD symptoms and manage other aspects such as anxiety, depression, emotional outbursts, insomnia or recurrent nightmares.

Two PTSD medications (SSRI’s), Selective Serotonin Reuptake Inhibitors, Zoloft/sertraline and Paxil/paroxetine, work by helping with depression and anxiety as well as raising serotonin levels to achieve an end result of improved feelings of well-being and happiness.

Atlanta Post Traumatic Stress Disorder Psychiatrist

PTSD can be effectively treated and managed following a full evaluation by an expert Atlanta PTSD psychiatrist like Dr. Hege.

The road to effective treatment and recovery from PTSD can begin with a call to schedule an appointment.

Opioid Dependence a Chronic Illness That Can be Successfully Managed

Columbia University research studies have documented that opioid addiction in the U.S. tripled during the ’90s. Statistics from 2009 indicate nearly 2 million Americans were either dependent on or abusing opioid prescription pain medication such as OxyContin/oxycodone, Vicodin/hydrocodone or Demerol/meperidine.

Atlanta Opioid Addiction Needs Long-Term Treatment

Opioid addiction is more common than the abuse or dependence on any other type of prescription medication and two-times greater than those addicted to cocaine. The World Health Organization presents opioid dependence as a complex health condition that typically requires long-term treatment.

Opioid addiction is viewed as a life-long chronic illness or disease, such as diabetes, asthma, or heart disease, which can be successfully managed but not “cured.” The development of a pharmacological treatment regime under the direct care of an opioid addiction psychiatrist has proven to be the most successful in overall management of opioid dependence.

Common Indicators of Georgia Opioid Dependence

While a thorough evaluation by an Atlanta opioid addiction psychiatrist provides the foundation for developing a comprehensive medical and medication treatment plan, the following list of behaviors may be the impetus that drives you to make an appointment with Darvin Hege, M.D.,  expert in opioid dependence with over two decades of experience in the field.

Generally, a person who exhibits three or more of the following behaviors may be considered opioid dependent:

  • Reports withdrawal symptoms when opioid medications are stopped or significantly reduced, often using other drugs to help diminish withdrawal symptoms
  • Increasing amounts of opiates taken, or taking them for longer periods of time
  • Needing to take more of the opioid medication in order to get the same effect that you once experienced
  • Wanting to quit, however are unsuccessful time and time again
  • Increased time is spent trying to obtain more of the medication
  • Finding the recovery period from taking opiates take longer and longer
  • Employment issues arise, such as missing work, being late for work, not being able to perform work properly, or being unable to find work if unemployed
  • Spending less time with friends and family who do not use opioids
  • Continuing to use opiates even when faced with negative consequences

Georgia Opioid Dependence Takes Control of Your Life

Opioid dependence slowly takes over and controls your life. Opiates are highly addictive and by their nature activate the brain’s pleasure and reward centers while making changes in the brain’s structure and function. The belief often forms that opioids are necessary for survival and attempts are made by any means to obtain opioid medications, either legally or illegally.

Atlanta Opioid Addiction Psychiatrist

By the time a person develops a dependence on opioids their brain no longer functions normally without these drugs in their system. Brain centers that involve judgment, perception and caution become impaired.

The Atlanta opioid addiction psychiatrist Dr. Darvin Hege has successfully helped patients regain the life they once had through an individually constructed, medically managed pharmacological treatment plan. Call the office and begin to live your life once again.

Reduce Narcotic Cravings and Withdrawal Symptoms with SUBOXONE Film

Prescription opioid pain reliever use has more than doubled in the past 5 years. The National Institute for Drug Abuse and the World Health Organization have defined that dependence on opioids, such as prescription pain medication and heroin, are now recognized as a long-term brain disease — a medical condition and narcotic addiction that can be successfully treated by experienced psychiatrists and other medical specialists.

Statistics on Opiate Addiction and Abuse

With over 7-million people in the U.S. addicted or dependent on an opiate drug or prescription pain medications, the cost is almost $500 billion dollars a year. Emergency room visits related to prescription drug abuse well exceeds 1 million visits a year; in almost 400,000 of these visits the patient received a prescription for opioid pain relievers. The Institute of Addiction Medicine states that opioid painkillers are chemically similar to heroin and can be just as addictive.

Break the Chains of Physiological Addiction with SUBOXONE Film

Developing an addiction to opioids can happen to anyone. Management of pain, chronic or acute, can include a prescription for opioids which include for example: Vicodin, OxyContin, codeine, Kadian, or Percocet. Once a dependence on these medications develops, the willpower loses out again and again in the fight against the chemical, psychological, and behavioral stronghold of opioid addiction. Opioid addiction takes more than willpower to overcome the fight — it takes a medically managed and proven medication treatment plan.

Your Atlanta narcotic addiction psychiatrist Darvin Hege, M.D. may prescribe SUBOXONE Film while carefully monitoring your opioid withdrawal day by day until you are able to manage monthly medication reassessments. SUBOXONE Film assists with reduction of narcotic cravings as well as easing your body through the withdrawal symptoms. SUBOXONE Film, whose active ingredient is buprenorphine, a partial opioid agonist, produces less of a euphoric effect than a full opioid would, thus helps to suppress withdrawal symptoms and reduce narcotic cravings.

SUBOXONE Film Prescriptions Can be Called in to a Pharmacy

SUBOXONE Film contains both buprenorphine and naloxone which provides a medically monitored way to withdrawal over time as well as mixing in an ingredient that discourages misuse of the medication. Buprenorphine attaches to opioid receptors suppressing both the uncomfortable cravings and the symptoms of withdrawal. Naloxone has no physiological effect if SUBOXONE Film is taken as prescribed.

Atlanta Opioid Addiction Psychiatrist Has High Success Rate

If opioid pain medications have taken control of your life, there is a way back. The highly regarded Atlanta narcotic addiction psychiatrist Darvin Hege, M.D. is available to help bring you out of the clutches of pain medication addiction so you can make your life and family first priority again.

Call the office to schedule a confidential initial meeting and evaluation.

Strattera, the Non-Stimulant Adult ADHD Medication for Optimal Results

There are several medication options that your ADHD psychiatrist has at their disposal in evaluating and defining the appropriate treatment regime for you. Everyone is unique in how they react to different levels of ADHD medications, either as a singular prescription or in combination with other types of non-ADHD drugs. While the diagnosis of adult ADHD does require exhibiting specific common symptoms and behaviors, the appropriate medication treatment plan can significantly vary from person to person.

Adult ADHD Prescription Medications

The most common medications used for Adult ADHD are stimulants. Stimulants can help those who exhibit symptoms such as restlessness, inattention, lack of concentration, and difficulty completing work within time limits, as well as those who exhibit reckless behavior or have difficulty managing their anger in social situations. But for some, a stimulant may not be the best choice. An alternative treatment option for ADHD is Strattera – a non-stimulant medication.

Psychiatrists with an extensive background in evaluating and treating adult ADHD can successfully determine what medications bring you relief from your symptoms and negative behaviors. Strattera is an important drug to consider, especially if you might do better with a non-stimulant treatment plan.

How Does Strattera Work?

The Journal of Psychiatry reports that Strattera, or atomoxetine hydrochloride, is a non-stimulant ADHD psychotherapeutic agent that works to increase brain levels of norepinephrine, a chemical that is in short supply in those people that are diagnosed with ADHD.

The increase in levels of norepinephrine has a positive impact on one’s life by improving attention span, reducing impulsivity and hyperactivity without the use of a stimulant. In addition Strattera can be discontinued without having to taper off the medication like with the other adult ADHD stimulant prescriptions.

Strattera begins to work gradually, so improvements will not be immediate but continue to increase over several months. If more immediate relief is needed, Strattera may be paired with other medications that don’t take as much time to build up in one’s system. Then once Strattera has had time to reach full effect, a person may be weaned off stimulants.

Is It Right for You? Talk to a Georgia Psychiatrist.

Your Atlanta adult ADHD psychiatrist Dr. Darvin Hege, M.D. will work with you to complete a comprehensive evaluation, developing the most effective treatment plan for your physiology, symptoms and behaviors.

Coping with the often frustrating symptoms of adult ADHD can lead to life and social disturbances that can lead to other self abusive behaviors and depression. If you have adult ADHD by itself or with a combination of other emotional or psychological issues, call Dr. Darvin Hege, M.D. to schedule an initial visit and assessment and bring yourself back to the positive side of living.

ADHD drugs safe for adults’ hearts, research finds

 

Reprinted from boston.com

Ritalin and other drugs used to treat attention deficit disorder are safe for adults’ hearts, even though they can increase blood pressure and heart rate, according to the largest study of these medicines in adults.

The results echo findings in a study of children with ADHD, by the same researchers, published last month.

The review of health records for more than 440,000 adults aged 25 to 64 showed those taking ADHD drugs had about the same number of heart attacks, strokes and sudden heart-related deaths as adults who didn’t use those drugs.

Although attention deficit disorder is usually thought of as a condition in childhood, many continue to have symptoms as adults, including impulsive, fidgety behavior and difficulty focusing or paying attention. ADHD affects about 4 percent of U.S. adults, roughly 9 million. About 8 percent of U.S. children aged 3 to 17, or 5 million kids, have ever been diagnosed with the disorder, government statistics show.

More than 1.5 million U.S. adults were taking stimulants used for ADHD in 2005, and use of ADHD drugs increased more rapidly in adults than in kids over the past decade, the study said.

The research will be published in the Journal of the American Medical Association’s Dec. 28 print edition, but was released online Monday because of its public health importance, journal editors said.

More than 150,000 ADHD medication users were involved in several states. Their health records over up to 20 years were compared with similar adults who did not use those drugs.

Overall, there were 1,357 heart attacks, 575 strokes and 296 sudden cardiac deaths. Roughly equal numbers occurred in ADHD drug users and nonusers.

Study participants used the drugs for an average of less than a year, which is short, but the upper range of use was almost 14 years, and there was no sign of increasing risk with longer use, the authors said, led by Laurel Habel of the research division at Kaiser Permanente Northern California in Oakland.

A journal editorial says the study provides encouraging news, given lingering concerns about isolated reports of heart problems and sudden deaths in users of some ADHD drugs.

The findings support the Food and Drug Administration’s decision in 2006 against putting a black box warning about serious heart events on ADHD drug labels. But despite the results, medical histories and exams should still be performed for all patients before starting ADHD drugs, and periodic evaluations should be done during drug treatment, said editorial author Dr. Philip Shaw of the National Human Genome Research Institute.

The federal Agency for Healthcare Research and Quality and the FDA helped pay for the study

See original article at http://articles.boston.com/2011-12-12/lifestyle/30507967_1_adhd-drugs-attention-deficit-disorder-heart-attacks

Cheap Medicine Update April 2011

HOW TO GET CHEAP / AFFORDABLE PSYCHIATRIC MEDICATIONS http://ltcc.usadrugplan.com/

Here is an improved way to get cheap medicine. Click on this link,USA Drug Plan , to take you to a website to print out your discount card. There is also a link on this page to find out the price of the medication of your choosing in the ZIP code you choose. Most of the time in my ZIP code, 30338, the Kroger pharmacies have the cheapest prices. These prices usually compete with Costco pharmacy, which are usually the lowest price medications here in the Atlanta area.

Most of my patients prefer to go to Kroger rather than Costco because Kroger pharmacies are open longer hours and seven days per week, Kroger is usually closer geographically, it usually isn't as far from your parking space into the store and inside the store to the pharmacy, and usually you don't have to wait as long to get your prescription filled.

A couple examples of the prices at Kroger pharmacy with this discount card are generic Adderall short acting for $.35 per pill and generic Lamictal, lamotrigine, for $.40 per pill. The discounts for generic medications are usually much more dramatic than the small discounts that may be obtained on brand medications.

Call 770-458-0007 today for an appointment with Dr. Hege. Dr. Hege has a lot of experience in selecting psychiatric medications cost-consciously because 50% of his patients have no insurance. He specializes in the evaluation and medication treatment of ADHD, Suboxone and Subutex opioid replacement therapy, panic disorder and other anxiety disorders, bipolar II disorder, depression, and alcohol and other substance abuse problems.

Affordable fees for psychiatric services by Dr. Hege 
is a webpage on Dr. Hege's website.

ADDERALL NEUROTOXICITY AND SIDE EFFECTS

Can chronic use of therapeutic doses of Adderall, Vyvanse, or Dexedrine (amphetamines) cause brain damage?

The bottom line is we don't know. However there is a body of research that raises some concerns but gives no strong conclusive evidence either way. A comprehensive review article was published in February of 2009 "Literature Review: Update on Amphetamine Neurotoxicity and Its Relevance to the Treatment of ADHD" and is available free (1).

A worrisome study in monkeys in 2005 by Ricaurte found some evidence suggesting dopamine nerve damage in areas of the brain involved in ADHD dysregulation and amphetamine therapeutic effects (2). Some of the monkeys were given doses that are normally given to humans. However, multiple similar studies in rodents did not find evidence of this damage in usual dosage ranges that are given to humans. In contrast to amphetamines, high dose methylphenidate (Ritalin, Concerta, Focalin, Daytrana) studies appeared to have lower risk for brain toxic effects (3, 4).

Stimulant treatment of ADHD during childhood appears to reduce the risk of substance abuse that is otherwise associated with ADHD.(5, 6) Also children with ADHD who had not been treated with stimulants have smaller brain white matter volume than children with ADHD who had been medicated or children without ADHD. Stimulant treatment in children may actually increase brain growth and development.(7) However, older rodents, when given methamphetamine in doses that are known to be toxic to younger rodents and humans, had more toxic brain reactions than younger rodents. They also had brain levels of amphetamine that was twice as high as the levels in younger rodents when given the same dose. Natural aging processes reduce dopamine production greatly. Older humans may be at greater risk of toxic effects of amphetamine 

No controlled studies have examined the adverse behavioral, cognitive, neurophysiological effects of years, much less decades, of chronic amphetamine treatment. Neuroimaging with PET and MRI techniques are becoming increasingly useful in measuring brain anatomy and function in living human beings to explore for brain damage in humans treated with amphetamine. We look forward to the coming evidence to make more informed treatment recommendations to our patients with ADHD.

1.(Free) Literature Review: Update on Amphetamine Neurotoxicity and Its Relevance to the Treatment of ADH

Adderall For ADHD

Currently, 4.4% of the adult population has ADHD (Attention Deficit Hyperactivity Disorder). This disorder is present from childhood, but many times it is not diagnosed until the person reaches adulthood and takes on more responsibility such as what is required when managing finances and jobs, and when interacting with spouses or significant others or their children. Under these additional demands, the attributes of ADHD (inattention, distractibility, and impulsivity) may become more prevalent.

Dr. Darvin Hege, an Atlanta psychiatrist, says it is important for people who have become depressed, overly anxious, or have turned to alcohol, drug, or medication abuse to help them deal with the stresses of life, be evaluated for ADHD. Many times if a patient seeks help for these concerns, " the overlying problem of depression, anxiety, or substance abuse may be diagnosed and treated. However, the foundational problem of ADHD may be missed. Unless the ADHD is successfully treated, the person may improve temporarily but still struggle unnecessarily and be more prone to relapsing to another bout of depression, anxiety, or substance abuse".

How could it be that the foundational problem of ADHD may be missed? Dr. Hege advises that the symptoms of ADHD can change from childhood to adulthood. Since the hyperactivity portion of ADHD tends to diminish in adults, the diagnosis of ADHD may be missed in an adult. Inattentiveness generally remains from childhood, however, and this is the predominant symptom of adult ADHD. The medications that are prescribed for ADHD help the inattentiveness of ADHD more than the hyperactivity of the disorder, so these medications can be very successful in helping with core symptoms. One of the medications he commonly prescribes for ADHD is Adderall.

Adderall has been around for about 20 years and was first marketed as a weight loss and diet control drug called Obetrol. In 1996, the FDA approved Adderall for ADHD treatment and it has since become one of the more widely prescribed medications for the treatment of the disorder. Doctors and patients who use the drug say it has less "peaks and valleys" than Ritalin, so it is more user-friendly.

Adderall is a psychostimulant. In other words, it is a central nervous system stimulant or an amphetamine. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control.

One reason Dr. Hege uses Adderall for ADHD is that it is a mixture of four drugs from the amphetamine family that provides a broad spectrum of coverage. He notes that there are several pros to this group of drugs:

  • they take effect quickly (in about one hour).
  • they leave the blood quickly (in about 4-12 hours). Because of this, you do not need to take the medication every day so you can take them on a day when you'll need the extra assistance.
  • 75-80% of people who have ADHD improve when takingAdderall for ADHD or something from the psychostimulant group of medications.

Anything with a "pro" has to have a "con" and there are some cons to consider when taking Adderall for ADHD:

  • Because the medicine only works for 4-12 hours, work or study in the afternoon or evening may require additional doses.
  • Because it takes about one hour for the medication to take effect, if you have trouble getting up for the alarm clock or getting organized in the morning, you will have to wait for the medication to take effect.
  • If you have used an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam) within the past 14 days, you should not take Adderall. Serious, life-threatening side effects can occur if you take Adderall before the MAO inhibitor has cleared from your body.
  • It has a significant risk for abuse and/or addiction.

The most common side effects of Adderall are restlessness, dizziness, insomnia, headache, dryness of the mouth, and weight loss.

Dr. Hege recommends an ADHD evaluation if you or those around you have concerns about your inattention, impulsiveness, and distractibility. 

Dr. Darvin Hege has 25 years of experience dealing with patients who may fit the criteria for ADHD and may need a medication like Adderall for ADHD. He offers evening and weekend office hours at his Atlanta, GA practice. Call today at 770-458-0007 to discuss getting an ADHD evaluation and for help deciding the most effective and safest treatment. 

Help For Anxiety And Panic Attacks

To a certain degree, most people experience a mild bit of panic during every day life. For example, if you have to give a speech, you may be anxious about not embarrassing yourself or not forgetting the speech material. If you are starting a new job, you may be anxious about making a good impression and may worry about learning new procedures. If you are going out on a first date, you may worry about how you look or if you’ll like the person you are dating. But, many people routinely suffer from panic or anxiety that keeps them from living a “normal” life. If you are one of the more than 6 million Americans who frequently experience an overwhelming degree of anxiety, you may need help for your anxiety and panic attacks.

The first thing to do after experiencing a panic attack is to go through a medical evaluation so physical conditions can be ruled out as the cause of the panic attack. Thyroid disorders, anemia, pheochromocytoma, heart problems, fluctuating hormones caused by pregnancy or menopause, too much nicotine or caffeine, and certain medications can cause symptoms similar to panic attacks. The physical symptoms of a panic attack include a sense of impending doom combined with a pounding and rapid heart beat, sweating, shakiness or dizziness, a feeling of shortness of breath or hyperventilating, and sometimes either chills or flushing. The sense of panic during an attack is increased by the knowledge that these same symptoms can be signs of more serious conditions, such as a heart attack, which raises the person’s level of anxiety.Although scientists aren’t sure what causes true panic attacks, they suspect that they may be caused by chemical imbalances in the brain. Also panic attacks can be an inherited condition. Many times there is no physical reason for an attack, but it is best to get medical help to rule out physical causes first when taking steps to get help for anxiety and panic attacks.

If you routinely experience several of these symptoms, you may be living with an anxiety disorder:

  • Do you feel like every day experiences make you anxious (driving, social interactions, etc)?
  • Does your anxiety interfere with your work, school, or family responsibilities?
  • Do you experience fears that you know are irrational, but can’t shake?
  • Do you believe that something bad will happen if certain things aren’t done a certain way?
  • Do you experience sudden, unexpected attacks of heart-pounding panic?
  • Do you feel like danger and catastrophe are around every corner?

So, how can you get help for anxiety and panic attacks? Sometimes you can get relief through natural methods and sometimes you need to seek help through counseling and medication. If the natural route is what you would like to try first, you should think about learning and practicing tai chi, yoga, or meditation to help you relax and reduce stress. Healthy eating habits and an exercise program can also help to reduce the stress of the day. Deep breathing exercises practiced during stressful times of the day (the commute, after a talk with the boss, etc) can help calm and center your mind.

If these techniques are not enough to provide  help for your panic attacks and anxiety, counseling and medication are an important next step. Find a therapist who has experience in dealing withpanic attacks and can provide help for your anxiety. Treatment such as cognitive behavior therapy can alleviate or eliminate panic attacks for many people. Cognitive behavioral therapy helps you change the way you “see” things and helps you alter behaviors that contribute to panic attacks or keeps them going. It helps you see your fears more realistically. Exposure therapy can also help you with panic attacks and anxiety. This type of therapy mimics the sensations you feel when you have a panic attack. For example, you might hold your breath or be asked to hyperventilate with a counselor present and while in a safe environment. In this way, you can learn how to cope with the feelings you experience so that you have more control over the sensations and your reaction to them.

Anti-anxiety medications can also help for anxiety and panic attacks. Dr. Darvin Hege provides help for panic attacks in the Atlanta area. Dr. Hege most commonly prescribes Xanax XR, Klonopin, Zoloft, Prozac, Celexa, Lexapro, Paxil, Effexor, or Cymbalta. For more information from Dr. Hege about panic attacks and the most effective medications for anxiety and panic attacks, go to the Panic Attacks Information page on his website.

Dr. Hege has 25 years of experience dealing with patients who need help for anxiety and panic attacks. Call him today at 770-458-0007 for an evaluation for relief of your panic, and for help deciding the most effective and safest treatment for your anxiety attacks.