Conversation: The conversation between human and AI assistant.
[|Human|] i am a 16 year old girl. and i have been having trouble with my Heart Rate. If i get upset about even the littlest things or do physical activity more then just walking around my pulse will soar up above 200. what should i do? this has been happening for over a year now. oh and i am also prone to panic attacks
[|AI|]  HIFI admire you for positive outlook.1st thing is proper diagnoses. Panic attack and heart related problem both have same symptoms. So we have to rule out heart problem 1st to stamp it panic attack. So be at safer side go for ECG and ECHO and if it comes normal then we consider it as panic attack and detail psychological evaluation is needed. I prefer SSRI in my patient. Paroxetine and clonazepam combination is good to control panic. Apart from that following will helpful. Exercise meditation deep breathing and hyperventilation proper sleep stress free activity do pleasurable activity music and hobbies discuss with friends see all thing with different angle positive outlook confidence Hope you will get best. Thank you. Take care.