History of Anxiety Disorder and Occasionally Panic Attack .
- Diagnosed on 2020 - prescribed medication ; citalopram 20mg, changed to escitalopram 10mg, quetiapine 25mg.- Previous symptoms; Tachycardia,  agitated, stomach discomfort with Uncontrolled Bowel movement,  Feeling not safe to be alone and always be with somebody, panic attack, lethargy, body numbness, nauseated and dizziness, insomnia, unable to move out from comfort zone, feeling dying, muscle pain, tense and trembling. Before, those symptoms happened unpredictable anytime, any situation.- Medication prescribed dose was gradually cut down and fully stop on October 2024 by consultant advised since the symptoms has improved. - Now, since last month, noticed a trigger factor that lead to anxiety symptoms seems like claustrophobic and easily anxious when detect any abnormalities feeling or sensation in body.- Current symptoms;( With trigger factor) Anxious, Panic but able to control , agitated,Bowel discomfort. nauseated,dizziness,hyperventilation . Mood swings so intense cause insomnia,  muscle tense, palpitation, nauseated, dizziness,  body malaise and sometimes Bowel discomfort. - I am 37 years old lady with no child as I choose to not have it as I had so many worries, thoughts and concerns before.  But now, I think I should start thinking about pregnancy and plan for that. I went to gynecologist for basic checkup and share about my mental health issues. She advised me to follow up with psychiatrist so that I will get support during my pregnancy ( if it's happen) . Yet, i personally still not sure if I'm ready for pregnancy or not. Seems I feel scared and worried with my symptoms and mental health worsen. Some more I have  history of coccyx fracture on 2016 and the pain still on and off until now.- I had previous medical report for your references if I get chance to have appointment in the clinic .- Kindly advised the best suggestion to assist my issues or treatment to improve my quality of life. For your information, I quit from job because this issue effected my productivity,  and efficiency. Kindly help and assist me doctor. Thank you for your time and assistance.

Answer:

We understand that you have been through a challenging journey with your mental health, and we commend your courage in seeking assistance. Based on the details you've shared regarding your past and current symptoms, it’s important that we approach your situation to ensure the most effective treatment and support moving forward.

First, we recommend that you continue working closely with both your psychiatrist and gynecologist. Your mental health is a key factor in ensuring a safe and healthy pregnancy, should you decide to pursue that path in the future. We recognize that your mental health symptoms, such as anxiety, panic attacks, mood swings, and physical discomfort, can significantly affect your quality of life. These symptoms are concerning, especially when they seem to be triggered by specific situations or sensations.

Recommendations:

  1. Follow-up with Your Psychiatrist:  Your psychiatrist may explore alternative therapies or make adjustments to your medications, especially as you consider the possibility of pregnancy.

  2. Consider Support During Pregnancy: If you do decide to pursue pregnancy, it’s crucial to have a clear plan in place with both your mental health professionals and your gynecologist. Medications, especially those related to mental health, may need to be adjusted during pregnancy to ensure both your well-being and that of the baby. Close monitoring and additional support may be necessary during this time.

  3. Lifestyle and Wellness: Regular exercise, a healthy diet, and adequate sleep are essential for improving both your physical and mental well-being. It might also be helpful to explore relaxation techniques such as mindfulness, yoga, or meditation to help alleviate stress and promote emotional stability.

  4. Managing Coccyx Pain: Since you have a history of coccyx fracture and experience ongoing discomfort, we suggest that you consult with a orthopedic specialist to explore strategies to manage this pain more effectively.

Thank you.

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.


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Last Edited: 18 Aug 2025
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