Are Panic Attacks Linked to Seasonal Changes and Caffeine Intake? - Psychiatry

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Is there a correlation between panic attacks and seasons?


This afternoon, I took a nap and when I woke up, I experienced palpitations.
After resting for a while, I used an electronic device to check my heart rate, which showed normal readings.
Later, when I walked to the restroom, I started to feel my heart racing and discomfort, along with a sensation of nausea.
I began to feel scared, my hands and calves felt numb, and I had discomfort in my abdomen.
I felt like I wanted to vomit but couldn't, and my neck felt very tight.
I was dizzy and lacked strength.
Earlier this year, I had an echocardiogram and a stress electrocardiogram at Taipei Medical University, which showed no significant abnormalities, only mitral valve prolapse, but the doctor said not to worry too much.
I also consulted a psychiatrist who mentioned that I have symptoms of panic disorder, generalized anxiety, and specific phobias...
I forgot the rest.
This August, it seems that my discomfort has increased.
Could it be related to the change of seasons? Additionally, I drank unsweetened milk tea in the morning and a detox tea in the afternoon.
Could today's discomfort also be related to these two caffeinated beverages? Please, doctor, could you assess whether my symptoms are related to these factors? Thank you, doctor.

Xiang, 30~39 year old female. Ask Date: 2023/08/11

Dr. Lin Mianzhang reply Psychiatry


Hello, Xiang: Climate changes may affect the autonomic nervous system, which in turn can influence symptoms of anxiety.
Additionally, diet can also impact the autonomic nervous system; for example, caffeine found in tea and coffee can increase heart rate and exacerbate feelings of anxiety.
If you continue to feel unwell, it is advisable to seek medical attention from a mental health specialist.
Wishing you peace and good health.

Reply Date: 2023/08/11

More Info


Panic attacks can indeed be influenced by various factors, including seasonal changes and caffeine intake. Your experience of increased discomfort during this time of year may be linked to both environmental and dietary factors.

Seasonal changes can affect individuals in multiple ways. For some, the transition from one season to another can lead to fluctuations in mood and anxiety levels. This is often due to changes in daylight hours, temperature, and even humidity, which can impact our biological rhythms and mental health. For instance, the onset of fall may trigger feelings of sadness or anxiety in some individuals, a phenomenon sometimes referred to as Seasonal Affective Disorder (SAD). The body’s response to these changes can exacerbate existing anxiety disorders, leading to increased panic attacks or heightened feelings of unease.

Caffeine, found in beverages like tea and coffee, is a well-known stimulant that can significantly affect anxiety levels. Caffeine can increase heart rate and stimulate the nervous system, which may lead to feelings of jitteriness or panic in sensitive individuals. For someone with a predisposition to anxiety or panic attacks, consuming caffeinated drinks can trigger or worsen symptoms. The symptoms you described, such as heart palpitations, nausea, and feelings of tightness in the neck, can all be exacerbated by caffeine consumption. It’s essential to monitor your intake and consider reducing or eliminating caffeine from your diet to see if it helps alleviate your symptoms.

Your symptoms, including heart palpitations, feelings of nausea, and numbness in your limbs, are consistent with panic attacks. These episodes can be frightening and may lead to a cycle of anxiety where the fear of having another attack can itself provoke further anxiety. It’s also worth noting that panic attacks can manifest physically, leading to sensations such as dizziness, tightness in the chest, and gastrointestinal discomfort, which you have experienced.

Given your history of panic symptoms and generalized anxiety, it’s crucial to approach your situation holistically. Here are some strategies that may help you manage your anxiety and panic attacks:
1. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, and progressive muscle relaxation can help calm the nervous system and reduce anxiety levels.

2. Regular Exercise: Engaging in regular physical activity can significantly improve mood and reduce anxiety. Exercise releases endorphins, which are natural mood lifters.

3. Healthy Diet: In addition to monitoring caffeine intake, maintaining a balanced diet rich in whole foods can support overall mental health. Foods high in omega-3 fatty acids, antioxidants, and vitamins can be particularly beneficial.

4. Sleep Hygiene: Ensuring you get adequate and quality sleep is vital for managing anxiety. Establishing a regular sleep schedule and creating a restful environment can help.

5. Professional Support: Since you have already consulted with a mental health professional, continuing therapy or exploring medication options may be beneficial. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety and panic disorders.

6. Avoiding Triggers: Identifying and avoiding specific triggers, such as certain situations or substances (like caffeine), can help reduce the frequency of panic attacks.

In conclusion, while seasonal changes and caffeine intake can contribute to the onset of panic attacks, it’s essential to adopt a comprehensive approach to managing your anxiety. If your symptoms persist or worsen, I encourage you to seek further evaluation and support from a healthcare professional. They can provide tailored advice and treatment options to help you navigate your anxiety and improve your overall well-being.

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