Suggest treatment for anxiety
Patient: Hello. I am 19 and I have fairly bad anxiety. What I mean is, I have very bad anxiety. I have for the past year or two. I am very overweight, and my anxiety attacks are mainly illness phobia related ones. I am under alot of stress the last week, I have applied for an apartment that I am desperate to have. About an hour ago, I had a heart thumb. Skipped a beat. Etc. It frightened me, so I took a deep breath and it felt strange. This caused me to have an anxiety attack, and I had mild chest pain on the left bottom side and i got nervous and a little sick to my stomach. I believe most of these were symptoms from the following anxiety. I had an ECG in March because I went to the ER with arm pain. They said everything was fine and it was probably a muscle/nerve issue. I know, logically, that I'm fine. My doctor has told me that the heart does this to 'catch up' with itself. I don't want to go to the ER, I love 25 minutes away from the nearest hospital. The pain is gone, I am just still a little nervous. The only thing still bothering me is that I get a gassy rumbly feeling in my upper abdomen, sort of below my heart. I passed gas a few seconds later. Could that be gas, so close to my chest and heart? Doctor: Dear User,Thanks for using health care magic.From the available description it appears that you are having very problematic anxiety symptoms which needs to be addressed. I understand your will of not visiting ER but you can visit your primary physician. It os absolutely essential to get it treated as soon as possible before it makes you helpless completely. Before you can visit a doctor you are advised to practice some stress management strategies which are available to you.  'Hope I have answered your query. If you have any further questions I will be happy to help".Thanks