Bad anxiety attacks


Anxiety Disorders and Anxiety Attacks

anxiety

Do you struggle with anxiety? Here’s how to recognize the signs, symptoms, and different types of anxiety—and find the relief you need.

What is anxiety?

Anxiety is a normal reaction to danger, the body’s automatic fight-or-flight response that is triggered when you feel threatened, under pressure, or are facing a challenging situation, such as a job interview, exam, or first date. In moderation, anxiety isn’t necessarily a bad thing. It can help you to stay alert and focused, spur you to action, and motivate you to solve problems. But when anxiety is constant or overwhelming—when worries and fears interfere with your relationships and daily life—you’ve likely crossed the line from normal anxiety into the territory of an anxiety disorder.

Since anxiety disorders are a group of related conditions rather than a single disorder, symptoms may vary from person to person. One individual may suffer from intense anxiety attacks that strike without warning, while another gets panicky at the thought of mingling at a party. Someone else may struggle with a disabling fear of driving, or uncontrollable, intrusive thoughts. Yet another may live in a constant state of tension, worrying about anything and everything. But despite their different forms, all anxiety disorders illicit an intense fear or worry out of proportion to the situation at hand.

While having an anxiety disorder can be disabling, preventing you from living the life you want, it’s important to know that you’re not alone. Anxiety disorders are among the most common mental health issues—and are highly treatable. Once you understand your anxiety disorder, there are steps you can take to reduce the symptoms and regain control of your life.

Do I have an anxiety disorder?

If you identify with any of the following seven signs and symptoms, and they just won't go away, you may be suffering from an anxiety disorder:

  1. Are you constantly tense, worried, or on edge?
  2. Does your anxiety interfere with your work, school, or family responsibilities?
  3. Are you plagued by fears that you know are irrational, but can't shake?
  4. Do you believe that something bad will happen if certain things aren't done a certain way?
  5. Do you avoid everyday situations or activities because they cause you anxiety?
  6. Do you experience sudden, unexpected attacks of heart-pounding panic?
  7. Do you feel like danger and catastrophe are around every corner?

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Signs and symptoms of anxiety disorders

In addition to the primary symptom of excessive and irrational fear and worry, other common emotional symptoms include:

  • Feelings of apprehension or dread.
  • Watching for signs of danger.
  • Anticipating the worst.
  • Trouble concentrating.
  • Feeling tense and jumpy.
  • Irritability.
  • Feeling like your mind's gone blank.

But anxiety is more than just a feeling. As a product of the body's fight-or-flight response, it also involves a wide range of physical symptoms, including:

  • Pounding heart.
  • Sweating.
  • Headaches.
  • Stomach upset.
  • Dizziness.
  • Frequent urination or diarrhea.
  • Shortness of breath.
  • Muscle tension or twitches.
  • Shaking or trembling.
  • Insomnia.

Because of these physical symptoms, anxiety sufferers often mistake their disorder for a medical illness. They may visit many doctors and make numerous trips to the hospital before their anxiety disorder is finally recognized.

The link between anxiety symptoms and depression

Many people with anxiety disorders also suffer from depression at some point. Anxiety and depression are believed to stem from the same biological vulnerability, which may explain why they so often go hand-in-hand. Since depression makes anxiety worse (and vice versa), it's important to seek treatment for both conditions.

What is an anxiety attack?

Anxiety attacks, also known as panic attacks, are episodes of intense panic or fear. They usually occur suddenly and without warning. Sometimes there's an obvious trigger—getting stuck in an elevator, for example, or thinking about the big speech you have to give—but in other cases, the attacks come out of the blue.

Anxiety attacks usually peak within 10 minutes, and they rarely last more than 30 minutes. But during that short time, you may experience terror so severe that you feel as if you're about to die or totally lose control. The physical symptoms are themselves so frightening that many people think they're having a heart attack. After an anxiety attack is over, you may worry about having another one, particularly in a public place where help isn't available or you can't easily escape.

Anxiety attack symptoms include:

  • Surge of overwhelming panic.
  • Feeling of losing control or going crazy.
  • Heart palpitations or chest pain.
  • Feeling like you're going to pass out.
  • Trouble breathing or choking sensation.
  • Hyperventilation.
  • Hot flashes or chills.
  • Trembling or shaking.
  • Nausea or stomach cramps.
  • Feeling detached or unreal.

It's important to seek help if you're starting to avoid certain situations because you're afraid of having a panic attack. The truth is that panic attacks are highly treatable. In fact, many people are panic free within just 5 to 8 treatment sessions.

Types of anxiety disorders and their symptoms

Anxiety disorders and closely related conditions include:

Generalized anxiety disorder (GAD)

If constant worries and fears distract you from your day-to-day activities, or you're troubled by a persistent feeling that something bad is going to happen, you may be suffering from generalized anxiety disorder (GAD). People with GAD are chronic worrywarts who feel anxious nearly all of the time, though they may not even know why. GAD often manifests in physical symptoms like insomnia, stomach upset, restlessness, and fatigue.

Panic attacks and panic disorder

Panic disorder is characterized by repeated, unexpected panic attacks, as well as fear of experiencing another episode. Agoraphobia, the fear of being somewhere where escape or help would be difficult in the event of a panic attack, may also accompany a panic disorder. If you have agoraphobia, you are likely to avoid public places such as shopping malls, or confined spaces such as an airplane.

Obsessive-compulsive disorder (OCD)

Obsessive-compulsive disorder (OCD) is characterized by unwanted thoughts or behaviors that seem impossible to stop or control. If you have OCD, you may feel troubled by obsessions, such as a recurring worry that you forgot to turn off the oven or that you might hurt someone. You may also suffer from uncontrollable compulsions, such as washing your hands over and over.

Hoarding disorder

Hoarding disorder is a chronic difficulty discarding possessions, accompanied by a dysfunctional attachment to even worthless items. It can lead to excessive accumulation of possessions (or animals) and a cluttered living space. You may attribute emotion to inanimate objects, have a strong sentimental attachment to items, or see the use in any object. These beliefs can make discarding items overwhelm you with feelings of anxiety, guilt, or sadness.

Phobias and irrational fears

A phobia is an unrealistic or exaggerated fear of a specific object, activity, or situation that in reality presents little to no danger. Common phobias include fear of animals (such as snakes and spiders), fear of flying, and fear of needles. In the case of a severe phobia, you might go to extreme lengths to avoid the object of your fear. Unfortunately, avoidance only strengthens the phobia.

Social anxiety disorder

If you have a debilitating fear of being viewed negatively by others and humiliated in public, you may have social anxiety disorder, also known as social phobia. It can be thought of as extreme shyness and in severe cases, social situations are avoided altogether. Performance anxiety (better known as stage fright) is the most common type of social phobia.

Post-traumatic stress disorder (PTSD)

Post-traumatic stress disorder (PTSD) is an extreme anxiety disorder that can occur in the aftermath of a traumatic or life-threatening event. PTSD can be thought of as a panic attack that rarely, if ever, lets up. Symptoms of PTSD include flashbacks or nightmares about the incident, hypervigilance, startling easily, withdrawing from others, and avoiding situations that remind you of the event.

Separation anxiety disorder

While separation anxiety is a normal stage of development, if anxieties intensify or are persistent enough to get in the way of school or other activities, your child may have separation anxiety disorder. They may become agitated at just the thought of being away from mom or dad and complain of sickness to avoid playing with friends or going to school.

Self-help for anxiety

Not everyone who worries a lot has an anxiety disorder. You may feel anxious because of an overly demanding schedule, lack of exercise or sleep, pressure at home or work, or even from too much caffeine. The bottom line is that if your lifestyle is unhealthy and stressful, you're more likely to feel anxious—whether or not you actually have an anxiety disorder.

These tips can help to lower anxiety and manage symptoms of a disorder:

Connect with others. Loneliness and isolation can trigger or worsen anxiety, while talking about your worries face to face can often make them seem less overwhelming. Make it a point to regularly meet up with friends, join a self-help or support group, or share your worries and concerns with a trusted loved one. If you don't have anyone you can reach out to, it's never too late to build new friendships and a support network.

Manage stress. If your stress levels are through the roof, stress management can help. Look at your responsibilities and see if there are any you can give up, turn down, or delegate to others.

Practice relaxation techniques. When practiced regularly relaxation techniques such as mindfulness meditation, progressive muscle relaxation, and deep breathing can reduce anxiety symptoms and increase feelings of relaxation and emotional well-being.

Exercise regularly. Exercise is a natural stress buster and anxiety reliever. To achieve the maximum benefit, aim for at least 30 minutes of aerobic exercise on most days (broken up into short periods if that's easier). Rhythmic activities that require moving both your arms and legs are especially effective. Try walking, running, swimming, martial arts, or dancing.

Get enough sleep. A lack of sleep can exacerbate anxious thoughts and feelings, so try to get seven to nine hours of quality sleep a night.

Be smart about caffeine, alcohol, and nicotine. Caffeine and alcohol can make anxiety worse. And while it may seem like cigarettes are calming, nicotine is actually a powerful stimulant that leads to higher, not lower, levels of anxiety. For help kicking the habit, see How to Quit Smoking.

Put a stop to chronic worrying. Worrying is a mental habit you can learn how to break. Strategies such as creating a worry period, challenging anxious thoughts, and learning to accept uncertainty can significantly reduce worry and calm your anxious thoughts.

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When to seek professional help

While self-help coping strategies can be very effective, if your worries, fears, or anxiety attacks have become so great that they're causing extreme distress or disrupting your daily routine, it's important to seek professional help.

If you're experiencing a lot of physical symptoms, you should start by getting a medical checkup. Your doctor can check to make sure that your anxiety isn't caused by a medical condition, such as a thyroid problem, hypoglycemia, or asthma. Since certain drugs and supplements can cause anxiety, your doctor will also want to know about any prescriptions, over-the-counter medications, herbal remedies, and recreational drugs you're taking.

If your physician rules out a medical cause, the next step is to consult with a therapist who has experience treating anxiety disorders. The therapist will work with you to determine the cause and type of your disorder and devise a course of treatment.

Treatment

Anxiety disorders respond very well to therapy—and often in a relatively short amount of time. The specific treatment approach depends on the type of anxiety disorder and its severity. But in general, most are treated with therapy, medication, or some combination of the two. Cognitive-behavioral therapy and exposure therapy are types of behavioral therapy, meaning they focus on behavior rather than on underlying psychological conflicts or issues from the past. They can help with issues such as panic attacks, generalized anxiety, and phobias.

Cognitive-behavior therapy helps you identify and challenge the negative thinking patterns and irrational beliefs that fuel your anxiety.

Exposure therapy encourages you to confront your fears and anxieties in a safe, controlled environment. Through gradual exposure to the feared object or situation, either in your imagination or in reality, you gain a greater sense of control. As you face your fear without being harmed, your anxiety will diminish.

Medication

If you have anxiety that's severe enough to interfere with your ability to function, medication may help relieve some symptoms. However, anxiety medications can be habit forming and cause unwanted or even dangerous side effects, so be sure to research your options carefully. Many people use anti-anxiety medication when therapy, exercise, or self-help strategies would work just as well or better—minus the side effects and safety concerns. It's important to weigh the benefits and risks of medication so you can make an informed decision.

Authors: Melinda Smith, M.A., Lawrence Robinson, and Jeanne Segal, Ph.D.

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        Kandola, A., Vancampfort, D., Herring, M., Rebar, A., Hallgren, M., Firth, J., & Stubbs, B. (2018). Moving to Beat Anxiety: Epidemiology and Therapeutic Issues with Physical Activity for Anxiety. Current Psychiatry Reports, 20(8), 63. https://doi.org/10.1007/s11920-018-0923-x

        Craske, M. G., & Stein, M. B. (2016). Anxiety. Lancet (London, England), 388(10063), 3048–3059. https://doi.org/10.1016/S0140-6736(16)30381-6

        Borza, L. (2017). Cognitive-behavioral therapy for generalized anxiety. Dialogues in Clinical Neuroscience, 19(2), 203–208. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573564/

        Park, S.-C., & Kim, Y.-K. (2020). Anxiety Disorders in the DSM-5: Changes, Controversies, and Future Directions. Advances in Experimental Medicine and Biology, 1191, 187–196. https://doi.org/10.1007/978-981-32-9705-0_12

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      Around the web

      Last updated: October 13, 2022

      Symptoms of Panic & Anxiety Attacks

      Written by WebMD Editorial Contributors

      In this Article

      • What Should I Ask My Doctor?
      • How Can I Learn More About Anxiety?

      Panic attacks are intense periods of fear or feelings of doom developing over a very short time frame -- up to 10 minutes -- and associated with at least four of the following:

      • Overwhelming fear (of losing control or going crazy)
      • Palpitations
      • Sweating
      • Trembling
      • Shortness of breath
      • Sense of choking
      • Chest pain
      • Nausea
      • Dizziness
      • A feeling of being detached from the world (de-realization)
      • Fear of dying
      • Numbness or tingling in the limbs or entire body
      • Chills or hot flushes

      Panic attacks and panic disorder are not the same thing. Panic disorder involves recurrent panic attacks along with constant fears about having future attacks and, often, avoiding situations that may trigger or remind someone of previous or unexpected attacks. Not all panic attacks are caused by panic disorder. Sometimes, they’re related to conditions like:

      • Social phobia
      • Agoraphobia (fear of not being able to escape, such as flying in an airplane or being in crowds)
      • Other anxiety disorders
      • Post-traumatic stress disorder (PTSD)

      Doctors will often look for other medical conditions that might trigger or be related to panic attacks or similar episodes. They might include:

      • Thyroid problems
      • Asthma or other breathing problems
      • Heart problems such as abnormal rhythms or mitral valve prolapse
      • Neurologic problems such as seizures
      • Stimulant or other substance use

      Generalized anxiety disorder is excessive and unrealistic worry over a period of at least 6 months. It is associated with at least three of the following symptoms:

      • Restlessness
      • Fatigue
      • Difficulty concentrating
      • Irritability or anger
      • Muscle tension, aches, or soreness
      • Sleep disturbances

      Phobic disorders are intense, persistent, and recurrent fear of certain objects (such as snakes, spiders, blood) or situations (such as heights, speaking in front of a group, public places). These exposures may trigger a panic attack. Social phobia and agoraphobia are examples of phobic disorders.

      Posttraumatic stress disorder -- or PTSD -- was considered to be a type of anxiety disorder in earlier versions of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. But in 2013, PTSD was reclassified as its own condition. It describes a range of emotional reactions caused by exposure to either death or near-death circumstances (such as fires, floods, earthquakes, shootings, assault, automobile accidents, or wars) or to events that threaten one's own or another person's physical well-being. The traumatic event is re-experienced with fear of feelings of helplessness or horror and may appear in thoughts and dreams. Common behaviors include the following:

      • Avoiding activities, places, or people associated with the event
      • Persistently re-experiencing the traumatic event, such as:
        • Unwanted memories
        • Nightmares or flashbacks
        • Emotional or physical distress when experiencing reminders of the trauma
      • Changes in arousal or reactivity, including:
        • Trouble concentrating
        • Trouble sleeping
        • Being hypervigilant (you closely watch your surroundings) or being easily startled
        • Irritability or aggression
        • Risky behavior
      • Negative changes in feelings and thoughts, such as:
        • Feeling a general sense of doom and gloom with diminished emotions (such as loving feelings or aspirations for the future)
        • Feeling isolated or negative about the world
        • Less interest in activities
        • Exaggerated feelings of blame for self or others about the trauma
        • Negative thoughts and feelings about the world

      Symptoms such as chest pain, shortness of breath, palpitations, dizziness, fainting, and weakness should not be automatically attributed to anxiety and require evaluation by a doctor.

      What Should I Ask My Doctor?

      If you have anxiety or were recently diagnosed with an anxiety disorder, consider asking your doctor these questions at your next visit.

      1. How did I get anxiety? Is there a chance I passed this on to my kids?
      2. Are there any underlying medical problems that could be causing my anxiety symptoms?
      3. What are my treatment options for anxiety? Will I need to take an anxiety drug? Will I take it every day or as needed? How long will I need to take it?
      4. What side effects can I expect from medications? Is there a way to minimize or prevent side effects?
      5. What should I do if I miss a dose of medication?
      6. Should I begin therapy sessions? Which type and for how long?
      7. How long before I can expect to feel better?
      8. Once treated, how likely is it that my anxiety symptoms will return?
      9. What lifestyle changes can I make to help me feel better?
      10. How will alcohol or other drugs interact with my medication or affect my anxiety?

      How Can I Learn More About Anxiety?

      These organizations offer information about and resources for anxiety disorders:

      Anxiety Disorders Association of America

      This nonprofit organization is dedicated to advocacy and education about anxiety disorders. This link will take you to its website:

      Anxiety and Depression Association of America

      American Psychological Association

      Get information on anxiety and help finding a psychologist. This link will take you to its website:

      American Psychological Association

      American Psychiatric Association

      Learn more about children’s anxiety disorders and other mental health problems. Get help in finding a psychiatrist. This link will take you to the website:

      American Psychiatric Association

      National Alliance on Mental Illness

      Learn more about panic disorder, phobias, and treatment that helps. This link will take you to the website:

      National Alliance on Mental Illness

      Anxiety & Panic Disorders Guide

      1. Overview
      2. Symptoms & Types
      3. Treatment & Care
      4. Living & Managing

      Panic attacks

      Panic attacks (episodic paroxysmal anxiety) - attacks of severe anxiety (panic) or fear (most often - fear of death, less often - fear of losing consciousness, loss of control, helplessness or fear of "going crazy"), accompanied by a rapid heartbeat and a feeling of " suffocation, shortness of breath. Sometimes there are additional symptoms such as increased blood pressure, a feeling of "internal trembling", trembling in the limbs, a feeling of "hot flashes" of heat or cold, numbness of the extremities, increased sweating, a feeling of "unstability" or dizziness, nausea, derealization or depersonalization, etc.

      Panic attacks last on average 5 to 30 minutes. However, sometimes they can last several hours, and in rare cases - up to several days.

      I must say that even 30 years ago this disease was extremely rare. But now the incidence of panic attacks is increasing exponentially every year! Especially in big cities. Alas, panic attacks are considered a “disease of megacities”. And they suffer, most often, people with increased anxiety and the so-called perfectionists.

      Earlier, in Soviet medicine, this disorder was called " sympathoadrenal crises ". This name, more than the modern one, reflected the essence of the processes occurring in the body during panic attacks. Nevertheless, I will not bother readers with a description of biochemical processes and a list of the hormones and neurotransmitters involved in these reactions. Knowing this practically does not affect the fact of the occurrence of seizures. Because biochemical processes are just an "intermediate link" in the chain of cause and effect relationships occurrence of panic attacks . What then is the "primary link", so to speak, the root cause?

      Panic attacks occur suddenly, and, as it often seems, without any external causes or under the influence of minor unpleasant factors (an ordinary quarrel in the family, another trouble at work, overcrowding and stuffiness in a subway or train car, a long “traffic jam” on the road, etc.). etc.). In fact, panic attacks always occur against the background of an already long-term depression (most common), or after repeated or severe stress (or rather, distress). Don't be surprised by this, because it is quite difficult for an ordinary person, not a specialist, to diagnose depression. Especially, at himself. Moreover, its mild or atypical forms. Especially if it lasts a year or several years (and for some people - since childhood!). In this case, they may not even remember how they felt without depression. In this variant, the body functions “with the last of its strength”, works “at the limit of its capabilities”; and some minor unpleasant event can be the “last straw” for him! Figuratively speaking, a panic attack is “hysteria of the body”, its “desperate cry: “I can’t do this anymore !!!”

      Well, in the question "Who is to blame?" figured it out. Now let's move on to the equally important question "What to do?" The fact that no one in the world has yet died from panic attacks is little consolation for those suffering from this excruciating disorder. To say that panic attacks are an unpleasant state is an understatement! These are unbearable sensations, and in the most severe cases, a real feeling of approaching death, which a person is sometimes forced to experience daily! And most importantly, he does not understand what is happening to him, and how to stop it!

      Panic attacks sharply reduce the quality of a person's life, subordinating her entire expectation of the next attack. And, accordingly, they affect social activity, sometimes making a person completely incapacitated.

      When panic attacks first appeared in the clinical practice of physicians, they were treated empirically with various sedatives and tranquilizers. However, after their cancellation, the seizures reappeared, and with prolonged use of these drugs, tolerance (insensitivity) inevitably and rather quickly set in. Therefore, in order to stop panic attacks, it was necessary to constantly increase doses or resort to more “strong” tranquilizers. But everywhere there is a limit: the number of tranquilizers is not unlimited, especially their doses. It was necessary to remember another very important aspect: long-term use of these drugs causes dependence on them. And after the abolition of tranquilizers, the symptoms of mental and physical withdrawal joined the renewed panic attacks, which further worsened the patient's condition.

      Then the tactics of treatment were somewhat changed: antidepressants were added to "light" or small doses of "medium-powered" tranquilizers. And it was a "breakthrough" in the treatment of panic attacks! Because antidepressants do not just "relieve" the symptoms, but they affect the foundation on which these attacks are based - depression itself! Of course, in modern medicine there are a huge number of antidepressants, and the effectiveness of their effect on panic attacks is very different. But an experienced psychotherapist or psychiatrist can quite accurately select a drug that is suitable for a particular person. It is important to note that antidepressants have a cumulative effect, so their therapeutic effect does not appear immediately after the appointment, but after a certain time (on average, after a month). And, here, the full duration of treatment with antidepressants is, at best, from 6 to 12 months, and sometimes up to several years.

      At the same time, there are cases of especially severe courses of panic attacks, when the appointment of even "powerful" antidepressants for a sufficiently long time does not bring the desired effect, i. e. panic attacks do not stop completely, but only become less pronounced or occur less frequently. In this version, a person, anyway, does not feel healthy and constantly lives in fear of the next attack. In this case, doctors are forced to launch "heavy artillery" - to add NEUROLEPTICS to the treatment, which patients have to take for quite a long time. Antipsychotics have a large number of unpleasant side effects, which is why many patients refuse them.

      However, there is another way to treat panic attacks. He is not a drug! That is, there is a REAL METHOD OF COMPLETE CURING FROM PANIC ATTACKS, ABSOLUTELY WITHOUT RESORTING TO ANY KIND OF MEDICINES !!! This method is PSYCHOTHERAPEUTIC.

      In the modern world there are a lot of different types and directions of psychotherapy. But, it must be said bluntly that with panic attacks, most of them are not effective without medical support.

      However, the method that I use in my psychotherapeutic work is unique. It often allows you to completely eliminate panic attacks in 1 session! One or two more sessions are required to eliminate the FEAR of the appearance of seizures (or their expectation).

      But in order to begin the direct elimination of panic attacks, a certain “intellectual” preparation of the patient is necessary. It requires from 8 to 12 sessions (depending on the severity of the disease and the personal characteristics of the patient) with a frequency of 1-2 sessions per week.

      After eliminating panic attacks and the fear of their occurrence, it is extremely important to “develop” the underlying causes that led to their appearance. This will be a kind of "insurance" against the occurrence of panic attacks in the future. This requires 3-4 months on average (with the frequency of classes 1 time per week). But, having worked through these “deep roots”, a person not only completely gets rid of panic attacks, but also depression, solves many personal problems and begins to live a full life!

      "X-Clinic" article - Symptoms of panic attacks and how to deal with them The editors of WMJ.ru talked to a psychotherapist and learned everything about panic attacks first hand.

      Details - in our material!

      What is a panic attack

      A panic attack is an attack of sudden fear and intense anxiety for no apparent reason. The origins of panic disorder are not entirely clear. However, it is believed that the disease has a genetic predisposition and more often affects the fair sex. Women are more prone to panic attacks and suffer from this disorder 2-3 times more often than men.

      Panic attacks cannot lead to death, despite the fact that this is the sensation that most often accompanies them. The more frequent attacks occur, the worse the quality of life becomes. People who have repeatedly experienced panic attacks become increasingly anxious and subconsciously try to avoid places or situations where and when they succumbed to fear. Those who have ever experienced an attack at night, subsequently face sleep disorders.

      What are the symptoms of a panic attack

      A panic attack is a case of an attack of fear with a sense of imminent death or anxiety, accompanied by certain symptoms. Most often, these include: rapid heartbeat and pulse, sweating, chills or a feeling of heat, tremors, shortness of breath and suffocation, dizziness, fainting, fear of death, and others. If 4 of the symptoms listed above are present, we can talk about an attack of a panic attack.

      What to do in case of a panic attack

      The most important thing to do during a panic attack is to shift your attention. Any method is fine for distraction. If the attack caught you in a public place, then you can clench and unclench your fists, rub your earlobes or step from foot to foot. If the panic caught you by surprise at home, try turning on the music, start doing household chores: washing dishes, dusting. Any activity that involves muscle work and requires attention will do.


      Since a panic attack is accompanied by a rapid heartbeat and a feeling of stuffiness, it will not be superfluous to take a couple of sips of water and concentrate on breathing. It is best to learn a few techniques that will quickly relieve tension. In case of an attack, start with an exhalation - slow it down, and the pulse will also slow down. The ratio of the length of inhalation and exhalation should be 1:2. You can experiment and choose the technique that will help you. A smartphone can also help to distract from panic. Games, social networks - all this will switch attention and distract from a panic attack.

      How normal anxiety differs from a panic attack

      The mechanism that triggers a panic attack is no different from what causes ordinary anxiety - both are psychophysical reactions to danger. The difference is that a panic attack is a reaction to danger in the absence of danger. Nevertheless, a false alarm triggers the same cascade of reactions as a normal alarm - the sympathetic system is activated, adrenaline is released.

      A panic attack can occur against the background of excessive physical exertion, overwork and exhaustion, as well as against the background of the abuse of stimulants and alcohol. In addition, stress and unresolved conflict situations can provoke an attack. Lack of understanding of one's own experiences and feelings, a tendency to avoid negative emotions and ignore them also increase vulnerability to panic disorder.


      How to prevent a panic attack from turning into a panic disorder

      Panic disorder is characterized by a number of symptoms, one of which is a panic attack. In order to make a diagnosis of "panic disorder", it is necessary that panic episodes manifest themselves constantly for a month and are not associated with threats, dangers and previous diseases. In addition, attacks should be accompanied by the following symptoms: anxiety about the repetition of attacks, loss of self-control, a sharp change in behavior.

      How to treat panic attacks and when to see a specialist

      Seeing a specialist for recurring panic attacks is a must. Therapy is selected individually and, as a rule, includes psychotherapeutic work and drug therapy. Psychotherapy implies a variety of techniques aimed at understanding and understanding the causes of problems, learning how to deal with the symptoms of the disease, methods of relaxation. Psychotherapy can take place in the form of individual meetings with a psychotherapist or in the form of group sessions with other patients. Drug therapy for panic disorder is carried out with various drugs that help reduce anxiety and fear. Appointment, correction of dosages and cancellation of treatment must be carried out under the supervision of a physician.


      Modern neurotechnologies can also help in the treatment of panic attacks. Neurofeedback training methods have been developed for patients with panic disorder. During trainings, patients learn to manage their emotional state, they form new neural connections, and the level of anxiety decreases. In addition to professional help, lifestyle plays an important role in the treatment and prevention of panic attacks. Try not to abuse alcohol and caffeine, rest more, go in for sports, yoga is better.


      Learn more