Tag: Excessive Fear

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.

Causes of Child Anxiety Attacks

Child anxiety, just like that of adults, is a normal, healthy emotion felt as a response to certain stimuli. But when anxiety becomes recurring, irrational and intense, it may be considered as a disorder. Episodes of anxiety attacks can disable the child from performing his daily duties in school and at home. And while it is generally safe, anxiety attacks can affect how the child lives.

Since children are more fragile, they more vulnerable to such attacks and the effects of these attacks may be more severe than to adults. But what causes anxiety attacks? Here are some of the most common reasons of anxiety attacks:

School Phobia and Separation Anxiety
When a child reaches a certain age, he or she develops school phobia. The exact reason for this is still unknown, but what happens is, the child becomes excessively afraid of going to school. A child manifests this fear by creating reasons and complaining ailments such as toothaches, headache, and stomach cramps to keep him or her from going to school. School phobia is often linked to separation anxiety but the latter can manifest to situations other than in school (e.g. being with a group of people or joining other family for the weekend).

Again, the exact reason for this is unknown. Separation anxiety is excessive fear of being away from someone whom the child is comfortable being with. Tale-told signs of separation anxiety are similar to school phobia.

Stress
Stress is linked to anxiety attacks. It may be a result of heavy responsibilities at home and in school, unfinished tasks, physical and psychological abuse, a school bully, environment that is unfit for the child’s age, violence, etc.

Change in lifestyle
A child creates friends in school and in the neighborhood. These friends would make him or her feel comfortable and accepted. So when the family moves to another place or to a different school, a child loses the friend and comfort he or she has established and forces him or her to start all over again. If the child cannot cope with this stressful situation, it can lead to episodes of anxiety attack.

Indirect Reasons
In many cases, anxiety attacks just come out of the blue, or happen without any logical, clear or apparent reason. It may occur while the child is relaxed during the day and even while asleep. This may only happen only once. Perhaps, an anxiety attack is brought about by unresolved internal issues, which are not directly connected with the trigger. For example, a child who experiences a death of a loved one may panic whenever a certain, almost similar situation happens. The traumatic experience that he or she went through in the past which are not processed properly can come out, in this case through an attack.

A child may also show episodes of anxiety attacks because the problem at hand reminded him or her about family conflicts. Fighting in the family as well as divorce of parents may be traumatic to a child that when witnessing a similar situation, he or she goes into a panic.

Take note that there is no single reason (and it takes several factors) for a child to have an anxiety attack, but whatever it is, what’s important is how do deal with it properly.

Anxiety Attack Treatments

Anxiety attacks are frightening but the good thing is, episodes are generally harmless. In most cases, attacks rarely last for more than 30 minutes, with peak of intensity within the first 10 minutes. What make such attacks dangerous is if it becomes chronic and if it already affects the well-being of a person and already disrupts his normal way of life.

Several treatments are proven very effective in stopping anxiety attacks. Let us look at some of the more popular ones:

Breathing technique is one of the most effective ways in controlling anxiety attacks. Proper breathing helps slow down heartbeat and helps calm the tensed muscles as a result of the attack. Breathing also diverts the mind’s attention from the “trigger” and calms the self, thus, stopping the attack even faster. Proper breathing techniques are easy to learn and master.

Self-hypnosis is a great tool to alter your thought process as well as your body’s reaction to those fearful thoughts. During an anxiety attack, lay down on your back or in any comfortable position and try to process your thoughts. Identify the origin of such fearful thoughts. Know if it is real. If you concentrate enough in finding the origins of your thoughts, you will soon realize that they are really not a valid reason for excessive fear. It may sound simple, and it is. Psychiatrists now recommend self-hypnosis as a treatment for anxiety attacks and other anxiety disorders. (Hypnosis and cognitive-behavioral therapy can be used together by your therapist to stop symptoms of anxiety attacks.)

Meditation has long been credited to relieve stress and anxiety as it promotes the release of negative energy from the body, relaxes tensed muscles, and calms the mind, which in turn, effectively reduces irrational fear and apprehension. Meditation may not be for all because of the time required to master the technique, however, with proper guidance of an expert or a little bit of patience and dedication, you can reap its benefits.

Herbs (such as chamomile, passion flower, lavender, and ginkgo biloba) are very effective long-term treatment for anxiety attacks. Since they are all-natural, they posses no side effects. They may not be as aggressive as prescription drugs but they work just as effective.

Prescription medicines are a major help in stopping the symptoms of anxiety and episodes of anxiety attacks. Antidepressants are the most common anxiety treatment. They must be taken continuously, which may take as long as six weeks before noticing the effects. Beta-blockers are a type of drugs that prevent symptoms from recurring. SSRIs or Selective Serotonin Reuptake Inhibitors boost the level of serotonin in the brain which regulates and normalizes emotions.

Therapies are a very important anxiety treatment. These target the psychological aspect of anxiety. CBT or the cognitive-behavioral therapy is used to alter the way of thinking converting negative thoughts into positive ones. Techniques used in CBT include role-playing and relaxation technique. 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.

Prescription medicines and therapies, when combined and used at treatment, are very effective. Medical studies show that the response rate of patients is much higher if both methods are used compared to those that are treated using either method.

Symptoms of Anxiety Attacks

Everyone worries, gets nervous and concerned, feels certain fears, and experiences apprehensions. To a certain degree, anxiousness is healthy as it enables the body to react to certain stimuli and take into action or perform better. As long as the feeling is relative to the situation or problem at hand, it is normal. However, when anxiety gets severe, chronic and irrational, you might already have an anxiety disorder and experience episodes of anxiety attacks.

Common symptoms include:

Fear of going crazy When under tremendous pressure, a person may feel that he is going crazy. This, however, is more evident during anxiety attack, but rest assured that you are not going crazy. This is because going crazy is not a conscious act; people who are suffering from mental illnesses do not even know that they have one. Again, if you are experiencing excessive fear or irrational thoughts, you are not going crazy.

Dry mouth This is a natural occurrence during anxiety attack as fluids are diverted to other parts of the body. To counter dry mouth, sip water or suck sweets to stimulate the production of saliva. In severe cases, doctors may prescribe you with liquid.

Shaking and shivering These two are necessary functions of the body as it constantly tries to keep the body temperature normal. When the body temperature drops from normal, the muscles spasmodically contract, creating friction between muscles and body tissues, thus increasing the body temperature. During anxiety attacks, shaking and shivering are normal.

Heart palpitation or the feeling that the heart is missing beats is caused by the release of adrenaline into the bloodstream during an attack. This is perfectly normal and cannot harm you in any way. However, it can cause discomfort.

Body pain such as neck, shoulder, jaw, mouth and stomach pains, as well as head headaches. When the body is under stress, parts of the body usually get tensed, which results to pain.

Chest pain is a normal body reaction to anxiety attack because of muscle tension. Sometimes, chest pain is misinterpreted as a heart attack, but it is important to identify from one another as the latter can be deadly.

Shortness of breath is the most distressing symptom of anxiety attack as it almost feels that the chest cannot expand to accommodate the necessary air that the body needs. Sometimes, it feels that someone is pushing a pillow into your face. Three important points to remember are you will not suffocate, stop breathing or pass out.

Feeling detach or unreal is a symptom of anxiety attack which alters the way you experience yourself or see reality. It makes you feel that everything around you is like a dream, foggy and unreal.

Recognizing the symptoms of anxiety attacks need not require you to understand the physiology of the human body. What is required is your awareness on each symptoms and the danger they have when ignored.

Different people manifest different behaviors when experiencing anxiety. The intensity of prevailing symptoms differs either. And since the term “anxiety disorders” is coined to refer a group of related conditions rather than a single disorder, symptoms may look different on every anxiety attack. It is important, therefore, to consult a health professional so that it will out any possible condition apart from anxiety.