Panic attack symptoms
Panic attacks - a special state of anxiety, in which there is a brief unpredictable attack of intense fear that begins at the time of non-hazardous activities.Such attack usually reaches its maximum after 10 minutes and held 30 minutes.Along with a sense of fear of attack is the combination of the physical symptoms of shortness of breath and chest pains to the feeling of suffocation and nausea.
Another symptom of panic attacks is a constant anxiety that seizures recur.This can lead to the fact that a person begins to avoid certain places or situations that were linked earlier attacks.As the amplification of the disease recurring anxiety can lead to agoraphobia (fear to be in public places), which occurs in about a third of the people with this disease.Agoraphobia can lead a person down;patients can reduce the interaction with people and refuse to work, or even leave the house for long periods.People who are prone to panic attacks are also at increased risk of serious depression, alcoholism, drug addic
People with panic attacks go and go "in a circle" in search of a doctor, who can help them: numerous surveys and prolonged courses of treatment, therapists alternate with similar rates among cardiologists, gastroenterologists, pulmonologists, endocrinologists.The longer the examination and treatment failure, the more increases the fear of the presence of a mysterious serious disease that is not amenable to diagnosis and treatment;which in turn causes increased anxiety and increased frequency of panic attacks.
This situation persists as long as the patient does not meet the competent doctor, who will send the patient to a psychiatrist or psychotherapist (or the patient decides to turn to someone of the experts).Only then begin appropriate treatment, panic attacks, symptoms disappear, the condition is completely normal.
Very often a patient with panic attacks for many years unsuccessfully treated, having a diagnosis of "vegetative-vascular dystonia", "neuro-circulatory dystonia", "vegetative crises (paroxysms)," or "sympathetic-adrenal crises".In most cases, these diagnoses "hidden" panic disorder to be treated and which can be completely cured.
Panic attacks occur in 1-2 percent of the population and twice as often in women than in men.
• Heredity plays a role.If your family has a panic attack, you have a great chance of being subjected to this disease.
• Various stimulants can cause panic attacks;These include caffeine, cocaine and alcohol.
• Some abnormalities of the brain or biochemical abnormalities may play a role in disease development.
etiology of panic disorder remains unclear in many respects.In any case, this state is set to the interaction of many biological and psychological mechanisms.In terms of psychodynamics, state of fear and anxiety - is a response to life-threatening manifestation of the stream of consciousness of painful and harmful for the patient's thoughts, impulses or desires, ie, there is a psychological conflict linked to the past or the present...Therefore, the alarm reaction in this case - an attempt to mobilize and pre-empt the threat to his own "I".
Panic attacks are a serious genetic basis: A family history on this condition (disease affects 15-17% first-degree relatives), is described as a large concordance in monozygotic twins (80-90%).
attacks often occur in people who have certain personal characteristics.For example, women dominate the personality, which is peculiar to show off, exaggerated the need to attract attention and the desire for recognition.In their behavior they are often drawn by exaggerating feelings tend to be interested in a quick and cool for those who does not show them the extent of participation, where they wait (the so-called gistrionnye person).Men often reveals a completely different type of patoharakterologii - what is called "hypochondriasis health."We are talking about a special, intense interest in his physical well-being.For them, it is important to constantly engage in rehabilitation and feel in great shape.
often possible to trace the connection of panic disorder with weathered negative emotions as a child.Approximately half of children with school phobia (ie. E. The fear of school), when growing up symptoms of a panic attack.
• Sudden momentary horror and fear of losing control.
• Shortness of breath or too deep breathing.
• Uneven heartbeat and too rapid pulse.
• Chest pain.
• Dizziness or weakness.
• The feeling of suffocation.
• Nausea or abdominal pain.
• Attacks of heat or cold.
• Tingling or numbness in the extremities.
• Fear of death or loss of reason.
sensations in the body during a panic:
Palpitations: sometimes slow and sometimes rapid.Rapid Pant (hyperventilation).
Feeling as if you do not have enough air.
Soreness in the chest, head or other body parts.
lump in the throat.The feeling of suffocation.
feeling that you need to go to the toilet.
Feeling of weakness, dizziness, and "padded" feet.
Numbness or tingling, especially in the lips and fingers and toes.
Tremors in the body.
sweating and fever.
The feeling of unreality.As if all around you are unreal or separated from the real.
main thoughts during a panic:
I have a heart attack.
I happen to breakdown, or I'm going to faint.
I do not have enough air, and I choke.
I can not control bladder or digestive tract.
I will be hard to breathe.
I was going to be sick.
I lose control, I go crazy and fall into a psychiatric clinic.
Key actions during the panic:
Most people think that nothing will happen to them if they will be located during an attack in a safe place, such as at home.Therefore they return, running into the house or strarayutsya enlist the support of people they trust.
Users can also try to avoid such situations that have happened to them.
They can take some specific actions that will give them a sense of security: they can lie down, hold on to something or open a window.
Sometimes people are so confident that they are in danger, that they were going to see a doctor, a psychiatrist or neurologist.Or call an ambulance.
• Physical examination will reveal whether there is a disease that can cause the symptoms observed, for example, cardiac arrhythmias, excessive activity of the thyroid gland, or certain types of epilepsy.
• Complete medical history and examination by a psychiatrist to help establish the diagnosis.
Often people who experience panic attacks, their families and sometimes even doctors believe that panic disorder is not treated, but it is necessary to "just pull yourself together."This is absolutely the wrong approach.To treat it is necessary, and the sooner treatment begins, the sooner you can achieve the normalization condition.Panic disorder respond well to treatment.Before going to the doctor can independently use some psychological techniques aimed at reducing the level of anxiety, and herbal (medicinal plants), which have a calming effect.But to get rid of panic attacks, restore normal life in the future and learn safely overcome various stressful situations, it is necessary to consult a doctor psychotherapist or psychiatrist.
• antidepressants, which include selective serotonin reuptake inhibitors, sertraline and paroxetine, monoamine oxidase inhibitors and tricyclic drugs are effective at stopping and reducing the frequency of panic attacks.However, it may take up to 12 weeks before the drug begins to act.
• Benzodiazeiiny, such as alprazolam, lorazepam and clonazepam, have immediate effects, but are not recommended for long-term use, as they can lead to dependence.
• Beta-blockers, which are commonly used to treat angina, high blood pressure, cardiac arrhythmias, and migraine, may stop the physical symptoms of panic attacks, but they do not eliminate the fear itself.
• Psychotherapy, especially the form known as cognitive-behavioral therapy is recommended by itself or in combination with medications.
• Relaxation techniques such as deep breathing exercises or meditation to help reduce anxiety and allow the patient to feel that he controls the symptoms of the disease.
• Use of substances that trigger panic attacks, such as caffeine and alcohol should be limited or terminated.
Consult with your doctor if you experience recurrent panic attacks or severe anxiety about the next attack, or if symptoms of fear of attacks start to reduce your quality of life.
• Early treatment can help prevent future panic attacks and the progression of the disease.
Despite the fact that panic attacks are accompanied by very unpleasant sensations, they do not pose a threat to life.