Overcoming Panic Disorder: A Guide for Young Students - Psychiatry

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Anxiety Panic Disorder


Hello, doctor.
I am currently a first-year junior high school student, but I experienced symptoms similar to panic disorder since I was in fifth grade, and it has continued until now.
In sixth grade, during an episode, I felt like I was about to lose control, felt unreal, and thought I was going to die.
This issue has troubled me from fifth grade to now.
Do I need to see a doctor for treatment, or can I recover to a normal lifestyle on my own? I am really worried that this problem will follow me for the rest of my life.
I even feel anxious about flying now.
Is there any way to overcome this? If I need to seek medical help, is it still timely to do so?

Niming, 10~19 year old female. Ask Date: 2017/05/14

Dr. Liang Sunyuan reply Psychiatry


Hello: Adjustments in lifestyle and mindset can indeed be helpful in managing anxiety and panic attacks.
Diaphragmatic breathing and relaxation techniques contribute to physical and mental relaxation, reducing the frequency of episodes.
Adequate sleep, a regular routine, and focusing on one task at a time can also be beneficial.
When experiencing mild anxiety, it is advisable to redirect your attention to engage in another important or enjoyable activity, allowing the anxiety to dissipate naturally.
If adjustments are still challenging, seeking professional treatment is always an option, so please do not worry.
Wishing you all the best.

Reply Date: 2017/05/14

More Info


Overcoming panic disorder, especially as a young student, can be a daunting challenge, but it is certainly manageable with the right approach and support. Your experience of panic symptoms since fifth grade is not uncommon, and many young people face similar issues. The feelings of unreality, fear of losing control, and the sensation of impending doom can be overwhelming, but understanding that these symptoms are treatable is crucial.

Firstly, it’s important to recognize that seeking professional help is often the most effective way to address panic disorder. While some individuals may find ways to cope on their own, the guidance of a mental health professional can provide you with tailored strategies and tools to manage your symptoms effectively. Cognitive Behavioral Therapy (CBT) is one of the most effective treatments for panic disorder. It helps individuals understand and change the thought patterns that contribute to their anxiety and panic attacks. A therapist can work with you to develop coping strategies, such as breathing exercises, mindfulness techniques, and gradual exposure to feared situations, which can significantly reduce anxiety over time.

In addition to therapy, medication may also be an option to consider. Selective Serotonin Reuptake Inhibitors (SSRIs) and benzodiazepines are commonly prescribed to help manage anxiety and panic symptoms. If you are hesitant about medication, discussing your concerns with a psychiatrist can help you make an informed decision. Remember, it’s perfectly okay to seek help; mental health is just as important as physical health.

You mentioned concerns about whether it’s too late to seek help. The answer is a resounding no! It’s never too late to seek treatment, and the earlier you address these symptoms, the better your chances of managing them effectively. Many people find that with the right support, they can lead fulfilling lives without being hindered by panic disorder.

In the meantime, there are self-help strategies you can implement to help manage your symptoms. Regular physical activity, such as walking, swimming, or any form of exercise you enjoy, can significantly reduce anxiety levels. Additionally, practicing relaxation techniques like deep breathing, progressive muscle relaxation, or yoga can help calm your mind and body. Maintaining a healthy lifestyle, including a balanced diet and adequate sleep, is also essential for managing anxiety.

It’s also beneficial to educate yourself about panic disorder. Understanding what triggers your panic attacks and recognizing the physical sensations associated with anxiety can empower you to respond more effectively when you feel panic rising. Keeping a journal to track your feelings and experiences can help you identify patterns and triggers, which can be valuable information to share with a therapist.

Lastly, consider reaching out to trusted friends or family members about your experiences. Sharing your feelings can alleviate some of the burdens you carry and may provide you with additional support. You are not alone in this, and many people care about your well-being.

In conclusion, while it may feel overwhelming, panic disorder is treatable, and seeking help is a courageous and important step. Whether through therapy, medication, or self-help strategies, there are numerous ways to manage your symptoms and regain control over your life. Don’t hesitate to reach out to a mental health professional; your journey to recovery can start today.

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