Constant Salivation and Swallowing: Anxiety's Impact on Oral Health - Psychiatry

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It sounds like you are experiencing significant distress related to your oral health and anxiety, particularly following your dental procedures. The symptoms you describe—constant salivation and the urge to swallow—can indeed be linked to anxiety and stress, especially in the context of ongoing dental work and previous experiences with dental procedures.

Firstly, it's important to understand that anxiety can manifest in various physical symptoms, including increased salivation. This is often a response to stress or anxiety, where the body goes into a heightened state of alertness. In your case, the anticipation of dental work and the discomfort associated with it may be exacerbating your anxiety, leading to these symptoms.
The medications you are taking, such as Rivotril (clonazepam) and Xanax (alprazolam), are benzodiazepines that can help manage anxiety. However, they may not completely alleviate the physical symptoms you are experiencing. It's also worth noting that while these medications can be effective for short-term relief, they may not address the underlying anxiety that contributes to your symptoms.

Here are some strategies you might consider to help manage your symptoms:
1. Communication with Your Dentist: It's crucial to keep an open line of communication with your dentist about your anxiety and the symptoms you are experiencing. They may be able to adjust your treatment plan or provide additional support during your visits. For example, they might offer sedation dentistry options that can help you feel more relaxed during procedures.

2. Cognitive Behavioral Therapy (CBT): Engaging in therapy, particularly CBT, can be beneficial for managing anxiety. This type of therapy focuses on identifying and changing negative thought patterns and behaviors associated with anxiety. A therapist can help you develop coping strategies to manage your anxiety more effectively.

3. Mindfulness and Relaxation Techniques: Practicing mindfulness, deep breathing exercises, or progressive muscle relaxation can help reduce anxiety levels. These techniques can be particularly useful before and during dental appointments to help calm your mind and body.

4. Regular Follow-ups with Your Psychiatrist: Since you have a history of anxiety and are on medication, regular follow-ups with your psychiatrist are essential. They can assess the effectiveness of your current medication regimen and make adjustments if necessary. If your symptoms persist, they may consider alternative medications or therapies.

5. Support Groups: Sometimes, connecting with others who have similar experiences can provide comfort and understanding. Look for support groups for individuals dealing with anxiety or dental phobia.

6. Diet and Hydration: Ensure you are staying hydrated and maintaining a balanced diet. Sometimes, dehydration can exacerbate physical symptoms, including salivation.

7. Gradual Exposure: If possible, consider gradually exposing yourself to dental environments. This could involve visiting the dental office for non-treatment-related reasons, such as just to sit in the waiting room or meet the staff, to help desensitize yourself to the environment.

In conclusion, while your symptoms are understandably distressing, there are multiple avenues you can explore to find relief. It’s essential to work closely with your healthcare providers to develop a comprehensive plan that addresses both your anxiety and your dental health needs. Remember, you are not alone in this, and with the right support and strategies, you can manage your symptoms effectively.