Please do not stop your medications abruptly, as this can cause severe withdrawal. Your current medications?venlafaxine, propranolol, paroxetine, and clonazepam?carry potential risks during pregnancy, including developmental concerns or newborn withdrawal symptoms. Since you feel tired and see no improvement, your treatment plan needs to be adjusted. I highly recommend consulting your psychiatrist and obstetrician immediately. They can safely taper you off these drugs and switch you to safer, effective alternatives before you conceive. Managing your mental health safely is the best first step toward a healthy pregnancy.

Please do not stop your medications abruptly, as this can cause severe withdrawal. Your current medications?venlafaxine, propranolol, paroxetine, and clonazepam?carry potential risks during pregnancy, including developmental concerns or newborn withdrawal symptoms. Since you feel tired and see no improvement, your treatment plan needs to be adjusted. I highly recommend consulting your psychiatrist and obstetrician immediately. They can safely taper you off these drugs and switch you to safer, effective alternatives before you conceive. Managing your mental health safely is the best first step toward a healthy pregnancy.

It sounds like you are experiencing panic symptoms triggered by claustrophobia. For immediate relief in trigger situations like elevators or metros, a doctor may prescribe short-acting beta-blockers (such as propranolol) to control physical symptoms like sweating and rapid heartbeat, or low-dose benzodiazepines (such as alprazolam) for acute anxiety. For long-term management, daily SSRI antidepressants can help lower overall anxiety. However, medications are most effective when combined with Cognitive Behavioral Therapy (CBT) to address the root fear. Please consult a healthcare professional for a formal diagnosis, as these medications require a prescription and careful supervision.