Thank you!
Hello Doctor: Thank you for your response.
I am currently seeing a psychiatrist who diagnosed me with panic disorder, and I am undergoing medication treatment, but I am not sure if it is effective yet.
May I ask, does stress and emotion accumulate over time, and when it reaches a breaking point that is unbearable, do symptoms appear? I still find it hard to believe that I have panic disorder, as I feel my stress levels are not high and my emotions are quite stable.
I just tend to overthink and have difficulty falling asleep.
Please help me with this question.
Thank you.
A-Rong, 20~29 year old female. Ask Date: 2003/11/06
Dr. Ye Boshou reply Neurology
The relationship between humans and their environment is a matter of adaptation.
Why do you find yourself overthinking? This can even lead to insomnia, which indicates poor sleep habits.
Insomnia is often the most common symptom.
Don't focus too much on the diagnosis of "panic disorder"; instead, it's important to find ways to improve your current insomnia and racing thoughts.
I recommend engaging in appropriate exercise during the day (about 1 hour), and avoiding coffee, tea, and alcohol.
If insomnia persists, taking a mild sedative may help, and adjusting your daytime activities can lead to improvement.
Reply Date: 2003/11/06
More Info
Panic disorder is a complex condition that can indeed be influenced by accumulated stress and emotions. It’s important to understand that while you may perceive your stress levels as manageable, the body often reacts to stress in ways that are not immediately apparent. The symptoms of panic disorder, such as heart palpitations, shortness of breath, and feelings of impending doom, can arise when the body reaches a threshold of stress that it can no longer cope with effectively.
Stress and emotions can accumulate over time, often without our conscious awareness. This accumulation can be due to various factors, including daily life pressures, unresolved emotional issues, or even physical health concerns. When these stressors build up, they can lead to a state of heightened anxiety, making you more susceptible to panic attacks. The brain and body have a remarkable ability to adapt to stress, but there is a limit to this adaptability. Once that limit is reached, the body may respond with panic symptoms as a way of signaling that something is wrong.
It’s also worth noting that panic disorder can manifest even in individuals who do not perceive themselves as particularly stressed or anxious. This can be confusing, especially if you feel that your life is relatively stable. However, the mind and body can react to stressors in ways that may not align with your conscious thoughts. For example, if you have unresolved issues or anxieties that you are not fully aware of, these can contribute to the development of panic symptoms.
Sleep disturbances, such as difficulty falling asleep or staying asleep, can also exacerbate feelings of anxiety and contribute to the cycle of panic disorder. Lack of sleep can impair cognitive function and emotional regulation, making it harder to manage stress and anxiety. This can create a feedback loop where anxiety leads to poor sleep, which in turn increases anxiety.
In terms of treatment, it’s essential to continue working with your mental health professional. Medication can be effective in managing symptoms, but it often works best in conjunction with therapy. Cognitive-behavioral therapy (CBT) is particularly effective for panic disorder, as it helps individuals identify and challenge negative thought patterns and develop coping strategies for managing anxiety.
In addition to professional treatment, there are several self-care strategies you can implement to help manage stress and emotions:
1. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, and progressive muscle relaxation can help calm the mind and body, reducing the likelihood of panic attacks.
2. Regular Physical Activity: Exercise is a powerful stress reliever. It can help improve mood, reduce anxiety, and promote better sleep.
3. Healthy Sleep Hygiene: Establish a regular sleep routine, create a restful environment, and limit screen time before bed to improve sleep quality.
4. Journaling: Writing down your thoughts and feelings can help you process emotions and identify potential triggers for your anxiety.
5. Social Support: Connecting with friends or family members can provide emotional support and help alleviate feelings of isolation.
6. Limit Stimulants: Reducing caffeine and sugar intake can help minimize anxiety symptoms, as these substances can exacerbate feelings of nervousness and panic.
7. Professional Guidance: Continue to engage with your mental health provider, discussing any changes in your symptoms or concerns about your treatment plan.
In conclusion, while you may feel that your stress levels are low, it’s crucial to recognize that panic disorder can develop from a variety of underlying factors. By continuing your treatment and incorporating self-care strategies, you can work towards managing your symptoms and improving your overall well-being. Remember, recovery is a process, and it’s okay to seek help along the way.
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