Panic Attacks: Symptoms and What to Do - Psychiatry

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Suddenly feeling like you're about to die in the middle of sleep?


Hello, doctor.
I have a few conditions I would like to ask about: sometimes when I come home from class and take a nap, I suddenly feel like I can't breathe, my heart seems to stop beating, and my limbs feel paralyzed, while my eyes can open but my gaze drifts around, as if I'm about to die.
Could you please tell me if this condition could be classified as panic disorder?

Niming, 20~29 year old female. Ask Date: 2020/03/06

Dr. Huang Xiaoxian reply Psychiatry


Dear Roger, thank you for your question.
I apologize for the late response.
Based on your description, it seems like you may be experiencing symptoms similar to a panic attack; however, typical panic attacks usually occur while a person is awake.
If you are experiencing these symptoms at times other than just before or after sleep, I recommend visiting a hospital for evaluation.
Wishing you a speedy recovery.

Reply Date: 2020/03/06

More Info


Panic attacks can be a distressing experience, and your symptoms suggest that you may be experiencing them. Panic attacks are characterized by sudden episodes of intense fear or discomfort that peak within minutes. During these episodes, individuals may experience a variety of physical and psychological symptoms, including:
1. Shortness of Breath: A feeling of being unable to breathe or feeling like you are choking.

2. Heart Palpitations: An increased heart rate or the sensation that your heart is pounding or racing.

3. Numbness or Tingling: Often in the hands, feet, or face, which can lead to feelings of weakness or paralysis.

4. Dizziness or Lightheadedness: A sensation of feeling faint or unsteady.

5. Chills or Hot Flashes: Sudden feelings of warmth or cold.

6. Fear of Losing Control or "Going Crazy": A strong sense of impending doom or fear of dying.

The feelings you described—difficulty breathing, a racing heart, and a sense of impending doom—are indeed consistent with panic attacks. The sensation of your limbs being immobile and your eyes drifting can also be part of the overwhelming anxiety that accompanies these episodes.


What to Do During a Panic Attack
1. Focus on Your Breathing: Try to take slow, deep breaths. Inhale deeply through your nose, hold for a few seconds, and then exhale slowly through your mouth. This can help counteract the hyperventilation that often accompanies panic attacks.

2. Ground Yourself: Engage your senses to help bring your focus back to the present. You can do this by identifying 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. Reassure Yourself: Remind yourself that what you are experiencing is a panic attack and that it will pass. It’s important to recognize that while the feelings are intense, they are not life-threatening.

4. Practice Mindfulness or Meditation: Regular practice of mindfulness or meditation can help reduce overall anxiety levels and improve your ability to cope with panic attacks when they occur.

5. Seek Professional Help: If your panic attacks are frequent or severely impact your daily life, it may be beneficial to consult a mental health professional. Cognitive-behavioral therapy (CBT) is particularly effective for treating panic disorder, as it helps individuals understand and change the thought patterns that contribute to their anxiety.


Understanding the Underlying Causes
Panic attacks can be triggered by various factors, including stress, trauma, or even certain medical conditions. It’s essential to explore these triggers with a healthcare provider to develop a comprehensive treatment plan. Sometimes, panic attacks can be associated with other anxiety disorders, and understanding the full scope of your symptoms can lead to more effective treatment options.


Conclusion
In summary, the symptoms you are experiencing do align with panic attacks. While they can be frightening, understanding what they are and learning coping strategies can significantly reduce their impact on your life. If these episodes continue or worsen, seeking help from a mental health professional is a crucial step toward managing your anxiety and improving your overall well-being. Remember, you are not alone in this, and help is available.

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