Tag: Agoraphobia

Panic Attacks: Between Panic Disorder and Agoraphobia

For most people, dealing with life stressors job changes, moving, pregnancy, birth of a child, death of a loved one etc. do not result to anxiety and panic attacks. However, to those who are vulnerable to emotional stress, such situations may lead to panic attacks even if these events happened way back in their life. The reason for this is still not fully understood but it is believed that one major cause of panic attacks is extended period of stress (not by a few days of tension but by several months of constant worrying and unprocessed emotions).

The chances of having an attack are even greater when a panic-prone person receives unnecessary stress such as additional tasks at work or additional responsibility at home. Instead of performing normally under regular circumstance, the additional load can put more pressure that can lead to more stress which can be a catalyst for an attack.

What is panic disorder?

It is commonly believed that panic attacks happen out of the blue, without any reason. It can happen to anyone at any point in their life. Many people experience one episode of panic attack. However, others go on to suffer from panic disorder. Panic disorder is characterized by several episodes of panic attacks related to past traumatic experiences, existing stress (mentioned above) or something else.

Many attacks last for not more than 30 minutes but the effects of panic disorder can leave lasting effects. People suffering from panic disorder experience emotional stress and excessive fear due to the memory of past attacks. This negative memory has a negative impact to self-confidence and self-esteem, which can lead to the disruption of everyday activities and normal living. While the causes of panic disorder vary from person to person, all conditions lead to these symptoms:

Anticipatory anxiety or the fear of having future attacks. This can have a detrimental effect to the sufferer since they cannot relax and they always feel anxious and tensed in between attacks.

Phobic avoidance is characterized by avoiding situations or events in the belief that the situation may cause panic attack. Phobic avoidance can also be avoiding places where help is unavailable during emergency situation.

What is agoraphobia?

Agoraphobia is traditionally believed to involve fear of open spaces or public places. Literally means “fear of the marketplace,” agoraphobia is now believed to be a result of panic attacks.

People diagnosed with agoraphobia show different symptoms. But common to all agoraphobics is avoidance either being in public places or being alone. This is actually a character of phobic avoidance (one distinct symptom of panic disorder). The difference, however, is that the effects of agoraphobia can significantly limit the person’s normal activities. Thus, what sets agoraphobia apart from panic disorder is the amount of activities that the person avoids.

People with panic disorder stay generally active, although there are specific situations that they tend to avoid. On the other hand, agoraphobics limit their activities because of fearful thoughts. These fearful thoughts can be very damaging the person’s life as well as his relationship to others.

Either way, both conditions are the result of panic attacks. Hence, it is always best to know the things you can do in order to prevent panic attacks from recurring and worsening. On the first sign of attack, seek for professional help.

What You should Do if You Had a Panic Attack

What You should Do if You Had a Panic Attack

Experiencing a panic attack for the first time can be distressing not only because of the actual experience during the attack but also because you tend to develop fear of future attacks. Also known as anticipatory anxiety, fear of future attacks causes continuous fear and tension disabling you to relax. Often when the condition is not addressed, it will lead to phobic avoidance wherein you avoid places, situations, gatherings, and events where emergency help is not readily available or where having an attack can be embarrassing.

Take into extreme, this condition may lead to agoraphobia where you begin to avoid much of the activities you usually do. To avoid this, consider the following advices:

1. Consult your medical doctor. Symptoms attributed to panic attacks such racing heart, chest pain, heavy breathing, profuse sweating, agitation, etc., are also common to other physiological and psychological conditions. Seeking for proper diagnosis from your doctor, therefore, will rule out any cause unrelated to anxiety. Tell him your symptoms, when did the attack happen, and how intense the attack was. Your doctor will ask about your past medical history and may run some tests (e.g. urine test, blood test, drug screens, etc.).

2. See a therapist who is properly trained to handle such psychological condition. No, you are not crazy (people who go to a therapist are not crazy). The reason why you have to see a therapist is to process your emotion and prevent future attacks. Do not wait too long to seek help. Left untreated, a panic attack can lead to more severe conditions. Your therapist may subject you to cognitive-behavioral therapy and exposure therapy to process your thoughts.

3. Find the cause of the attack. Some cases of panic attacks may show a “pattern” certain activity, thoughts, time or person you are with at the time of the attack. These give you important clues to eliminate later symptoms.

4. Learn some relaxation techniques you can practice at home or while out. Music, meditation, yoga, and breathing techniques are not only helpful in reducing the symptoms during the actual attack but also in strengthening your body’s relaxation response.

5. Do not add more fear. Absorbing all the fears and other negative thoughts that come with anxiety attack only adds to more fear which worsen the negative impact even further. Instead, recognize that you are afraid and make it work to your advantage.

6. Practice healthy lifestyle (regular exercise, balanced diet, and enough sleep). Studies prove that at little as 30 minutes of physical activity 3 to 5 times a week is a great stress buster, helpful in preventing future attacks. Balanced diet keeps the supply of nutrients and maintains the balance of chemical in the body. Sleeping at least 8 hours each day recharges the body, refreshes the mind, and calms the muscles.

7. Remove all unnecessary stress. Since, panic attacks are closely linked to stress, avoiding things, people, and situations that stress you out help reduce the chance of future attacks.

8. Educate yourself about panic attacks. There are many resources where you can learn more about the condition. Reading books, health magazines and internet articles about panic attack will definitely equip you with the right information on how to combat any negative effects it brings.

Various Treatments for Panic Attacks

The cause of panic attacks is still not fully understood. What is known is that it can happen to anyone, without any reason, regardless of age. Meaning, a happy and healthy person has an equal chance of experiencing a panic attack with those who are depressed and unhealthy. An episode of panic attack chooses no time. It can happen while you are at home, sitting on your couch, watching television, while driving, shopping or walking, at the office, etc. It can even happen while you are asleep.

Given such circumstances, methods of treatment may vary from person to person, depending on his conditions, symptoms, lifestyle, and frequency of attacks. Typically however, treatment involves psychotherapy, cognitive behavioral therapy (CBT) and/or medication. Other treatments that can be employed are meditation, breathing exercises, relaxation techniques and herbal treatment.

Anti-anxiety medications such as Ativan, Xanax and Klonopin provide quick relief from the symptoms panic attack. Benzodiazepines have immediate effects, usually within 30 minutes to an hour. Benzodiazepines, however, are highly addictive and have some serious withdrawal symptoms. Anti-depressant drugs (Paxil, Prozac, Zoloft, Lexapro, and Celexa) should be taken continuously before you can begin to notice the effects, usually up to 6 months to a year. You cannot take anti-depressant drugs just during an attack.

In addition, since you cannot anticipate when you will have such attack, only those who are diagnosed with panic disorder (or recurring panic attacks) can acquire these types of drug.

Panic attacks, as well as panic disorder, agoraphobia and other phobias and related conditions can be treated effectively by psychotherapy. Cognitive-behavioral therapy is proven as an effective way to reduce the symptoms of panic attacks or completely eliminate the condition. CBT focuses on changing the thinking pattern of the person from negative to positive thoughts as well as changing the way a person reacts or behaves when he encounters emergency or situations that can trigger an attack.

Another treatment similar to CTB that is worth mentioning is exposure therapy. This helps the person overcome his fear by letting him face those fearful situations in a controlled and safe manner. The result of this technique is that the person learns how to react positively on what he thinks are fearful situations. Moreover, through this experience, the patient learns that the situations he fears are not harmful and dangerous.

In many cases, medication alone or therapy alone is enough to completely treat the condition, but other cases require both treatment methods to effectively treat panic disorder.

Meditation, breathing exercises, and relaxation techniques have been found effective in reducing the chances of experiencing another attack. They help calm the mind and relax the muscles. Regularly practicing these exercises and techniques strengthen the body’s relaxation response.

Natural herbs such as bacopin, ginkgo biloba, passion flower, St. John Wort, hyperforin, 5HTP (5-hydroxytryptophan), chamomile, rhodiola, are equally effective since they have natural anti-stress properties. In some cases, using these herbs is sufficient enough to combat panic attacks. Many people also react positively using this kind of treatment.

Fresh leaves can be made as tea. Some are also available over-the-counter in oil, tincture, capsule, powder and tea. The best thing about these natural herbs is that they do not carry any side effects as compared to mainstream anti-anxiety and anti depressant prescription medications.

Panic Attacks What Would Happen If You Do Not

Panic Attacks What Would Happen If You Do Not Get Treatment

At the onset of panic attacks or disorder, it is best to go see your doctor immediately and have it evaluated as this will not only give you a clear understanding of what condition you are undergoing but this could also prevent the aggravation of the disorder. Here are several possible scenarios if you do not get panic attacks intervention immediately:

Agoraphobia. Contrary to public belief, agoraphobia is not the fear of closed spaces. It is actually fear of public places basing from the Greek root word “agora” which means market or marketplace. Agoraphobics fear interaction with people especially in places where they expect to experience episodes of panic or anxiety. Panic attacks and agoraphobia are often closely connected as these disorders exhibit identical symptoms such as shortness of breath, the sensation of dying or going crazy, and the feeling of having heart attack.

Over-dependence on psychotherapeutic medications specifically anti-anxiety disorder medications. People suffering from panic attacks and could not get hold of themselves are often helped by medications to control their symptoms. But for those who cannot muster enough initiative to resolve their condition without having to rely on medications are often enclosed within the idea of medication as the ultimate solution against panic attacks.

While over-dependence on medication to control the symptoms of panic attacks is not the same as addiction to the medications, this behavior still poses serious possible problems since those people who become dependent on drugs oftentimes fail to utilize other more effective treatments. They can also become too dependent that they would fail to function properly without the necessary dosage of particular drugs.

Further, although dependence on medications is not an entirely negative solution, in fact for some people it is the most effective, it should be remembered that it is not the only solution. There are less intensive, less invasive, but equally appropriate and effective therapies and methods that are typically overlooked due to too much dependence on panic attack drugs.

Depression. 20% of panic attack patients are likely to commit suicide, a typical outcome of depression, at one time or another, says research. The connection between panic attacks and depression can be viewed from several different standpoints. According to an explanation for example, depression develops from a person’s exhaustion caused by chronic anxiety that typically accompany such attacks.

Another explanation purports to the fact that those people with panic attacks and also have developed serious cases of agoraphobia are prevented from socializing with other people and from doing the things that they previously enjoyed, leading to a general feeling of isolation and unhappiness. This further leads to the development of episodes of depression.

Diabetes. It is not uncommon to find people who are suffering from panic attacks and also have indications of comorbid disorders, an example of which is diabetes. Research shows that people with diabetes and who also experienced intermittent episodes of panic attacks are less likely to live quality lives and are also more likely to develop complications. Among people with diabetes, panic attacks as well as depression impede them from efficiently monitoring and controlling their blood glucose level.

Substance abuse. Chronic misuse of alcohol and other unhealthy substances is a coping mechanism against negative conditions such as behavioral disorders. So long as the condition that caused the chronic use of substances exists, in this case panic attacks, the negative resolution will persist.