Article:
Anxiety disorders are serious
medical illnesses that affect about
19 million American children and
adults. These disorders leave
people’s lives with a feeling of
overwhelming anxiety and fear. Acute
anxiety is caused by a stressful
event such as a business
presentation or a first date.
Anxiety disorders are chronic,
relentless, and can grow
progressively worse if not treated.
Effective treatments for anxiety
disorders are available, and
research is always finding new and
improved therapeutic methods of
treatment that can help most people
with anxiety disorders lead
productive, fulfilling lives.
If you think you have an anxiety
disorder, you should seek
information and
treatment.
Panic Disorder is an anxiety
disorder.
Here we will:
**help you identify the symptoms of
anxiety disorders,
**explain the role of research in
understanding the causes of these
conditions,
**describe effective treatments,
**help you learn how to obtain
treatment and work with a doctor or
therapist, and
**suggest ways to make treatment
more effective.
Panic disorder affects about 2.4
million adult Americans and is twice
as common in women as in men. It
most often begins during late
adolescence or early adulthood.
Risk of developing panic disorder
appears to be inherited. Not
everyone who experiences panic
attacks will develop panic
disorder—for example, many people
have one attack but never have
another. For those who do have panic
disorder, though, it's important to
seek treatment. Untreated, the
disorder can become very disabling.
Here is an example of a Panic
Disorder story:
"It started 10 years ago, when I had
just graduated from college and
started a new job. I was sitting in
a business seminar in a hotel and
this thing came out of the blue. I
felt like I was dying.
"For me, a panic attack is almost a
violent experience. I feel
disconnected from reality. I feel
like I'm losing control in a very
extreme way. My heart pounds really
hard, I feel like I can't get my
breath, and there's an overwhelming
feeling that things are crashing in
on me.
"In between attacks there is this
dread and anxiety that it's going to
happen again. I'm afraid to go back
to places where I've had an attack.
Unless I get help, there soon won't
be anyplace where I can go and feel
safe from panic."
My cousin is also an example of the
fear of a panic. He cannot drive in
a car by himself for more than 45
minutes, otherwise he feels he may
have a panic attack. If he had to
drive for at least 1 hour, he would
take one of the drugs he has on hand
to prevent a panic attack. It is too
bad because he doesn’t get to see
his relatives in another state where
he may have to drive for 2 hours.
People with panic disorder have
feelings of terror that strike
suddenly and repeatedly with no
warning. They can't predict when an
attack will occur, and many develop
intense anxiety between episodes,
worrying when and where the next one
will strike.
If you are having a panic attack,
most likely your heart will pound
and you may feel sweaty, weak,
faint, or dizzy. Your hands may
tingle or feel numb, and you might
feel flushed or chilled.
You may have nausea, chest pain or
smothering sensations, a sense of
unreality, or fear of impending doom
or loss of control.
You may genuinely believe you're
having a heart attack or losing your
mind, or on the verge of death.
Panic attacks can occur at any time,
even during sleep. An attack
generally peaks within 10 minutes,
but some symptoms may last much
longer.
Many people with panic disorder
visit the hospital emergency room
repeatedly or see a number of
doctors before they obtain a correct
diagnosis. Some people with panic
disorder may go for years without
learning that they have a real,
treatable illness.
Panic disorder is often accompanied
by other serious conditions such as
depression, drug abuse, or
alcoholism and may lead to a pattern
of avoidance of places or situations
where panic attacks have occurred.
For example, if a panic attack
strikes while you're riding in an
elevator, you may develop a fear of
elevators. If you start avoiding
them, that could affect your choice
of a job or apartment and greatly
restrict other parts of your life.
Some people's lives become so
restricted that they avoid normal,
everyday activities such as grocery
shopping or driving. In some cases
they become housebound. Or, they may
be able to confront a feared
situation only if accompanied by a
spouse or other trusted person.
Basically, these people avoid any
situation in which they would feel
helpless if a panic attack were to
occur. When people's lives become so
restricted, as happens in about
one-third of people with panic
disorder, the condition is called
agoraphobia.
Early treatment of panic disorder
can often prevent agoraphobia.
Panic disorder is one of the most
treatable of the anxiety disorders,
responding in most cases to
medications or carefully targeted
psychotherapy.
If you saw the movie “Analyze This”,
Robert Dinero is a mobster.
Funny movie by the way. After he saw
one of his close friends killed, he
started having chest pains,
sweating, heavy breathing and he was
brought to the Emergency Room.
When the doctor in the hospital
checked him out, he told him he had
a panic attack. Of course, Robert
Diner, being a mobster, told him “I
had a heart attack”, not a “Panic
Attack and some comedy scenes
followed after that to make it a
point that in his chart he had a
Panic Attack.
You may genuinely believe you're
having a heart attack, losing your
mind, or are on the verge of death.
Attacks can occur at any time, even
during sleep.
Depression often accompanies anxiety
disorders and, when it does, it
needs to be treated as well.
Symptoms of depression include
feelings of sadness, hopelessness,
changes in appetite or sleep, low
energy, and difficulty
concentrating. Most people with
depression can be effectively
treated with antidepressant
medications, certain types of
psychotherapy, or a combination of
both.
If you are having symptoms of a
panic attack, please go to the
Emergency Room so they can decide if
it really is a panic attack or a
heart related disease. Please note
we are not diagnosing any disease
and it is up to you to follow up in
the hospital or with your doctor to
determine what you may be
experiencing.
About the author:
Fern Kuhn, RN Specializing in
Diabetes and Mental Health
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