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10 May 2004

Anti-Depression Tabs
Hi Doc
My dad passed away almost 3 months ago, since then I have had a return of my panic attacks. I suffered from them in 1999 for about a year and then it went away for about 3 years until now. I have been to 3 docs who have all prescribed anti-depressants. Doc, its my last option, I'm 25 and dont want to take medication. Do you have any other suggestions, I know that I'm still grieving the loss of my father, and want to get through this without medication. I'm married and plan to have a baby in the next few months - so I would prefer to be on no meds. Do you know of anyone I could see in the Cape Town area? My panic attacks are getting worse, I suffer nausea and migraines almost every day and I've been having to leave work alot lately. I can't go on like this.

Thanks for your time.
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Expert
CyberShrink
cybershrink

01 Jan 0001

Goodmorning, TeeKay,
You know, one mustn't over-value the idea of "getting through this without meds" for its own sake ( its like wanting to get through a broken leg without critches or plaster-of-paris ! Maybe it'd be best to get through this present episode of the panic attacks before embarking on the pregnancy, as a pregnant panic is no joke. Grief is not generally helped by antidepressants, but needs counselling if one is not making much progress in the grief work involved. Once you've mastered this spell of panics ( and your history shows that you CAn achieve this ) you would then be able to be drug-free and panic-free, and far better able to have a peaceful pregnancy and a happy baby.
The alternative to drugs, would be to find a really expert there's not all that many of them around ) psychologist practising cognitive-behaviour therapy, which can also help with anxiety and panics. And learning to relax, as part of that treatment, could reduce the migraines and nausea, too.
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