Panic Disorder: When Physical Symptoms Signal Mental Health Issues - Psychiatry

More Info

---

Based on your description, it sounds like you are experiencing a range of physical symptoms that are often associated with panic disorder and anxiety. Panic disorder is characterized by recurrent and unexpected panic attacks, which are sudden periods of intense fear or discomfort that can include physical symptoms such as heart palpitations, chest pain, shortness of breath, dizziness, and feelings of impending doom.
Your symptoms, including rib pain, chest tightness, difficulty breathing, and heart palpitations, have been evaluated by multiple specialists, including cardiologists and neurologists, who have ruled out serious medical conditions. This is a crucial step, as it helps to ensure that there are no underlying physical health issues contributing to your symptoms. The fact that your heart and neurological evaluations have come back normal suggests that your symptoms may indeed be related to anxiety or panic disorder.

The experience of feeling like you are "going crazy" or that you are on the verge of death is common among individuals with panic disorder. The physical sensations can be so intense that they lead to a cycle of fear and anxiety, which can exacerbate the symptoms. For example, when you experience a physical symptom like chest pain, it can trigger a panic attack, leading to further physical symptoms and a heightened state of anxiety.

It is also important to consider the emotional aspects of what you are experiencing. You mentioned feelings of exhaustion and a sense of impending doom, which can be indicative of underlying anxiety or depression. It is not uncommon for individuals with panic disorder to also experience symptoms of depression, as the two conditions can often coexist.

Given your situation, it would be beneficial for you to seek help from a mental health professional, such as a psychiatrist or psychologist, who specializes in anxiety disorders. They can provide a comprehensive evaluation and help you understand the nature of your symptoms. Treatment options may include cognitive-behavioral therapy (CBT), which is effective for panic disorder, as well as medication such as selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines, which can help manage anxiety symptoms.

Additionally, lifestyle changes can also play a significant role in managing anxiety. Regular physical activity, a balanced diet, adequate sleep, and mindfulness practices such as meditation or yoga can help reduce anxiety levels. It may also be helpful to engage in support groups or therapy sessions where you can share your experiences with others who understand what you are going through.

In summary, your symptoms are consistent with panic disorder and anxiety, and it is advisable to seek help from a mental health professional. They can provide you with the tools and support you need to manage your symptoms effectively. Remember, you are not alone in this, and there are effective treatments available that can help you regain control over your life.