Panic and Anxiety: What Your Symptoms Might Mean - Psychiatry

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Panic? Anxiety? Or...?


Hello Doctor: For a long time, I occasionally feel sudden anxiety and an increased heart rate, but I have no idea what triggers this anxiety.
About two months ago, I missed an important event due to a missed message, and suddenly I experienced full-body trembling, especially in my hands, along with intense feelings of unease and restlessness.
I couldn't calm down and kept pacing back and forth for over 20 minutes.
In recent days, due to computer issues, I feared I wouldn't be able to finish my tasks, and I suddenly experienced the same symptoms, but this time the anxiety was even more pronounced.
I felt like I was losing control, and in addition to crying, I had urges to throw things.
In the following days, I even had inexplicable urges to cry.
I would like to ask you, Doctor, what could be causing these symptoms in sudden situations?

jeong, 20~29 year old female. Ask Date: 2017/12/24

Dr. Qiu Junda reply Psychiatry


Hello.
The situation described in the text seems to primarily consist of symptoms of anxiety (panic is also a type of anxiety).
It may be a reaction triggered by stress.
The mentioned event of "missing important information" could be a recent source of stress.
I recommend searching for information on stress management techniques.
Learning some stress relief methods may help you alleviate these troubling symptoms.

Reply Date: 2017/12/24

More Info


Hello! Thank you for sharing your experiences with anxiety and panic symptoms. It sounds like you’ve been going through a challenging time, and it’s important to understand what you’re feeling and how to address it.

From your description, it seems that you are experiencing symptoms that are commonly associated with anxiety disorders, particularly panic attacks. Panic attacks can manifest as sudden episodes of intense fear or discomfort that peak within minutes. During these episodes, individuals may experience physical symptoms such as a racing heart, trembling, sweating, shortness of breath, feelings of choking, chest pain, dizziness, or a sense of impending doom. The fact that you felt a strong urge to cry and had impulses to throw things indicates a heightened emotional response, which can be a part of the panic experience.

Your symptoms, such as feeling shaky, anxious, and unable to calm down, especially after missing an important message or dealing with computer issues, suggest that you may be experiencing situational anxiety. This type of anxiety can be triggered by specific stressors or situations, leading to overwhelming feelings of panic. It’s also worth noting that the inability to identify the source of your anxiety can exacerbate the feelings of panic, as the mind often tries to find a reason for the discomfort, leading to a cycle of worry.

The emotional responses you described, including crying and feeling a loss of control, are not uncommon in individuals experiencing anxiety. These feelings can stem from a combination of stress, pressure, and perhaps underlying issues that may not be immediately apparent. It’s essential to recognize that these feelings are valid and that you are not alone in experiencing them.

To address your concerns, here are some strategies that may help:
1. Breathing Techniques: When you feel a panic attack coming on, try to focus on your breathing. Deep, slow breaths can help calm your nervous system. Inhale deeply through your nose for a count of four, hold for four, and exhale slowly through your mouth for a count of four.

2. Grounding Exercises: Engage in grounding techniques to bring your focus back to the present moment. This could involve focusing on your surroundings, naming five things you can see, four things you can touch, three things you can hear, two things you can smell, and one thing you can taste.

3. Physical Activity: Regular exercise can significantly reduce anxiety levels. Activities like walking, jogging, or yoga can help release endorphins and improve your mood.

4. Journaling: Writing down your thoughts and feelings can provide an outlet for your emotions. It can also help you identify patterns in your anxiety and the triggers that lead to panic attacks.

5. Professional Help: If your symptoms persist or worsen, it may be beneficial to seek help from a mental health professional. Therapy, particularly cognitive-behavioral therapy (CBT), has been shown to be effective in treating anxiety disorders. A therapist can help you explore the underlying causes of your anxiety and develop coping strategies.

6. Medication: In some cases, medication may be appropriate to help manage anxiety symptoms. This is something to discuss with a healthcare provider who can evaluate your situation and provide guidance.

Remember, it’s okay to seek help, and doing so is a sign of strength. You deserve support as you navigate these feelings. Take care of yourself, and don’t hesitate to reach out for professional assistance if you feel overwhelmed. Your mental health is important, and there are resources available to help you through this challenging time.

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