Indore, MP
Anxiety disorders are medical conditions characterised by persistent, excessive worry, physical tension, and fear that interfere with daily life. They are not a personality flaw or something you should be able to control alone. Expert psychiatric treatment in Indore can help you regain control.
Recognising the Signs
If you experience any of the following, talk to a professional.
Many people in India grow up being told they are 'just anxious' or 'overthinking'. This framing is harmful because it normalises a medical condition and delays treatment. Anxiety disorders involve measurable changes in brain chemistry and function, they are as real and treatable as diabetes or asthma. You do not have to live with it.
Understanding the difference
| Feature | Normal Worry | Anxiety Disorder |
|---|---|---|
| Duration | Comes and goes, resolves naturally | Persists for months, often daily |
| Proportion | Matched to the actual situation | Disproportionate or excessive |
| Control | Can be set aside or managed | Feels uncontrollable |
| Physical symptoms | Mild, brief | Intense, racing heart, sweating, trembling, chest pain |
| Functioning | Daily life continues normally | Interferes with work, relationships, or daily tasks |
About this Condition
Anxiety disorders are among the most common mental health conditions treated by psychiatrists in Indore, and among the most undertreated. Many people live with chronic worry, panic attacks, or social fear for years, believing it is just their personality or something they should be able to control on their own. That belief keeps people stuck. If you think you might be affected, you can start with the GAD-7 screening.
In India, the National Mental Health Survey (NIMHANS, 2015-16) estimated that over 30 million people live with anxiety disorders. The treatment gap is enormous, most never receive professional help, held back by stigma, the misconception that anxiety is not a real medical condition, or the belief that medication means weakness. In Madhya Pradesh specifically, access to mental health services remains limited outside major cities.
Anxiety disorders come in several forms, and accurate diagnosis matters because treatment differs for each type.
Generalised Anxiety Disorder (GAD) involves persistent, excessive worry about everyday things, health, work, family, finances, that feels impossible to control. The worry is often disproportionate to the actual situation, and it occurs on most days for at least six months. Physical symptoms are common: muscle tension, fatigue, restlessness, and difficulty concentrating.
Panic Disorder brings sudden, intense episodes of fear (panic attacks) that peak within minutes. During an attack, you may experience a racing heart, sweating, trembling, shortness of breath, chest pain, dizziness, and a feeling of losing control or dying. The fear of having another attack can itself become debilitating, leading to avoidance of places or situations where attacks have occurred.
Social Anxiety Disorder involves intense fear of social situations where you might be judged, embarrassed, or scrutinised. This goes far beyond shyness. People with social anxiety may avoid job interviews, parties, meetings, phone calls, or even eating in public. The fear is persistent and causes significant distress or functional impairment.
Specific Phobias are intense, irrational fears of particular objects or situations, flying, heights, medical procedures, enclosed spaces, animals. The fear is recognised as excessive, but the person cannot control it and goes to great lengths to avoid the trigger.
Physical symptoms of anxiety are not imaginary. They are real physiological responses, the body's fight-or-flight system activating when there is no actual danger. Over time, chronic anxiety can contribute to headaches, digestive problems, insomnia, and increased risk of depression. Many patients who come to the clinic have already seen cardiologists, gastroenterologists, and ENT specialists for physical symptoms that turned out to be anxiety-driven.
Understanding the roots
Imbalances in neurotransmitters such as serotonin, GABA, and norepinephrine are directly involved in anxiety. These are measurable biological differences, not personality flaws.
Anxiety disorders run in families. Having a first-degree relative with an anxiety disorder increases your risk significantly. This is biology, not weakness.
Trauma, chronic stress, major life changes, or ongoing difficult circumstances can trigger or worsen anxiety, even in people with no prior history.
Thyroid disorders, cardiac conditions, and certain medications can mimic or worsen anxiety symptoms. Part of the evaluation is ruling these out.
Clinical Profile
These are the most commonly reported signs.
By the numbers
Affected in India
~30M+
Indians live with anxiety disorders
Source: NIMHANS National Mental Health Survey, 2015-16
Treatment Response
60-80%
of patients improve significantly with proper treatment
Source: National Institute of Mental Health (NIMH), 2023
Treatment Gap
~80%
of people with anxiety in India receive no professional treatment
Source: Lancet Psychiatry, Volume 6, 2019 — India Mental Health Survey
Outcomes
Before Your Visit
Knowing what to expect can ease the anxiety of your first appointment.
The Process
A clear path from your first visit to feeling better.
A thorough 20-30 minute consultation covering your specific anxiety symptoms, their duration, triggers, and impact on your daily life. I screen for co-occurring conditions and rules out medical causes.
Based on your evaluation, a tailored plan is created, this may include CBT-based therapy, medication, exposure techniques, or a combination, depending on the type and severity of your anxiety.
Most patients begin noticing improvement within 2-4 weeks. Regular check-ins (every 2-4 weeks) ensure your treatment is on track, side effects are managed, and adjustments are made promptly.
Once symptoms improve, the focus shifts to maintaining gains, building independent coping skills, and planning for the long term, including gradual medication tapering when appropriate.
Questions
Normal worry is occasional, proportionate to the situation, and manageable. An anxiety disorder involves persistent, excessive worry that is difficult to control, causes significant distress, and interferes with daily activities. If worry dominates most days for more than 6 months, it is worth seeking evaluation. I use standardised screening tools to make this distinction clearly.
Modern first-line medications for anxiety (SSRIs, SNRIs) are not addictive and do not cause dependence. Benzodiazepines, which may be used short-term for severe anxiety, do carry dependence risk and are prescribed cautiously. I prioritise non-addictive options and monitors usage carefully, you will always know why a medication is prescribed and for how long.
While anxiety disorders may not be 'cured' in the traditional sense, most people achieve excellent symptom control and lead fully functional lives. Many eventually need little to no ongoing treatment after developing strong coping skills. The combination of medication and therapy produces better long-term outcomes than either alone.
Most patients begin noticing improvement within 2-4 weeks of starting medication, though full benefits take 6-8 weeks. CBT typically runs for 12-16 sessions. I will discuss a realistic timeline at your first appointment. Treatment does not end abruptly, a gradual plan ensures you maintain your gains.
For mild anxiety, therapy alone (particularly CBT) can be very effective. For moderate to severe anxiety, combining medication with therapy tends to produce better outcomes. I will give you a clear recommendation with the reasoning behind it, and your preferences are always part of the decision.
A psychiatrist (like I) is a medical doctor who can diagnose conditions, prescribe medication, and provide therapy. A psychologist provides psychotherapy and psychological testing but cannot prescribe medication. For mild anxiety, either may help. For moderate to severe anxiety, a psychiatrist's ability to combine medication and therapy often produces better outcomes.
Very much so. The two conditions frequently occur together, studies show that nearly 60% of people with anxiety also have symptoms of depression. I routinely screen for and treats both simultaneously, as addressing only one often leaves the other undertreated.
The four main types are Generalised Anxiety Disorder (GAD) involving persistent excessive worry, Panic Disorder with sudden intense fear episodes, Social Anxiety Disorder involving fear of judgement in social situations, and Specific Phobias which are intense fears of particular objects or situations. Each type has different treatment approaches, which is why accurate diagnosis matters.
Yes, most people achieve excellent symptom control and lead fully functional lives. While anxiety disorders may not be eliminated in the traditional sense, many eventually need little to no ongoing treatment after developing strong coping skills through therapy. The combination of medication and CBT produces better long-term outcomes than either alone.
Anxiety is a broader state of worry and tension that can be ongoing. A panic attack is a sudden, intense episode of fear that peaks within minutes, accompanied by physical symptoms like racing heart, sweating, trembling, shortness of breath, and chest pain. Panic attacks can occur within anxiety disorders but also happen independently. Both are treatable.
If you are having a panic attack, focus on slow, deep breathing — inhale for 4 seconds, hold for 4, exhale for 4. Remind yourself that panic attacks are not dangerous and will pass, typically within 10 to 20 minutes. If symptoms persist or you feel you may be in medical danger, call 112 or visit your nearest emergency department.
Yes. Anxiety activates the body's fight-or-flight response, which can cause racing heart, chest tightness, dizziness, shortness of breath, nausea, and numbness. These symptoms are real and distressing, but they are physiological responses to anxiety, not signs of a heart attack or other medical emergency. A thorough evaluation can distinguish anxiety from medical conditions.
If your anxiety has persisted for more than six months, is interfering with work, relationships, or daily activities, or if you are avoiding important situations because of fear, it is worth seeking professional help. You do not need to be in crisis to benefit from treatment. An evaluation can determine the type and severity of your anxiety and recommend the right treatment.
Your Doctor

Psychiatrist — Anxiety, Panic & Stress-Related Disorders
Dr Bhanwar has extensive experience treating all forms of anxiety, from mild Generalised Anxiety Disorder to severe panic disorder with agoraphobia. He combines evidence-based medication with structured Cognitive Behavioural Therapy (CBT), adjusting the approach based on how each patient responds. Trained at AIIMS, Delhi, he brings a systematic, research-backed approach to anxiety treatment. His clinic in Indore serves patients from across Madhya Pradesh, both in person and online.
Learn more about Dr RajvardhanExplore
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