Panic Attack

13 min read

A panic attack is a sudden episode of intense fear or apprehension that can cause physical symptoms such as a racing heart, shortness of breath, and chest pain. It is a type of anxiety disorder that can cause significant distress and disruption to a person's life. Panic attacks can occur unexpectedly or in response to a trigger, such as a stressful situation or a traumatic event.

Panic attacks can vary in intensity and duration, and can occur in both adults and children. They can be a one-time event or can occur in episodes. Panic attacks can be treated with psychotherapy, medications, or a combination of both.

Causes of Panic Attacks

The exact cause of panic attacks is not known, but they are thought to be related to a combination of biological and psychological factors. Biological factors may include genetics, brain chemistry, and hormones. Psychological factors may include stress, fear, and past traumatic experiences.

Diagnosis of Panic Attacks

A diagnosis of panic disorder is made when a person experiences recurrent, unexpected panic attacks and at least one of the attacks is followed by a period of at least one month of persistent worry about having another attack or the consequences of the attack. A doctor may also diagnose panic disorder if the person experiences recurrent panic attacks without any identifiable trigger.

Complications of Panic Attacks

Panic attacks can lead to a variety of complications, including social isolation, depression, and substance abuse. People who experience panic attacks may also be at an increased risk of developing other anxiety disorders, such as agoraphobia or post-traumatic stress disorder.

Take the Panic Attack Assessment

Symptoms

Physical Symptoms

Physical symptoms of a panic attack can include:

  • Rapid heart rate
  • Sweating
  • Trembling or shaking
  • Shortness of breath
  • Choking sensation
  • Chest pain or discomfort
  • Nausea or abdominal distress
  • Feeling dizzy, lightheaded, or faint
  • Chills or hot flashes

Psychological Symptoms

Psychological symptoms of a panic attack can include:

  • Fear of losing control or going crazy
  • Fear of dying
  • Feeling of detachment or being outside of your body
  • Intense worry or fear
  • Feeling of impending doom or danger

Treatment

If you are experiencing panic attacks, it is important to seek help from a mental health professional. Treatment for panic attacks typically includes cognitive-behavioral therapy, medication, or a combination of the two. With the right treatment, you can learn to manage your panic attacks and live a more fulfilling life.

Causes

Genetics

Research suggests that genetics may play a role in the development of panic attacks. People who have a family history of anxiety disorders or panic attacks may be more likely to experience them themselves.

Stress

Stressful life events, such as the death of a loved one, a divorce, or a job loss, can trigger panic attacks. Chronic stress can also lead to the development of panic attacks.

Personality

People who are more prone to worrying or who have a perfectionist personality may be more likely to experience panic attacks. People who are more sensitive to criticism or who have difficulty expressing their emotions may also be at an increased risk.

Substance Abuse

Substance abuse, such as the use of alcohol or drugs, can increase the risk of panic attacks. People who are dependent on substances may experience withdrawal symptoms that can trigger panic attacks.

Medical Conditions

Certain medical conditions, such as thyroid problems, heart conditions, and asthma, can cause physical symptoms that can be mistaken for a panic attack. It is important to see a doctor to rule out any underlying medical conditions.

Getting a Diagnosis

What is a Panic Attack?

A panic attack is a sudden episode of intense fear or anxiety that can last for several minutes. During a panic attack, a person may experience physical symptoms such as a racing heart, shortness of breath, chest pain, dizziness, and sweating. They may also experience psychological symptoms such as fear of dying, fear of losing control, and a feeling of impending doom.

Diagnosing Panic Attacks

In order to diagnose a panic attack, a doctor will typically take a medical history and perform a physical exam. The doctor may also order tests such as an electrocardiogram (ECG) or blood tests to rule out other medical conditions. The doctor may also ask questions about the person’s symptoms and lifestyle to determine if they are at risk for panic attacks.

If the doctor suspects that the person is experiencing panic attacks, they may refer them to a mental health professional for further evaluation. The mental health professional may use psychological tests and interviews to determine if the person is experiencing panic attacks. They may also use diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to make a diagnosis.

Treatment for Panic Attacks

Once a diagnosis of panic attacks has been made, the doctor may recommend a treatment plan. Treatment may include medications such as antidepressants or anti-anxiety medications, as well as psychotherapy. Cognitive-behavioral therapy (CBT) is a type of psychotherapy that can help a person learn to manage their anxiety and panic attacks.

It is important to seek help if you are experiencing panic attacks. With the right diagnosis and treatment, you can learn to manage your symptoms and lead a healthy and fulfilling life.

Questions for Your Doctor

Symptoms

Describe your symptoms to your doctor. Be as specific as possible. Include any physical symptoms, such as chest pain, shortness of breath, sweating, trembling, and dizziness. Also, mention any psychological symptoms, such as fear, worry, and feeling overwhelmed. Your doctor can use this information to help diagnose and treat your panic attacks.

Triggers

Discuss any triggers that may be causing your panic attacks. Triggers can include certain situations, such as being in a crowded place, or certain thoughts, such as worrying about the future. Knowing your triggers can help you avoid them and manage your panic attacks.

Treatment Options

Your doctor can discuss different treatment options for panic attacks. These may include medications, such as antidepressants or anti-anxiety medications, or psychotherapy, such as cognitive-behavioral therapy. Your doctor can help you decide which treatment option is best for you.

Lifestyle Changes

Your doctor can also recommend lifestyle changes that can help reduce your panic attacks. These may include getting regular exercise, eating a healthy diet, avoiding caffeine and alcohol, and getting enough sleep. Your doctor can help you develop a plan to make these changes.

Follow-Up Appointments

Finally, discuss follow-up appointments with your doctor. It is important to keep track of your progress and make sure that your treatment plan is working. Your doctor can help you set up regular appointments to monitor your progress.

Talking to your doctor about your panic attacks is an important step in managing them. Your doctor can help you understand the causes of your panic attacks and develop a plan to manage them. Be sure to discuss your symptoms, triggers, treatment options, lifestyle changes, and follow-up appointments with your doctor.

Treatment

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that focuses on changing negative thought patterns and behaviors. CBT helps people identify and challenge irrational thoughts and beliefs that can lead to panic attacks. It also teaches people how to manage their physical symptoms of anxiety and how to cope with stressful situations.

Medication

Medication can be used to help reduce the symptoms of panic attacks. Common medications used to treat panic attacks include antidepressants, anti-anxiety medications, and beta-blockers. It is important to talk to your doctor about the risks and benefits of any medication before taking it.

Relaxation Techniques

Relaxation techniques such as deep breathing, progressive muscle relaxation, and mindfulness can help reduce the physical symptoms of panic attacks. These techniques can help people focus on the present moment and become more aware of their body and their thoughts. Practicing relaxation techniques regularly can help people better manage their anxiety and reduce the frequency of panic attacks.

Exposure Therapy

Exposure therapy is a type of cognitive behavioral therapy that helps people confront their fears and anxieties. During exposure therapy, people are gradually exposed to the situations or objects that trigger their panic attacks. This helps them learn how to manage their anxiety and cope with their fears in a safe and controlled environment.

Lifestyle Changes

Making lifestyle changes can also help reduce the symptoms of panic attacks. Eating a healthy diet, getting regular exercise, and getting enough sleep can help reduce stress and anxiety. Avoiding alcohol and drugs can also help reduce the frequency and intensity of panic attacks.

If you are experiencing panic attacks, it is important to talk to your doctor or a mental health professional. They can help you find the best treatment plan for your individual needs.

Drugs & Medications

Types of Drugs Used to Treat Panic Attacks

The most common type of drug used to treat panic attacks is an antidepressant. These medications work by increasing levels of serotonin, a neurotransmitter that helps regulate mood. Common antidepressants used to treat panic attacks include selective serotonin reuptake inhibitors (SSRIs) such as Prozac, Zoloft, and Paxil, as well as tricyclic antidepressants such as Elavil and Tofranil. Other medications that may be prescribed include benzodiazepines such as Xanax and Klonopin, which work by calming the nervous system.

Potential Side Effects

All medications have the potential for side effects, and it’s important to discuss these with your doctor before starting any medication. Common side effects of antidepressants include nausea, headache, insomnia, and sexual dysfunction. Benzodiazepines can cause drowsiness, confusion, and memory problems. It’s also important to note that these medications can be habit-forming, so it’s important to take them as prescribed and not to increase the dosage without consulting your doctor.

Deciding Which Drug is Right for You

The best way to decide which drug is right for you is to talk to your doctor. Your doctor will consider your medical history, the severity of your symptoms, and any other medications you may be taking. It’s also important to discuss any potential side effects and to make sure you understand how to take the medication correctly. Your doctor may also recommend lifestyle changes such as exercise, relaxation techniques, and cognitive behavioral therapy to help manage your panic attacks.

Conclusion

Panic attacks can be a frightening experience, but there are medications available to help manage them. Common medications used to treat panic attacks include antidepressants and benzodiazepines. It’s important to discuss the potential side effects of these medications with your doctor before starting any medication. Your doctor can also help you decide which drug is right for you and may recommend lifestyle changes to help manage your panic attacks.

Diet

Foods to Eat

Certain foods can help reduce the symptoms of panic attacks. Eating foods that are high in magnesium, such as spinach, almonds, and cashews, can help reduce anxiety and stress. Foods that are high in B vitamins, such as eggs, salmon, and avocados, can also help reduce anxiety. Eating foods that are high in omega-3 fatty acids, such as salmon, tuna, and walnuts, can help reduce inflammation and improve mood. Eating complex carbohydrates, such as oatmeal, quinoa, and brown rice, can help stabilize blood sugar levels and reduce anxiety.

Foods to Avoid

Certain foods can trigger panic attacks or make them worse. Avoiding foods that are high in sugar and refined carbohydrates, such as candy, cookies, and white bread, can help reduce the frequency and severity of panic attacks. Avoiding foods that are high in caffeine, such as coffee, tea, and energy drinks, can also help reduce the symptoms of panic attacks. Avoiding alcohol can also help reduce the symptoms of panic attacks.

Conclusion

Eating a healthy diet can help reduce the frequency and severity of panic attacks. Eating foods that are high in magnesium, B vitamins, omega-3 fatty acids, and complex carbohydrates can help reduce anxiety and improve mood. Avoiding foods that are high in sugar, refined carbohydrates, caffeine, and alcohol can also help reduce the symptoms of panic attacks.

Lifestyle

Exercise Regularly

Regular exercise can help reduce the frequency and intensity of panic attacks. Exercise releases endorphins, which can help reduce stress and anxiety. Aim for at least 30 minutes of moderate exercise, such as walking, jogging, or swimming, three to five times a week.

Practice Relaxation Techniques

Relaxation techniques, such as deep breathing, progressive muscle relaxation, and guided imagery, can help reduce stress and anxiety. Practice these techniques regularly to help reduce the frequency and intensity of panic attacks.

Get Enough Sleep

Getting enough sleep is essential for managing stress and anxiety. Aim for seven to nine hours of sleep each night. If you have trouble sleeping, try relaxation techniques before bed or talk to your doctor about other options.

Eat a Healthy Diet

Eating a healthy diet can help reduce stress and anxiety. Avoid processed foods and sugary snacks, and focus on eating whole grains, fruits, vegetables, and lean proteins. Eating a balanced diet can help keep your energy levels up and reduce the frequency and intensity of panic attacks.

Limit Caffeine and Alcohol

Caffeine and alcohol can both increase stress and anxiety levels. Try to limit your intake of both, and avoid drinking alcohol before bed. If you find that caffeine or alcohol triggers your panic attacks, try to avoid them altogether.

Talk to Someone

Talking to a friend, family member, or therapist can help reduce stress and anxiety. Talking about your feelings can help you gain perspective and find solutions to your problems. If you don't feel comfortable talking to someone in person, there are online support groups and forums that can provide a safe space to talk about your feelings.

Seek Professional Help

If lifestyle changes don't help reduce the frequency and intensity of your panic attacks, it may be time to seek professional help. A therapist or psychiatrist can help you identify the root cause of your panic attacks and develop a treatment plan to help you manage them.