Panic, Anxiety, and Depression: A Guide to Your Symptoms

Do I have panic disorder, anxiety disorder, or depression?

Hello Doctor, I would like to ask what condition my symptoms might indicate and whether I should seek medical attention.
Ever since the passing of a family member three to four years ago, I have been experiencing hyperventilation and dry heaving.
Whenever I see an ambulance or hear its siren, I start to feel scared and my breathing becomes rapid.
I wonder if this is related to the fact that my family member was brought home from the hospital before they passed away.
Additionally, if a friend says something that frightens me, I also experience hyperventilation and dry heaving, and more severely, I feel a tingling sensation in my face.

I suspect I might be depressed because I occasionally cry for no apparent reason, especially when I am alone in a space.
In those moments, I sometimes wonder if dying would make things easier, but please rest assured, I only think about it and would never act on it.
When I feel extremely sad, my legs also feel weak; there was a time I had to sit by the roadside for 10 minutes to recover before I could continue walking.

Lastly, I would like to ask if my memory issues (sometimes I forget things I needed to do a few days ago) and frequent nightmares (which I forget upon waking) are related to the changes in my mental state.
I hope you can provide me with some answers.

Xi Xi, 10~19 year old female. Ask Date: 2018/08/27

Dr. Qiu Junda reply Psychiatry

Hello.
The situation described in the text primarily seems to be related to symptoms of anxiety (panic is also a type of anxiety).
Memory impairment is one of the symptoms as well, and it may be accompanied by depressive moods.
It is recommended that you consult a mental health professional nearby.
If necessary, short-term use of medication (such as anxiolytics) may be helpful.
I believe you can regain your mental and physical health soon.

Reply Date: 2018/08/27

More Info

Hello! Thank you for reaching out with your concerns. Based on your description, it sounds like you are experiencing a combination of symptoms that could be associated with anxiety, panic disorder, and possibly depression. Let’s break down your symptoms and discuss what they might indicate, as well as the importance of seeking professional help.

Firstly, the symptoms you mentioned, such as hyperventilation, dry heaving, and a heightened fear response when encountering stimuli related to medical emergencies (like the sound of an ambulance), suggest that you may be experiencing panic attacks or anxiety attacks. These episodes can be triggered by traumatic experiences, such as the loss of a loved one, which you indicated occurred a few years ago. It’s not uncommon for individuals who have experienced significant trauma to develop anxiety or panic disorders as a result.

The physical sensations you described, such as feeling your face go numb and experiencing shortness of breath, are typical of panic attacks. During these episodes, the body goes into a fight-or-flight response, which can lead to various physical symptoms, including rapid breathing, heart palpitations, and feelings of impending doom. It’s essential to recognize that these symptoms, while distressing, are not life-threatening, although they can feel very overwhelming.

Your mention of crying spells, especially when alone, and thoughts about death, even if you do not intend to act on them, are concerning signs that may indicate depression. Depression can manifest in various ways, including persistent sadness, feelings of worthlessness, and a loss of interest in activities that once brought joy. The fact that you experience these feelings intermittently suggests that you may be dealing with a mood disorder that warrants further evaluation.

Additionally, the cognitive symptoms you mentioned, such as memory lapses and frequent nightmares, can also be linked to anxiety and depression. Stress and emotional turmoil can significantly impact cognitive functions, including memory and concentration. Nightmares are often a manifestation of unresolved trauma or anxiety and can disrupt sleep, leading to further fatigue and cognitive difficulties.

Given the complexity of your symptoms, it is crucial to seek professional help. A mental health professional, such as a psychologist or psychiatrist, can provide a thorough assessment and help you understand the underlying causes of your symptoms. They can also offer treatment options, which may include therapy (such as cognitive-behavioral therapy) and, if necessary, medication to help manage anxiety and depression.

In the meantime, there are several self-care strategies you can implement to help alleviate some of your symptoms. These include:
1. Breathing Exercises: Practicing deep breathing techniques can help manage panic attacks. Try inhaling deeply through your nose, holding for a few seconds, and then exhaling slowly through your mouth.

2. Mindfulness and Relaxation: Engaging in mindfulness practices, such as meditation or yoga, can help reduce anxiety and improve emotional regulation.

3. Physical Activity: Regular exercise is known to boost mood and reduce anxiety. Aim for at least 30 minutes of moderate exercise most days of the week.

4. Sleep Hygiene: Establishing a regular sleep routine can improve sleep quality and reduce nightmares. Aim for 7-9 hours of sleep per night and create a calming bedtime routine.

5. Social Support: Reach out to friends or family members you trust. Talking about your feelings can provide relief and help you feel less isolated.

6. Professional Help: As mentioned earlier, seeking therapy can be incredibly beneficial. A therapist can help you process your grief and develop coping strategies for your anxiety and depression.

In conclusion, your symptoms are significant and deserve attention. It’s essential to prioritize your mental health and seek the support you need. Remember, you are not alone in this, and help is available. Take care of yourself, and I wish you the best on your journey toward healing.

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