Panic Disorder: Symptoms and Management Tips

Q: Panic Disorder: Symptoms and Management Tips

Hello： The diagnosis of mental disorders requires a multifaceted approach and even long-term observation; it cannot be determined by a single complaint. <br>It is recommended to consult a psychiatrist.

Hello, doctor. I would like to inquire about anxiety and panic?

Hello Doctor, I used to experience sudden palpitations and uncontrollable anxiety, similar to panic disorder, especially when I went out.
However, I feel much better now.
I only feel anxious when eating out or on the street, as if everyone is paying attention to me.
I also often worry about things that haven't happened, such as the fear of fainting after exercising or having conflicts with others on the street.
Doctor, is this also panic disorder?

Chen, 20~29 year old female. Ask Date: 2023/03/15

Dr. Huang Zhijia reply Psychiatry

Hello: The diagnosis of mental disorders requires a multifaceted approach and even long-term observation; it cannot be determined by a single complaint.
It is recommended to consult a psychiatrist.

Reply Date: 2023/03/15

More Info

Panic disorder is a type of anxiety disorder characterized by recurrent and unexpected panic attacks. These attacks are sudden periods of intense fear or discomfort that peak within minutes and can include a variety of physical and psychological symptoms. Common symptoms include heart palpitations, sweating, trembling, shortness of breath, feelings of choking, chest pain, nausea, dizziness, chills, or heat sensations, numbness, and feelings of unreality or detachment from oneself.
From your description, it seems you have experienced symptoms consistent with panic disorder. The feelings of heart palpitations and intense anxiety when in public places, especially when you feel that others are watching you, can be indicative of social anxiety, which often coexists with panic disorder. The fear of potential future events, such as worrying about fainting while exercising or having conflicts with others, further illustrates the anxiety that can accompany this condition.

Managing panic disorder typically involves a combination of therapeutic approaches, including cognitive-behavioral therapy (CBT), medication, and self-help strategies. Here are some management tips that may help you:
1. Cognitive-Behavioral Therapy (CBT): This is one of the most effective treatments for panic disorder. CBT helps you identify and challenge negative thought patterns and beliefs that contribute to your anxiety. A therapist can guide you through exposure therapy, where you gradually face the situations that trigger your panic attacks in a controlled manner.

2. Medication: If your symptoms are severe, medication may be prescribed. Selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines are commonly used to treat panic disorder. However, it's essential to discuss the potential benefits and side effects with your healthcare provider.

3. Breathing Techniques: Panic attacks can lead to hyperventilation, which exacerbates symptoms. Learning controlled breathing techniques can help you manage your anxiety during an attack. Practice deep breathing exercises, inhaling slowly through your nose and exhaling through your mouth.

4. Mindfulness and Relaxation Techniques: Mindfulness meditation, yoga, and progressive muscle relaxation can help reduce overall anxiety levels. These practices encourage you to focus on the present moment and can help you develop a greater sense of control over your thoughts and feelings.

5. Lifestyle Changes: Regular physical activity, a balanced diet, and adequate sleep can significantly impact your mental health. Exercise, in particular, is known to reduce anxiety and improve mood.

6. Support System: Sharing your experiences with trusted friends or family members can provide emotional support. Consider joining a support group for individuals with anxiety disorders, where you can share your experiences and learn from others.

7. Avoidance of Caffeine and Alcohol: Both substances can increase anxiety and trigger panic attacks. Limiting or avoiding them may help reduce your symptoms.

8. Gradual Exposure: Since you mentioned feeling anxious about being in public places, consider gradually exposing yourself to these situations. Start with less crowded environments and slowly work your way up to busier places. This gradual exposure can help desensitize you to the anxiety-provoking situations.

9. Professional Help: If your symptoms persist or worsen, seeking help from a mental health professional is crucial. They can provide a comprehensive assessment and tailor a treatment plan to your specific needs.

In conclusion, while it sounds like you are making progress in managing your panic symptoms, it is essential to continue addressing these feelings and seeking support. Panic disorder can be challenging, but with the right strategies and professional guidance, many individuals find relief and regain control over their lives. Remember, you are not alone in this journey, and there are effective treatments available to help you manage your anxiety and improve your quality of life.

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