PANIC ATTACKS/ DISORDER

A panic attack is a period of intense fear or discomfort  that strikes suddenly, often in familiar places, where there is seemingly nothing threatening an individual. A person may also have a strong physical reaction during a panic attack. It may feel like having a heart attack. Panic attacks can occur at any time, and many people with panic disorder worry about and dread the possibility of having another attack.

Causes of Panic Attacks/ Disorder

Panic disorder sometimes runs in families, but no one knows for sure why some people have it while others don't.

Signs & Symptoms

People with panic disorder may have:

• ·         Sudden and repeated attacks of fear
• ·         A feeling of being out of control during a panic attack
• ·         An intense worry about when the next attack will happen
• ·         A fear or avoidance of places where panic attacks have occurred in the past
• ·         Physical symptoms during an attack, such as a pounding or racing heart, sweating, breathing problems, weakness or dizziness, feeling hot or a cold chill, tingly or numb hands, chest pain, or stomach pain.

Diagnosis

Panic attacks can occur at any time, even during sleep. An attack usually peaks within 10 minutes, but some symptoms may last much longer.

People who have full-blown, repeated panic attacks can become very disabled by their condition and should seek treatment before they start to avoid places or situations where panic attacks have occurred. For example, if a panic attack happened in an elevator, someone with panic disorder may develop a fear of elevators that could affect the choice of a job or an apartment, and restrict where that person can seek medical attention or enjoy entertainment.

Some people’s lives become so restricted that they avoid normal activities, such as grocery shopping or driving. About one-third become housebound or are able to confront a feared situation only when accompanied by a spouse or other trusted person.  When the condition progresses this far, it is called agoraphobia, or fear of open spaces.

Panic disorder is often accompanied by other serious problems, such as depression, drug abuse, or alcoholism. These conditions need to be treated separately. Symptoms of depression include feelings of sadness or hopelessness, changes in appetite or sleep patterns, low energy, and difficulty concentrating. Most people with depression can be effectively treated with antidepressant medications, certain types of psychotherapy, or a combination of the two.

First, talk to your doctor about your symptoms. Your doctor should do an exam to make sure that another physical problem isn't causing the symptoms. The doctor may refer you to a mental health specialist.

Treatments

Panic disorder is generally treated with psychotherapy, medication, or both.

Psychotherapy. A type of psychotherapy called cognitive behavior therapy is especially useful for treating panic disorder. It teaches a person different ways of thinking, behaving, and reacting to situations that help him or her feel less anxious and fearful.

Medication. Doctors also may prescribe medication to help treat panic disorder. The most commonly prescribed medications for panic disorder are anti-anxiety medications and antidepressants. Anti-anxiety medications are powerful and there are different types. Many types begin working right away, but they generally should not be taken for long periods.

References

http://www.nimh.nih.gov/health/topics/panic-disorder/index.shtml

http://psychcentral.com/disorders/panic-disorder-symptoms/

http://www.psychiatry.org/panic-disorder

http://www.nhs.uk/conditions/Panic-disorder/Pages/Introduction.aspx