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

### input:
Himy name is bhupender , i am 34, height is 176 cm and weight is around 78 kg. for last 2 months i am suffering from acute anxiety dissorder. the cardiologist has termed it as cardiac neurosis and the physician call it "Panic attack dissorder". i was a normall human being befor 6th of march,2010 and on 7th that strange wave of fear came all of sudden and and started feeling that m y BP is going high and i may have a heart attack. since then there has been 5 occasions when i was rushed to ER. my TMT test is ok where in i worked out for 9.5 minutes with 3 step increase in speed and reached a maximum heart rate of 190 with bp of 160/80. my LFT, KFT, blood sugar are normal, Thyroide , Vit-B12 and serum foliate is also normal but still i have a fear that my BP will go high anytime and that i will have a heart attack and i am not able to over come it. I am taking Concid twice a day before meal and Nexito 10 mg before i go to bed everyday for last 1 week. how can i reset my mind again. please help

### output:

Hi dear. I had gone through your query. I understand your concern. Panic attack define as sudden rise in anxiety. Symptoms like palpitation / tachycardia / sweating etc...it may mimic like heart attack. But all investigations came normal. In panic attacks there is no life-threatening but it has severe anxiety. No need to worry. Just relax and accept your psychological problems. Proper psychological evaluation and counselling will help. Supportive psychotherapy will increase your tolerance to bear that anxiety. It can be treated with medicine like combination of SSRI and benzodiazepine. In SSRI sertraline / Escitalopram / paroxetine will help. Sudden attack can be relieved by Mizoram and clonazepam. But consult psychiatrist for better evaluation and assistance. Still if you have a query then feel free to ask. Happy to help you further. Thank you.