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

### input:
Hello, I am 28 year old male with severe anxiety..I feel an irregular heart beat just about every night. Like it skips a beat about every 5 beats...It scares the crap out of me..I am kind of a high strung person with a lot of energy. But for some reason I think something is wrong..it can t be normal to feel your heart beat like that. I was a fire fighter for a while and when I was under mild stress the emt s would do whats called pt...and check my vitals...just about everyone of them would look at me funny and ask was I ok? cause my heart beats really weired..It does not hurt but it really scares me and makes my heart rate go up? is there a need to rush to the emergency room in the middle of the night when I feel this?

### output:

Degree understand your concerns went through your details. I suggest you not to worry much. Palpitations (audible heart beats) are a common feature of all anxiety disorder affected people. This happens as an obsession rather than the disorder itself. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.