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Understanding Anxiety and Anxiety Attacks

Anxiety is a normal, healthy feeling that is experienced by everyone. It is the body’s way of reacting to stimulus that pushes us to either “fight” or “flight” over a situation. However, when anxiety attacks are chronic, severe, and irrational, and begin to affect the health of a person (physically, psychologically and emotionally), it already becomes a problem that must be addressed immediately. There is a thick line between healthy and unhealthy anxiety attacks. Unfortunately, the demarcation line is almost ignored that normal anxiety crosses into the territory of anxiety disorders.

Types of Anxiety Disorder

There are six different types of anxiety disorder, each has its own characteristics: generalized anxiety disorder, panic disorder, phobia, post-traumatic stress disorder, social anxiety disorder, and obsessive-compulsive disorder.

Generalized anxiety disorder (GAD) is a chronic worry or fear over almost everything without even knowing why. They feel anxious from day to day activities and are troubled that bad things will happen. People with GAD show symptoms such as stomach upset, fatigue, restlessness, and insomnia.

Panic disorder is repeated, unexpected panic attacks, and fears that panic episodes will likely to happen. People with panic disorder are likely to have agoraphobia, or fear of being in places where help or escape will be difficult in case of another panic attack. People with agoraphobia are also afraid of being trapped in confined places such as an airplane or crowded areas such as a shopping mall.

Phobia is excessive, irrational, and exaggerated fear over simple things that generally present little or no danger. Common phobias are heights, snakes, spiders, dark, and flying. People with phobias tend to avoid the things they are afraid of in order to escape anxiety attacks. However, avoidance only strengthens the phobia.

Post-traumatic stress disorder is an anxiety disorder that happens after a life-threatening or a traumatic event. People with PTSD show symptoms such as hyper-vigilance, avoiding situations or places that remind them about the event, nightmares and flashbacks about the things that happened, startling easily, and isolation.

Social anxiety disorder or social phobia is fear of being seen negatively by others or fear of getting humiliated in public by other people. Social anxiety is often mistaken as an ordinary extreme shyness. People with this kind of disorder usually isolate themselves from others or event and places where crowd usually gathers. Stage fright is the most common type of social anxiety.

Obsessive-compulsive disorder or OCD is a condition where a person has unwanted behavior or thoughts which appear to be impossible to control. People with OCD can have certain obsession such as worries that they might hurt someone or that they have forgotten to turn the lights off. They can also have uncontrollable compulsion. The most common is washing of hands repeatedly.

Do you experience anxiety attacks?

Are you always worried, tense, and on the edge?

Do you feel like you are in danger whenever you are in confined places?

Are you afraid of mingling with strangers, meeting new friends or even meeting relatives?

Do you feel that something bad or catastrophic will happen if certain things are not done according to plan?

Do you experience worry, fear and anxiousness that affect your relationship, work, healthy, and other responsibilities?

Do you feel irrational fear but couldn’t shake it?

Does your anxiety force you to avoid everyday situations and activities?

Triggers and Causes of Panic Attacks

Here are the common triggers and causes of panic attacks:

Phobia People who are exposed to certain situation or objects they are afraid of will often experience a panic attack.

Passiveness Many think that excessive politeness, shyness, and respectfulness are a positive thing and it is normal for someone to possess these characteristics. Be that as it may, a growing number of evidence supports the idea that passiveness as a result of fear (sometimes unexplained), low self-esteem and self-confidence is consistent with a person experiencing episodes of panic attack.

Hyperventilation syndrome Mouth breathing and over-breathing or exhaling more carbon dioxide with respect to the amount of oxygen in the bloodstream can result to symptoms including dizziness, lightheadedness, and rapid heartbeat. These symptoms, in turn trigger panic attacks.

Benzodiazepines Drugs such as benzodiazepines are prescribed to treat the symptoms of panic attacks. These drugs have a very quick to take effect. Usually, the patient finds relief within 30 minutes. However, benzodiazepines are highly addictive and rebound effect is common (a panic attack triggered by withdrawing from the drug).

Medications There are certain drugs such as fluoroquinolone type antibiotics and Ritalin (methylphenidate) with panic attacks listed as a side effect. Attacks may be temporary, usually occurring when a patient begins medication but may continue occurring even if the patient is already accustomed to the drug. When this happens, change of dosage or type of drug is usually warranted. Selective Serotonin Reuptake Inhibitors or SSRIs boost the level of serotonin in the brain which regulates and normalizes emotions. However, intake of SSRIs can increase anxiety at the beginning of use. Panic attacks may even be more frequent to patients who wean on and off the medications

Biological causes post traumatic stress disorder, obsessive compulsive disorder, Wilson’s disease, pheochromocytoma, hypoglycemia, mitral valve prolapse and labyrinthitis (inner ear disturbances) can manifest through panic attack. Vitamin B deficiency from periodic depletion because of parasitic infection from tapeworm or due to inadequate diet can trigger panic attacks.

Heredity Children, whose parents have been found to suffer from panic disorder, are likely to experience or have panic attacks as well. In other words, inheritance plays an important role in determining who gets it. However, people with no family history can still develop panic disorder.

Environment factors and upbringing People who grew up overly cautious about their life and actions, and those who live in a very stressful environment, plus different traumatic experiences from the past are likely to have panic attacks.

Short-term triggering causes Significant life changes, emotional trauma from a failed relationship, life transition, stimulants such as nicotine and caffeine, psilocybin, marijuana, and drugs can trigger panic attacks.

Take note that these triggers and causes may have different effects to different people. One may only need one trigger to have an episode of panic attacks. Others may require several triggers in order to break down. Also, by simply being exposed to any of these triggers do not automatically result to panic attacks because some are emotionally stronger than others.

It is also important to note that some symptoms of panic attacks may also be a sign of other medical condition. Hence, it is important to precisely pinpoint the cause of the symptoms in order know what type of treatment is necessary.

Teen Anxiety Attacks: Signs, Symptoms and Remedies

All teens, just like any adult, feel anxious from time to time as a normal reaction to stressors. Going on a date, speaking in public, meeting new people, competing in sports, performing on stage, and taking exams are some of the things that make us feel apprehensive. However, some teens experience severe anxiety than others. Some even feel severe anxiety by just thinking about the situation that has yet to happen. And when someone experiences episodes of panics or develops irrational fear over certain events or problems, it is known as anxiety attack.

When is too much anxiety too much?

Excess anxiety is when you feel worry, anxious and afraid for no apparent reason at all. Under normal circumstances, teens worry because of specific things (like what was mentioned above). But there is an obvious difference between healthy anxiety and irrational anxiousness. Teens during an anxiety attack tend to react disproportionately over simple things or events that seem not to cause any excessive anxious reaction to others. In other words, too much anxiety is an unusual reaction over simple or trivial things.

What are the signs and symptoms of anxiety attacks?

Different people react to situations differently. Hence, there are really no uniform symptoms of anxiety attack that are present to all. Nonetheless, teens may show some or all of the following signs: shortness of breath, chest pain, heart burn, smothering sensation, sweating, shivering, chilling or shaking, numbness in the head and face, neck and shoulder pain, palpitation, derealisation or depersonalization, hyperactivity, dry mouth, fear of going crazy, headaches, stomach pain, and other body pains.

Take note that some of the mentioned signs and symptoms can be caused by other medical, psychological, and physical conditionals. They can also be the effects of current medical treatment, side effects of certain medications or the body’s natural reaction to stimuli.

What are the available remedies for anxiety attacks?

Medication
Severe cases of anxiety attacks may require prescription drugs to control or reduce its symptoms. Prescription drugs may be antidepressants and benzodiazepines. Antidepressants may take some weeks to take effect so it is important to continuously take medications and not just during an attack. Benzodiazepines, on the other hand, have quick relief effects, usually within 30 minutes, but they are highly addictive, thus it should be used with caution. Remember that medication should not be the first treatment option as there are other effective ways to combat the effects of anxiety.

Therapy
Cognitive behavioral therapy (CBT) is one of the most effective ways to treat anxiety attacks or any anxiety disorder for that matter. CBT focuses on the thinking pattern of the patients and replaces negative thoughts with positive ones.

Exposure therapy exposes the person to the physical sensations of panic in a safe and controlled environment. Through repeated exposure, patients gain greater self control and more confidence in facing fearful situation.

Natural Remedies
Proper diet, regular exercise and sufficient sleep bring balance to the body, which help reduce the episodes of anxiety attacks.

Massage, aromatherapy, relaxation and breathing techniques promote wellness, relax muscles and ease muscle tension.

Herbal treatments naturally relieve stress and restlessness associated with anxiety, thus solving anxiety problem.

Thinking positively and talking to a supportive person help stop the occurrence of anxiety attacks.

Symptoms Child Anxiety Attacks

Children anxiety disorders are common, but the exact number of sufferers is unknown, most likely because the condition is often under-diagnosed, undiagnosed or unreported. While it is very treatable with good, persistent medical care, medical experts agree that anxiety problems during childhood (when misjudged and overlooked) will likely to persist as an adult psychiatric disorder. In other words, early manifestations of anxiety through anxiety attacks during childhood must be addressed as early as possible hence, reducing the chances of developing into an adult version.

Through the following symptoms, you can detect that a child is a possible candidate of a specific type of anxiety disorder or if the child is undergoing another episode of anxiety attack.

Separation anxiety is very common among children when they reach school age. They exhibit unreasoned fear and panic at being separated from their parents or their home during parents. Symptoms include crying and begging not to go to school. It is also possible that a child complains stomach aches, headaches, toothaches, and other maladies that would keep him from going to school. Alternately, a child will show a demeanor when at home or during the company of parents.

Social phobia is almost the opposite of separation anxiety. A child may choose stay home alone or keep separated from parents. Social phobia can push children to stay away from peers as they feel that they are different from other kids or that they have clothes or hair style that are apart from the interest of other kids. A child with social phobia may choose to read a book than to go to summer camp or any activity that involves mingling with others.

Performance anxiety can be closely linked to social anxiety. A child who does not play good sports may show signs of fear during physical education class. A child with poor reading skills or cannot perform simple mathematical equation may panic and become ill when called to recite for the class or solve a problem on the board.

Generalized anxiety disorder (GAD) is characterized by chronic worry or fear over almost everything without any apparent reason. Symptoms of GAD are very similar to what adults would experience. Patients with GAD may complain about stomach upset, fatigue, restlessness, and difficulty sleeping. In addition, a child may throw tantrums, may cry, have nightmares, may be keyed up and even begin to show problems in school that were not present before.

What causes anxiety to children?

There are many studies supporting that child anxiety is genetically acquired. Parents, for example, who manifest anxiety, will likely have anxious and nervous children. This condition can be learned as well. It is possible that a child develops anxiety disorder after a bad experience ridiculed by classmates, victim of bullies in school, or making a mistake in front of the class. Separation of parents, abuse, death of a loved one or any traumatic experiences can lead to anxiety disorder as well. Fear of being alone, is afraid of the dark or afraid of certain animals may be reflections of events with bad memories.

Behaviors during anxiety attacks and symptoms of anxiety disorders are similar to other psychological, physical and behavioral condition. It is important, therefore, to seek professional help to be able to rule out other reasons and provide the right treatment to the patient.