26 yrs married f suffering from pain chest,sob, restlessness since 4 yrs on & off, no dm no htn cxr,ecg,usg of w/A , NORMAL diagnosed as anxiety neurosis suggest ur opinions plz
Anxiety neurosis with Psychosomatic drugs . Tab Opipramol 50 mg is a good drug for psychosomatic symptoms . Add Opipramol 50 mg to clonazepam 0.25 which the patient is already taking .
Treat anxiety eith pharmacological intervention with alprazolam or propanol ... then assess the cause of anxiety with psychological test fir underlying fear .. treat with psychotherapy n Rtms therapy if available ... even thennnot improved then refer for in depth assessment to mental health professional
TFT Psychiatrist opinion
Anxiety neurosis
I think we need to know marital and sexual Relationship history..Pain is one thing but if it's out of proportion and non-organic then we need to get bit inside the life of the couple.
Pl ask about sleep disorder n sleep hygiene Rule out triggers associated acute bronchitis/ asthma PL get nutritional deficiency evaluation
May be mixed anxiety and depression Needs detailed evaluation. SSRI can be tried. Rule out thyroid and MVP
Rule out eosinophilia and chest involvement
Hysteria
Advised psychiatric check up
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