Help Someone Having a Panic Attack

Panic attacks often occur to anyone without warning. So whenever someone had an attack, it is important that you know what to do.

Understand what a panic attack is. A panic attack is a sudden surge of overwhelming fear or anxiety. It is manifested by several signs and symptoms. During an attack, a person experiences increased heartbeat or palpitation, chest pain, hyperventilation or shortness of breath, stomach churning, upset stomach, trembling and shaking, muscle tension, sweating, dizziness and light-headedness, hot or cold flashes, tingling sensation or numbness, fear of dying, going crazy or losing control and feeling detached from the surroundings.

Seek for emergency medical help. It is important to call for a health professional especially if a person experiences an attack for the first time.

Identify the cause of the symptoms. The signs and symptoms of panic attack are similar to medical conditions. Hyperventilation or shortness of breath can be a sign of asthma. Chest pain, increased heartbeat or palpitation and sweating can be a heart attack. Talk to the person and determine if the symptoms are caused by other medical conditions. When in doubt, a health professional will be a great help.

While waiting for help, find the cause of attack. Once it is established that the cause of the symptoms is really a panic attack, find the source of the panic and take the person away from it. Do not make an assumption about what the person needs. A person who is suffering from the attack may know exactly what to do or has medications which will get him through the attack, so it is best to ask.

Don’t surprise the patient. Be predictable with your movements. Do not grab, hold or restrain. Keep him calm and stay calm yourself. Reassure the person that everything is going to be fine but do not dismiss his fear by saying “it’s all in your mind” or “don’t worry about it” or “you are overreacting.” Take note that the fear is very real to the victim so it dismissing the fear has no effect or can even make the matter worse.

Help the patient to control his breathing. Many patients breathe heavily during an attack; others hold their breath. Using deep breathing technique is a very effective way to purge the symptoms of a panic attack as well as calm the patient down. Guide the person and tell him to breathe in for 3 slow counts. Then ask him to hold his breath for 3 slow counts and breathe out for another 3 slow counts. Do this several times until the person is calm. You can also advice him to breathe into a paper bag. This way, he will re-breathe his carbon dioxide. Carbon dioxide helps correct the blood acid level that had been disturbed by excessive breathing. But be careful when using paper bags since they may trigger another fear.

Stay with the person throughout his ordeal. Never leave a person especially if he is having difficulty in breathing. Be patient. They may act rude or unfriendly but remember that it is temporary and will go back to normal as soon as the attack is over.

Do not forget that for the patient, the thoughts are real. Reassure him the help is on the way. Never allow the patient to do things that will put his life at risk.

Panic Attack: Signs, Symptoms, Panic Disorder and Agoraphobia

A panic attack is a sudden surge of overwhelming fear and anxiety, usually without any clear reason and without warning. It can happen to anyone regardless of age, health and status. Many attacks are a one-time occurrence, but some people experience recurring episodes. Recurring episodes are often caused by a “trigger” like speaking in front of a crowd or doing a presentation at work. Panic attacks may be a part of another disorder such as depression, panic disorder, or social phobia. These, however, are generally harmless, but sufferers still feel that their life is in danger. Either way, panic attacks are treatable.

Signs and Symptoms

A panic attack can happen anytime, but it usually happens when you are away from home. You may be at a store shopping, at work preparing for a presentation, in a class, driving, walking down the street or even during asleep.

The signs and symptoms develop quickly and usually arrive at its peak in 10 minutes. The majority of panic attacks do not last for more than 30 minutes and it rarely lasts for more than an hour.

A person during an attack shows these signs and symptoms:

Increased heartbeat or palpitation
Chest pain
Hyperventilation or shortness of breath
Stomach churning, upset stomach
Trembling and shaking
Muscle tension
Sweating
Dizziness and light-headedness
Hot or cold flashes
Tingling sensation or numbness
Fear of dying, going crazy or losing control
Feeling detached from the surroundings

Panic Disorder

A panic attack may happen just once without any problem or complication. And there is almost no reason to be concerned if you have one or two episodes. But those who have experienced several episodes usually develop panic disorder.

Recurring panic attacks along with persistent anxiety for future attacks and major changes in behavior can be considered as panic disorder. There are two symptoms of panic disorder: (1) phobic avoidance and (2) anticipatory anxiety.

Phobic avoidance – When you begin to avoid certain things or situations based on the belief that it would trigger another attack. It can also be avoiding situations that have caused the previous attack. You may also avoid places or situations where escape is difficult and help is unavailable, like riding an elevator or an airplane. Extreme case of phobic avoidance may lead to agoraphobia.

Anticipatory anxiety The “fear of fear” or the fear of having future panic attacks. The person manifesting this symptom is usually tensed and anxious. When ignored, the condition can be disabling.

Panic disorder with agoraphobia

Agoraphobia is traditionally believed as fear of open places or public places, thus, it literally means “fear of the marketplace.” However, now it is believed that agoraphobia is fear of experiencing panic attack in a place where help is difficult or where escape would be difficult.

People with agoraphobia tend to avoid the following situations or activities:

Being away from home

Driving

Confined places where there is a possibility of being trapped (elevator, theaters, public transportation, stores)

Going out with “unsafe” person or someone he or she is not comfortable being with.

Places where it would be embarrassing to have a panic attack like parties and other social gatherings.

In severe cases, people with agoraphobia see their home as the only safe place.

Panic Attack: Signs, Symptoms, Panic Disorder and Agoraphobia

A panic attack is a sudden surge of overwhelming fear and anxiety, usually without any clear reason and without warning. It can happen to anyone regardless of age, health and status. Many attacks are a one-time occurrence, but some people experience recurring episodes. Recurring episodes are often caused by a “trigger” like speaking in front of a crowd or doing a presentation at work. Panic attacks may be a part of another disorder such as depression, panic disorder, or social phobia. These, however, are generally harmless, but sufferers still feel that their life is in danger. Either way, panic attacks are treatable.

Signs and Symptoms

A panic attack can happen anytime, but it usually happens when you are away from home. You may be at a store shopping, at work preparing for a presentation, in a class, driving, walking down the street or even during asleep.

The signs and symptoms develop quickly and usually arrive at its peak in 10 minutes. The majority of panic attacks do not last for more than 30 minutes and it rarely lasts for more than an hour.

A person during an attack shows these signs and symptoms:

Increased heartbeat or palpitation
Chest pain
Hyperventilation or shortness of breath
Stomach churning, upset stomach
Trembling and shaking
Muscle tension
Sweating
Dizziness and light-headedness
Hot or cold flashes
Tingling sensation or numbness
Fear of dying, going crazy or losing control
Feeling detached from the surroundings

Panic Disorder

A panic attack may happen just once without any problem or complication. And there is almost no reason to be concerned if you have one or two episodes. But those who have experienced several episodes usually develop panic disorder.

Recurring panic attacks along with persistent anxiety for future attacks and major changes in behavior can be considered as panic disorder. There are two symptoms of panic disorder: (1) phobic avoidance and (2) anticipatory anxiety.

Phobic avoidance – When you begin to avoid certain things or situations based on the belief that it would trigger another attack. It can also be avoiding situations that have caused the previous attack. You may also avoid places or situations where escape is difficult and help is unavailable, like riding an elevator or an airplane. Extreme case of phobic avoidance may lead to agoraphobia.

Anticipatory anxiety The “fear of fear” or the fear of having future panic attacks. The person manifesting this symptom is usually tensed and anxious. When ignored, the condition can be disabling.

Panic disorder with agoraphobia

Agoraphobia is traditionally believed as fear of open places or public places, thus, it literally means “fear of the marketplace.” However, now it is believed that agoraphobia is fear of experiencing panic attack in a place where help is difficult or where escape would be difficult.

People with agoraphobia tend to avoid the following situations or activities:

Being away from home

Driving

Confined places where there is a possibility of being trapped (elevator, theaters, public transportation, stores)

Going out with “unsafe” person or someone he or she is not comfortable being with.

Places where it would be embarrassing to have a panic attack like parties and other social gatherings.

In severe cases, people with agoraphobia see their home as the only safe place.

Help Someone Having a Panic Attack

Panic attacks often occur to anyone without warning. So whenever someone had an attack, it is important that you know what to do.

Understand what a panic attack is. A panic attack is a sudden surge of overwhelming fear or anxiety. It is manifested by several signs and symptoms. During an attack, a person experiences increased heartbeat or palpitation, chest pain, hyperventilation or shortness of breath, stomach churning, upset stomach, trembling and shaking, muscle tension, sweating, dizziness and light-headedness, hot or cold flashes, tingling sensation or numbness, fear of dying, going crazy or losing control and feeling detached from the surroundings.

Seek for emergency medical help. It is important to call for a health professional especially if a person experiences an attack for the first time.

Identify the cause of the symptoms. The signs and symptoms of panic attack are similar to medical conditions. Hyperventilation or shortness of breath can be a sign of asthma. Chest pain, increased heartbeat or palpitation and sweating can be a heart attack. Talk to the person and determine if the symptoms are caused by other medical conditions. When in doubt, a health professional will be a great help.

While waiting for help, find the cause of attack. Once it is established that the cause of the symptoms is really a panic attack, find the source of the panic and take the person away from it. Do not make an assumption about what the person needs. A person who is suffering from the attack may know exactly what to do or has medications which will get him through the attack, so it is best to ask.

Don’t surprise the patient. Be predictable with your movements. Do not grab, hold or restrain. Keep him calm and stay calm yourself. Reassure the person that everything is going to be fine but do not dismiss his fear by saying “it’s all in your mind” or “don’t worry about it” or “you are overreacting.” Take note that the fear is very real to the victim so it dismissing the fear has no effect or can even make the matter worse.

Help the patient to control his breathing. Many patients breathe heavily during an attack; others hold their breath. Using deep breathing technique is a very effective way to purge the symptoms of a panic attack as well as calm the patient down. Guide the person and tell him to breathe in for 3 slow counts. Then ask him to hold his breath for 3 slow counts and breathe out for another 3 slow counts. Do this several times until the person is calm. You can also advice him to breathe into a paper bag. This way, he will re-breathe his carbon dioxide. Carbon dioxide helps correct the blood acid level that had been disturbed by excessive breathing. But be careful when using paper bags since they may trigger another fear.

Stay with the person throughout his ordeal. Never leave a person especially if he is having difficulty in breathing. Be patient. They may act rude or unfriendly but remember that it is temporary and will go back to normal as soon as the attack is over.

Do not forget that for the patient, the thoughts are real. Reassure him the help is on the way. Never allow the patient to do things that will put his life at risk.