instruction: hello doctor I have been getting panic attacks very frequently it comes with shortness of breath my chest feels tight and painful and an emotional breakdown I often feel dizzy light head and like I have no control over my body this has been happening for four days now and yesterday I had three panic attacks today I had three again my chest feels tight all the time and I have a hard time breathing for hours the panic attacks come in very randomly and are unexpected I always overthink about the smallest things and I cannot put my mind to rest it is all hard to manage every day I feel lethargic restless and exhausted my sleep schedule is horrible and I cannot sleep at night lately I have been staying up until am I have talked to my mother and found out she had also been experiencing panic attacks around my age
output: hello many times anxiety and depression coexist and it leads to the symptoms you have been experiencing moreover the body heals in sleep and that is also disturbed for you so that is not allowing you to recover this basically happens due to a deficiency of a neurotransmitter in the brain called serotonin which reduced the stress handling capacity of the brain apart from stress there are genetic factors also and that is another reason you are having this problem please consult a local psychiatrist who can examine you and start you on sari selective serotonin reuptake inhibitors type of medicines which are the first line of treatment and are highly effective it is normally given for two to four months and then tapered off slowly the medicines take about a week or 10 days to start taking effect and until then usually low dose benzodiazepine are given for immediate effect in addition to the medicines please do deep breathing exercises daily yoga meditation progressive muscle relaxation etc which will help calm your nervous system