Councelor/Therapist | Mental Health Questions Psychiatrist

Stress and anxiety?

I always had a hard time dealing with stress and anxiety but the past month it started to build up and get worse from the added stress at work to stress at home. This week with stress at work and home I have had 3 break downs in 72 hours. Stress, an anxiety attack( bad), and same night stress attack. Today I don't know how I will be able to work but I got to. I feel nauseated. Weary. Headache and just sick. Is there anything I can take it? Is there any RX that I can take before I go to work to handle stress? What do I need to do? I am worried I'm going to get so sick I will have to go to the hospital.

Female | 32 years old
Complaint duration: 3dats

4 Answers

Councelor/Therapist|MentalHealthPsychiatrist
I suggest that you reach out to do a proper intake assessment with a cognitive behavior therapist (CBT) so you can have more information about what’s going on with you and that will help direct treatment.
I winder whether there was a trigger a month ago when your symptoms dramatically began to worsen. It’s possible that your therapist will help you manage by giving you a short term plan (maybe taking medication at least in the beginning to give yourself some immediate relief and get you back to functional) and then as you begin to work on the actual issue learning how to cope with feelings of anxiety you can decide what makes sense in terms of continuing medication. I am not a psychiatrist so I need to stay in my lane regarding specific medications. What I can tell you though is the idea is to allow the medication to hijack your brain and help your firing neurotransmitters to increase or decrease levels of serotonin, dopamine, epinephrin, neuroepinephrin, GABA, or whatever neurotransmitters are needing some help while you begin to learn the behavioral and cognitive changes you have the power to control to help yourself feel better.
I do not prescribe traditional medication suggestions you need to get a check up with your health provider first. There maybe something going on
Since I am not an expert in psychopharmacology, I can't recommend any medication for you. You would need to find a psychiatrist who prescribes or a nurse practitioner. My recommendations are to study mindfulness (Jon Kabat-Zinn) and identify the people in your life that are most supportive and calm and keep contact with them. If you find a therapist that you can relate to, that can be transformative.
Consider these thoughts about anxiety and stress...
https://www.healthline.com/health/stress-and-anxiety
or
https://adaa.org/tips
or
https://www.healthline.com/health/mental-health/how-to-cope-with-anxiety