Our expert says:
What more can I say ? It's clear that whatever else might be going on, severe anxiety is an important part of the problems. When anxiety presents itself with noticeable physical symptoms, it can start to be managed by general physicians, even surgeons, and MUST be properly assessed, in such a complex situation, by a real specialist psychiatrist, who needs to assess the whole situation, and make a comprehensive diagnosis, and a serious treatment plan, tailored to the particular individual. rather than a routine one-size fits all plan.
In my long experience, for the plan to be successful, though it may well include the careful use of medications, it MUST include skillful psychological counselling / psychotherapy, preferably of the business-like and scientifically well established CBT variety. This should not be the wishy-washy psychoanalytical type endless counselling, but focused from the start on giving the person autonomy / independence, and the ability to regain control over their anxiety and the range of symptoms it has been producing.
An experienced therapist / counsellor will be aware of the avoidable risk of letting someone become too dependent on them, and will emphasize individual power and freedom.
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