Depression
I was a patient of Dr. Esther, diagnosed with anxiety disorder with occasional panic attack. I got prescribed medication which is lexapro 10mg daily and Xanax 0.5 PrN. Currently im was in situation 12 weeks pregnancy, gravida 1 para 0. My next appointment with Dr. Esther will be on 22 july 2025.These 1st trimester quite challenging for me as i need to fight with my anxiety symptoms + morning sickness. I do aware about hormone changes that can affected my mood and emotion. Unfortunately since 1st day of knowing that im pregnant, there was a lot of incident happened in my family. Due to extremely stress that i've faced without any support from people serrounding.  I noticed a big changes in my mood, physical reaction and my uncontrolled action. My condition was not improve but became worst during my pregnancy.I failed to control my anger , my emotion was high up to the sky. My body feel tense, muscle pain, tachycardia,  headache and etc. I started being violence hurting my self,  and others.- 1st question is, why i couldn't feel and realised when i injured myself? 1 of my friend told me that i was skipping topic to something else, saying something out of context a few second then back to the real topic. He even told me i did scolded and cursed him few second than back to real topic that we discuss again like nothing happened. Im honestly did not realised the changes, i did not remember when did i scolded him or curse him. He told me that i spoke to somebody else and back to him again. Fact nobody was around, only us. I did not remember when did i spoke to the " invisible thing" like he described.All these happened just recently after i had very major emotional and physical damage. I do have suicidal though sometimes but my anxiety won't allow me to die. this situation put me restless and scared that something might happen without i realised it. 2nd : Am i out of my mind? Spilt personality? Schizophrenia?I was advised not to take lexapro since 5 weeks of pregnancy.  Now i just rely on xanax 0.5 PRN. Recently i took a few times of half tablet due to physical tense that i had and its helps to calm my brain, improve my sleep and emotion as well. - 3rd : Is that safe to take xanax frequently during pregnancy? Should i continue to take my lexapro since i already stop during 5 weeks of pregnancy as per advised by doctor.- 4th : What is your advise for me to retain still since my appointment still took 3 weeks more to go. Kindly guide me as i am scared to death i might be out of my mind doing something out of my consciousness. Thank you so much.

Answer:

Dear Sir/Madam,

We extend our sincere gratitude for choosing Pantai Hospital Malaysia for your healthcare requirements.

In view of the seriousness of your current symptoms—such as self-harm, intense mood disturbances, and episodes of altered awareness—we strongly advise that you do not wait until your scheduled consultation on 22 July 2025.

Instead, we recommend the following immediate actions:

  • Seek prompt medical attention at the hospital emergency department or mental health facility, especially if you are experiencing escalating distress, thoughts of self-harm, or suicidal ideation.

  • Contact your primary doctor or mental health provider as soon as possible to review your symptoms and current medication plan.

  • Inform and involve a trusted family member or close friend who can offer emotional support and assist in ensuring your safety during periods of vulnerability. Avoid being alone when experiencing intense emotional distress.


We eagerly await your response.


Any advice, recommendations, or information provided by the Company, its affiliates, employees, moderators, medical practitioners, and representatives within the Forum is not to be taken as conclusive advice. It is intended as a suggestion and not a substitute for consulting with qualified medical practitioners. Users are encouraged to seek professional advice tailored to their specific circumstances.


Share This Question: 
Last Edited: 29 Mar 2026
150
Loading...
Thank you for your patience
aad blue heart