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Mental Health  (Expert Forum)
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dealing with agoraphobia
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD), bipolar disorder, dementia, electroconvulsive therapy (ECT), learning disabilities, memory, obsessive compulsive disorder (OCD), panic, personality disorders, phobias, post-traumatic stress disorder (PTSD), schizophrenia, stress, transitions, and work problems.

dealing with agoraphobia

by STOPYELLING, Mar 16, 2008 01:12PM
Hi,  I'm a 29 year old male,  for 3 years I've had one mysterious physical symptom after the other popping up.   Severe daily headaches and derealization were first.  I couldn't leave the house/drive for about teh first year but then gradually started "dealing with it" and going limited places.....then 6 months ago I started having cardiac/tachycardia symptoms with no good explanation either....Now I'm stuck in the house again with even worse agoraphobia  because now when I'm in public I get the most intense derealiztion you can imagine espeically made worse by white light,  I've only been given inderal for tachycardia....  I've even had sleep walking,  nightmares, and pulses of 170 in my sleep.    Would nightmares cause a pulse of 170?    My pulse seems to be really aggrivated especially when I fear getting caught doing something i "shouldn't"    
With anxiety and nightmares (even nightmares you dont remember) cause such a high pulse?

by Roger Gould, M.D., Mar 17, 2008 05:27PM
To: stopyelling
You are describing a serious generalized anxiety situation.  This can be treated by a combination of behavioral therapy and medications.  It sounds like you need something more than Inderal.  It is the anxiety that increases your heart rate and causes the other symptoms and yes nightmares can increase your pulse rate.
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