Our expert says:
Hello David, Mirtazepine is an antidepressant used to treat Depression, but also used effectively to treat anxiety disorder. It does indeed sound as though you may well have an anxiety disorder. Antidepressants like Mirtazepine can be very effective in treating anxiety, and take a couple of weeks to show their full potential. Valium is very different : more specific to anxiety symptoms, its a bit like a drink of alcohol : it shows its effects quickly, which is helpful when one wants a quick response. It and is relatives tend to reduce concentration and coordination, and even the next day, so one needs to be cautious about driving, maybe handling gym equipment, and so on. The big problem with them is that if they're used every day for a couple of weeks, there's a real risk of developing dependence on them, and this can be difficult to shake off.
Anxiety can also be effectively treated by specific type of psychotherapy called CBT (Cognitive-Behaviour Therapy, so you can see why we call it CBT! ) which doesn't take ages, and helps you to learn to understand and avoid or control whatever triggers your episodes of anxiety, and how to calm yourself psychologically, and to relax deliberately when you need to do so.
The symptoms you describe are really typical of an anxiety disorder, including concern about bodily symptoms, amplification of any minor source of pain, discomfort breathing, maybe a rapid pulse ( though regular exercise tends to help reduce pulse rate ), sweating, etc. One easily gets caught in a vicious circle where such a symptoms makes you worried, which increases the symptom, and so on.
And anxiety is sneaky, and people who become very anxious worry that their symptoms must be due to some awful disease, or even, in a full-blown panic attack, feel sure they're going to go mad, or drop dead. Fortunately this does not happen, but the concerns are very convincing.
The lesion on your cheek is probably not directly relevant, but if it bleeds fairly easily ( rather than only when it gets nicked shaving, or scraped in the gym ) it's worth having your doctor have a look at it. These things are usually nothing serious, but its always worth checking to be sure.
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