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is it anxiety attacks
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missjean53 posted:
am not sure but i think i am having anxiety and panic attacks. i start feeling a warm liquid sensation and then tingling and then its like all the air has been sucked out of the room or i am being smothered by something or some one. if we are in the living room to say and every body comes in at one time and there is only 4 of us and a couple of dogs i feel like i cant breath, but if i get up and go just out side the front door i calm down,even taking a shower or just going to my bedroom for a nap or for the night i start to panic. i have gone to my Dr for this but i don't feel she takes me to serious because she has not given me any thing to help what relief i have found is on my own.now i am very over weight and i have copd diabetes. these have gotten so bad that i have sat and cried over it because i just cant take much more,it scares me and i am even starting to have anxiety over having anxiety's. i hope you can give me some advice here oh and i do not have any health ins.
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Patricia Farrell, PhD responded:
I'm sorry that your treating physician is not taking you seriously when you indicate that you have these types of problems. Obviously, being overweight, having COPD and diabetes are all things that can produce anxiety and you are probably taking medications which may also have anxiety as a side effect.


It is rather surprising to me that your physician has not indicated several things; that diabetes and anxiety and depression all come together and that COPD is certainly anxiety provoking. I am not an M.D., but I do believe that your physician has made a wise choice in not giving you any medication because less medication is better for you. What I am wondering about is the reason that you haven't been given some type of direction regarding how you might be able to help yourself with all of this. Also, I think, any medication side effects should have been discussed with you.


I would think that working with a dietitian or nutritionist who specializes in working with people with diabetes would be a good idea. Weight loss will help you not only with your diabetes, but may even help with other aspects of your life. There should also be some consideration of cognitive therapy for you.


In the meantime, we do have one thing in our Tips column which I would suggest you begin to view and consider using. That is our relaxation breathing video tutorial. I say this because what you are describing is anxiety that may be due to social situations and feeling rather closed in. This, I would think, is something that can occur quite naturally when someone has COPD. Having a breathing problem is difficult enough without having the feeling that the room is overcrowded. Please give the breathing exercise a try and see how it can work for you.


Also, consider talking to your physician about some of the other ideas I have put into this post. I hope you feel much better very soon.


Dr. Farrell


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