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

### input:
How can a psychiatrist in india help me obtain the prescriptions I need for GAD and panic disorder? I have tried every anti-depressant, and the only thing that give me instant relief is Xanax and for long-term is valium. I am currently on trazedone and eflexor and although I believe they are helping me sleep and not wake up in the middle of the night it total panic, only the xanax and valium help for those episodes. My doctor will no longer prescribe valium, as is the case with most American doctors. Can you help me? I think this is a scam, because I paid for 3 consults and now you re asking for more money!

### output:

Hi dairy understand your concern. Xanax and Valium do not have much difference expect it's half life. The best review and literature said that medicines are helpful up to 60 to 70% in GAD. Rest of will cure by personal itself means you have to do for that likeYoga and meditations Exercise and relaxation. Proper scheduling work and stress-free activities. Regular and proper sleep. Healthy diet and food. You have to learn from each episode and try to make your confidence like that it is just anxiety, and you will control it. Do hyperventilation. Psychological reason and stress lead to anxiety, so psychotherapy will useful. Cognitive behavior therapy is now days most useful in panic attack and disorder. GAD and panic attack best respond to paroxetine a SSRI in daily practice. So start with low dose and increase it up to desirable dose as per symptoms is ideal practice. I hope I have answered your query. Still have a query then feel free to ask. Wish you good health. Thank you.