A 60 year old male is under treatment had reported with complaints of straining on defecation and feeling of incomplete evacuation He is in a constant fear of loosing life and very anxious that what will happen to him and when he will be completely fine *Management* Current treatment - Prussent 1mg Arkamin 0.1 HS Nervee CD3 HS Dytor Plus 10 1/2 tab OD Daxid 50 Cloze 0.25 HS Cap Pantop D OD BBF Tab Pan 40 After present treatment, his constipation has improved, but now he complaints of dry mouth which is due to arkamin, as well as altered taste, decreased appetite Another concern is whenever he visits, his BP is in range of 180/96, I have asked him to get his BP done in morning when he gets up at home How to tackle such tough patient?