Panic Disorder

13 min read

Panic disorder is a type of anxiety disorder characterized by sudden and intense episodes of fear or terror. It is estimated that up to 6 million Americans suffer from panic disorder. Panic disorder can be a debilitating condition, as it can interfere with a person's ability to lead a normal life.

Causes of Panic Disorder

The exact cause of panic disorder is not known, but it is believed to be related to a combination of biological and environmental factors. It is thought that certain genetic and environmental factors may make a person more likely to develop panic disorder. These factors may include a family history of anxiety disorders, stressful life events, and certain personality traits.

Diagnosis of Panic Disorder

Panic disorder is diagnosed based on a person's symptoms and medical history. A doctor may ask questions about the person's symptoms and medical history, and may also perform a physical exam. In some cases, a doctor may order tests to rule out other medical conditions that may be causing the symptoms.

Complications of Panic Disorder

Panic disorder can lead to a number of complications, including depression, substance abuse, and social isolation. It can also interfere with a person's ability to work or go to school. In some cases, panic disorder can lead to suicidal thoughts or behaviors.

Prevention of Panic Disorder

There is no sure way to prevent panic disorder, but there are steps that can be taken to reduce the risk. These steps include reducing stress, getting regular exercise, and avoiding drugs and alcohol. It is also important to seek help from a mental health professional if symptoms of panic disorder develop.

Take the Panic Disorder Assessment

Symptoms

Physical Symptoms

Physical symptoms of panic disorder can include:

  • Rapid heart rate
  • Sweating
  • Trembling or shaking
  • Shortness of breath
  • Choking sensation
  • Chest pain
  • Nausea
  • Dizziness
  • Hot or cold flashes
  • Numbness or tingling sensations

Psychological Symptoms

Psychological symptoms of panic disorder can include:

  • Fear of losing control or going crazy
  • Fear of dying
  • Intense worry or dread
  • Feeling of detachment or unreality
  • Obsessive thoughts
  • Depersonalization
  • Panic attacks

Behavioral Symptoms

Behavioral symptoms of panic disorder can include:

  • Avoidance of places or situations that may trigger panic attacks
  • Agitation or restlessness
  • Difficulty concentrating
  • Sleep disturbances
  • Irritability

If you are experiencing any of these symptoms, it is important to seek help from a mental health professional. With proper treatment, it is possible to manage the symptoms of panic disorder and lead a healthy and fulfilling life.

Causes

Genetics

Research suggests that genetics may play a role in the development of panic disorder. Studies have found that people with panic disorder are more likely to have a family history of anxiety or depression. This suggests that there may be a genetic component to the condition.

Brain Chemistry

Research has also suggested that changes in brain chemistry may be involved in the development of panic disorder. Studies have found that people with panic disorder have an imbalance of certain neurotransmitters, such as serotonin and norepinephrine. This imbalance may lead to the development of panic attacks.

Stress

Stress is another factor that may contribute to the development of panic disorder. Stressful life events, such as the death of a loved one or a job loss, can trigger panic attacks. Additionally, chronic stress can lead to an increase in anxiety, which can lead to panic attacks.

Personality

Personality may also be a factor in the development of panic disorder. People who are more prone to worrying or who have a tendency to be perfectionists may be more likely to develop panic disorder. Additionally, people who are more sensitive to criticism or who have difficulty expressing their emotions may be more likely to experience panic attacks.

Substance Abuse

Substance abuse can also contribute to the development of panic disorder. People who abuse drugs or alcohol may be more likely to experience panic attacks. Additionally, withdrawal from certain substances can also trigger panic attacks.

Medical Conditions

Certain medical conditions can also contribute to the development of panic disorder. For example, people with thyroid disorders or heart conditions may be more likely to experience panic attacks. Additionally, certain medications, such as asthma medications, can also trigger panic attacks.

Getting a Diagnosis

What is Panic Disorder?

Panic disorder is a type of anxiety disorder that is characterized by sudden and intense episodes of fear and anxiety. These episodes can last for several minutes and can be accompanied by physical symptoms such as a racing heart, sweating, shaking, and difficulty breathing. People with panic disorder may also experience anticipatory anxiety, which is a fear of having another panic attack.

Diagnosing Panic Disorder

If you are experiencing symptoms of panic disorder, it is important to seek help from a mental health professional. A doctor or therapist can help to diagnose the condition and provide the right treatment.

The diagnosis of panic disorder is based on a combination of factors, including a physical exam, a psychological evaluation, and a review of symptoms. The doctor may also ask questions about your medical history and any medications you are taking.

During the physical exam, the doctor will check your vital signs, such as your heart rate and blood pressure. They may also order blood tests to rule out any physical conditions that could be causing the symptoms.

The psychological evaluation will involve a discussion of your symptoms and any other mental health issues you may be experiencing. The doctor may also ask questions about your family history and any stressful events that may have occurred recently.

Once the doctor has gathered all the necessary information, they will be able to make a diagnosis. If the diagnosis is panic disorder, the doctor will discuss treatment options with you. Treatment may include medications, psychotherapy, or a combination of both.

Conclusion

If you are experiencing symptoms of panic disorder, it is important to seek help from a mental health professional. A doctor or therapist can help to diagnose the condition and provide the right treatment. Treatment may include medications, psychotherapy, or a combination of both. With the right treatment, it is possible to manage the symptoms of panic disorder and lead a healthy and fulfilling life.

Questions for Your Doctor

Symptoms

Describe your symptoms to your doctor in as much detail as possible. This will help your doctor determine the best course of treatment for you. Be sure to include any physical symptoms, such as chest pain, shortness of breath, and sweating, as well as any psychological symptoms, such as fear, anxiety, and difficulty concentrating.

Treatment Options

Discuss the various treatment options available for panic disorder with your doctor. These may include medications, such as antidepressants and anti-anxiety medications, as well as psychotherapy, such as cognitive-behavioral therapy. Your doctor can help you decide which treatment option is best for you.

Lifestyle Changes

Your doctor may also suggest lifestyle changes to help manage your panic disorder. These may include getting regular exercise, eating a healthy diet, avoiding alcohol and drugs, and getting enough sleep. Your doctor can provide more information about how to make these changes.

Follow-Up Appointments

Be sure to 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.

Questions and Concerns

Finally, be sure to ask your doctor any questions or express any concerns you may have about your panic disorder. Your doctor is there to help you, and it is important to be open and honest about your symptoms and treatment.

Treatment

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy (CBT) is a type of psychotherapy that focuses on changing negative thought patterns and behaviors. It can help people with panic disorder identify and challenge irrational thoughts and fears, and learn to manage their anxiety. CBT can also help people learn relaxation techniques and develop coping strategies for dealing with panic attacks.

Medication

Medication can be an effective treatment for panic disorder. Commonly prescribed medications include antidepressants, anti-anxiety medications, and beta-blockers. These medications can help reduce the frequency and intensity of panic attacks, as well as reduce the associated anxiety and fear.

Exposure Therapy

Exposure therapy is a type of cognitive behavioral therapy that involves gradually exposing a person to the situations or objects that trigger their panic attacks. This can help them learn to manage their fear and anxiety in a safe and controlled environment. Exposure therapy can also help people learn to recognize and challenge irrational thoughts and fears.

Relaxation Techniques

Relaxation techniques such as deep breathing, progressive muscle relaxation, and mindfulness can help reduce stress and anxiety. These techniques can be used to help manage panic attacks and can be used in combination with other treatments for panic disorder.

Support Groups

Support groups can be a great way to connect with others who are dealing with similar issues. They can provide a safe and supportive environment to share experiences and learn from each other. Support groups can also help people learn coping strategies and develop a sense of community.

Lifestyle Changes

Making lifestyle changes can also help manage panic disorder. 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 risk of panic attacks.

If you are struggling with panic disorder, it is important to seek help from a mental health professional. With the right treatment, you can learn to manage your panic disorder and live a healthy and fulfilling life.

Drugs & Medications

Types of Drugs for Panic Disorder

The most common type of medication used to treat panic disorder is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI). SSRIs work by increasing the amount of serotonin, a neurotransmitter, in the brain. Common SSRIs used to treat panic disorder include fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), and citalopram (Celexa).

In addition to SSRIs, other types of medications may be used to treat panic disorder. These include benzodiazepines, which are sedatives that can help reduce anxiety and panic symptoms. Common benzodiazepines used to treat panic disorder include alprazolam (Xanax), clonazepam (Klonopin), and lorazepam (Ativan).

Side Effects of Drugs for Panic Disorder

All medications have the potential for side effects. Common side effects of SSRIs include nausea, headache, insomnia, and sexual dysfunction. Common side effects of benzodiazepines include drowsiness, dizziness, and confusion. It is important to talk to your doctor about any side effects you may experience while taking medications for panic disorder.

Conclusion

Medications can be an effective treatment for panic disorder. It is important to talk to your doctor about the risks and benefits of any medication you are considering taking. With the right medication and other treatments, such as therapy, you can manage your panic disorder and lead a healthy and fulfilling life.

Diet

What to Eat

When it comes to diet and panic disorder, it is important to focus on eating a balanced diet that is rich in vitamins and minerals. Eating plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats can help to reduce stress and anxiety. Additionally, foods that are high in magnesium, such as nuts, seeds, and dark leafy greens, can help to reduce the severity of panic attacks.

What to Avoid

Certain foods can trigger panic attacks or make them worse. It is important to avoid foods that are high in sugar, caffeine, and processed ingredients. Additionally, it is important to limit alcohol and avoid smoking, as these can both increase anxiety and worsen panic attacks.

Conclusion

Eating a balanced diet that is rich in vitamins and minerals can help to reduce stress and anxiety, while avoiding certain foods can help to reduce the severity of panic attacks. It is important to focus on eating plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats, while avoiding foods that are high in sugar, caffeine, and processed ingredients. Additionally, it is important to limit alcohol and avoid smoking, as these can both increase anxiety and worsen panic attacks.

Lifestyle

Exercise Regularly

Regular exercise can help reduce stress and anxiety, which can help reduce the symptoms of panic disorder. Exercise can also help improve your mood and overall wellbeing. Aim to get at least 30 minutes of exercise each day, such as walking, jogging, swimming, or cycling.

Practice Relaxation Techniques

Relaxation techniques such as deep breathing, progressive muscle relaxation, and mindfulness can help reduce stress and anxiety. Practicing these techniques regularly can help you manage your panic disorder.

Get Enough Sleep

Getting enough sleep is essential for managing stress and anxiety. Aim to get at least 7-8 hours of sleep each night. If you have trouble sleeping, try to establish a regular sleep routine and avoid caffeine and alcohol before bed.

Eat a Healthy Diet

Eating a healthy diet can help reduce stress and anxiety. Aim to eat a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins. Avoid processed and sugary foods, as these can increase stress and anxiety.

Limit Alcohol and Caffeine

Alcohol and caffeine can increase stress and anxiety, so it is best to limit your intake. If you do choose to drink alcohol, do so in moderation and avoid drinking too close to bedtime.

Talk to Someone

Talking to a trusted friend or family member can help you manage your panic disorder. You can also talk to a mental health professional, such as a therapist or counselor, who can help you develop coping strategies and provide support.

Seek Professional Help

If you are struggling to manage your panic disorder, it is important to seek professional help. A mental health professional can help you develop coping strategies and provide support. They can also help you find the right treatment plan for your needs.