### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi. I have been dealing with panic disorder for 7 years. It was on and off. Lately I have those episodes everyday. Some day I feel the anxiety with it, some days I m not afraid, but still have bad physical symptoms . Burning sensation on my skin, chest tightness, sharp pain in heart area, lightheaded, noises in my ears, dry mouth, chocking , stomach cramps, diarrhea, high or irregular heart rate. Often feel close to passing out. I have been taking Zoloft, lexopro, pristiq right now for 3 weeks. Pristiq gives my side effects of jumping BP. It s either to high for me or too low, makes it even worse. Organs seem all to be good , did all the tests. Hormones normal too. Blood only shows that anemic , vitamin d is low and bad cholesterol is little high. Can someone give an advise , please..... Val

### output:

Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that anxiety is universal problem and worrying about can be trouble. Learn to live with it. Do not try to oppose or overcome or defeat your anxiety. If you try these, obsession may result. Researches prove that medicines alone cannot cure anxiety disorder. Along with medicine you should practice psychotherapy techniques to streamline your lifestyle and meditation and you techniques to calm your mind, body, streamline your metabolism and thinking style. Please consult a psychologist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck.