instruction: hello doctor I am 19 years old I am facing some kind of fear from about six to seven years I thought it naturally demolish with the time but now it is increasing day by day before I have the only fear of suffocation and enclosed space like jet lift etc now from about two months I am facing one more new phobia which is I cannot catch my breath then my heartbeat rise rapidly I cannot focus on my life goals due to these problems I cannot go foreign or everywhere where I want to go please help
output: hi yes you are experiencing panic related symptoms under anxiety issues as you have shared of phobia it requires adequate counseling and brief psychotherapy to deal with anxiety problems the symptoms you are experiencing are part of panic attack feelings and symptoms like palpitations getting heart attack difficulty in breathing digestive concerns and sleep problems can be a part of heart related problems or anxiety at first you must need to get proper assessment identifying the cause of this anxiousness whether it is work related or some personal issue it can be done by analyzing thought processes when you are having such symptoms after analyzing thoughts cognitive behavior therapy thought channelization and restructuring are quite helpful in addition to make yourself relax you can do the following deep breathing exercises walk for at least 30 minutes per day workout if possible to release toxins out of your body reduce smoking if you do avoid junk and spicy food soft drinks increase water intake thought diary or journaling will be also helpful for analyzing and restructuring of thoughts underlying cause of the problem you can also have an appointment with the counselor to help you in assessing and provide you with individualized therapy as per the requirement