Can Panic Disorder Be Cured? Treatment and Risks

Q: Can Panic Disorder Be Cured? Treatment and Risks

Hello, Autumn Wind user： I thought I had already responded to your question in November, but it seems that due to a system issue, my reply failed to go through. <br>I will answer again, hoping it’s not too late. <br>Based on your description, your boyfriend's issues seem to be mo

Can panic disorder be cured?

Hello Dr.
Chen: I previously asked you about my boyfriend's panic disorder, and I appreciate your help.
Our little "LP" issue has been resolved, and now we are discussing marriage.
However, I am concerned about his condition.
He tends to have episodes during our arguments.
Before treatment, he had lost control and harmed me twice due to extreme agitation.
After being on medication for over a month, all his panic symptoms disappeared, but there were two instances where minor disagreements led to him becoming very tense, clenching his fists, yelling loudly, and even hitting his head on the ground.
This also happened in a public place once, where there was no serious argument—he was just upset because I ignored him.
He hasn't harmed me since, but he has hurt himself.
Is this still panic disorder, or could it be another mental illness? Is there a possibility for him to fully recover from this condition? I fear that he might lose control in the future and seriously harm me or himself.
I am hesitant about agreeing to marry him.
Please help me understand how to cope with his condition.
Thank you.

Qiu Feng, 20~29 year old female. Ask Date: 2004/11/16

Dr. Chen Guangpeng reply Psychiatry

Hello, Autumn Wind user: I thought I had already responded to your question in November, but it seems that due to a system issue, my reply failed to go through.
I will answer again, hoping it’s not too late.
Based on your description, your boyfriend's issues seem to be more complex than just panic disorder; he is currently exhibiting hysterical behavior and tendencies towards violence (either harming you or self-harm).
These outward symptoms merely reflect underlying pathologies—frustration tolerance, inadequate coping skills, poor emotional regulation, and potential personality issues.
The saying "a leopard cannot change its spots" implies that the problems have become more complicated and deeply rooted, making them harder to address, with a more pessimistic prognosis.
Unless these issues can be uprooted, treating or resolving one symptom may simply lead to the emergence of another, leaving you feeling overwhelmed.
He needs a highly skilled psychologist for further evaluation and treatment.

Marriage involves many facets; it is a long-term commitment that requires mutual adaptation and support from both parties, unlike dating, which can be based on fleeting emotions.
When you feel hesitant, in addition to seeking professional counseling, you should also seek the social experiences and opinions of those around you who care for you and understand your situation.
Whether you decide to stay together or part ways, you must be psychologically and practically prepared for his potential reactions to avoid feeling lost or falling into a painful abyss.
I wish you a wise and fulfilling decision in the end.

Reply Date: 2004/11/16

More Info

Panic disorder is a type of anxiety disorder characterized by recurrent and unexpected panic attacks, which are sudden periods of intense fear or discomfort that peak within minutes. Symptoms can include heart palpitations, sweating, trembling, shortness of breath, feelings of choking, chest pain, nausea, dizziness, chills, or hot flashes, and a fear of losing control or dying. The good news is that panic disorder can be effectively treated, but it requires a comprehensive approach that includes both therapy and medication.

Understanding Treatment Options:
1. Cognitive Behavioral Therapy (CBT): This is one of the most effective treatments for panic disorder. CBT helps individuals understand and change their thought patterns and behaviors that contribute to panic attacks. Through exposure therapy, patients gradually face the situations they fear in a controlled environment, which can help reduce anxiety over time.

2. Medications: Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs) like fluoxetine (Prozac) or sertraline (Zoloft), are commonly prescribed for panic disorder. Benzodiazepines may also be used for short-term relief of acute symptoms, but they carry a risk of dependence and should be used cautiously.

3. Lifestyle Changes: Regular physical activity, a healthy diet, adequate sleep, and stress management techniques such as mindfulness and relaxation exercises can also help manage symptoms. Avoiding caffeine and alcohol, which can exacerbate anxiety, is advisable.

4. Support Groups: Connecting with others who have similar experiences can provide emotional support and practical advice. Support groups can be a valuable resource for individuals struggling with panic disorder.

Risks and Considerations:
While panic disorder can be treated effectively, there are risks associated with untreated panic disorder. These can include the development of agoraphobia, where individuals avoid places or situations that might trigger a panic attack, leading to significant lifestyle limitations. Additionally, untreated panic disorder can lead to other mental health issues, such as depression or substance abuse, as individuals may turn to alcohol or drugs to cope with their anxiety.

In your case, it’s important to address your concerns about your boyfriend’s behavior during panic attacks. The episodes you described, where he becomes physically aggressive or self-harming, could indicate a more complex issue beyond panic disorder, possibly involving emotional dysregulation or other underlying mental health conditions. It is crucial for him to seek professional help from a mental health provider who can conduct a thorough assessment and provide appropriate treatment.

Addressing Your Concerns:
1. Open Communication: It’s essential to have open and honest conversations with your boyfriend about his condition and how it affects both of you. Encourage him to express his feelings and fears, and share your concerns in a supportive manner.

2. Encourage Professional Help: If he hasn’t already, he should consider seeing a mental health professional who specializes in anxiety disorders. A comprehensive evaluation can help determine the best course of action for his treatment.

3. Safety Planning: Given your concerns about potential self-harm or aggression, it may be beneficial to develop a safety plan. This could include identifying triggers, establishing coping strategies, and knowing when to seek emergency help.

4. Consider Your Own Well-Being: While supporting your boyfriend, it’s also important to prioritize your own mental health. Consider seeking support for yourself, whether through therapy or support groups, to help you navigate this challenging situation.

In conclusion, panic disorder can be effectively treated, and many individuals go on to lead fulfilling lives. However, it’s crucial for your boyfriend to engage in a comprehensive treatment plan and for both of you to communicate openly about the challenges you face. If you feel unsafe or uncertain about the relationship, it’s important to seek guidance and support for yourself as well.

Similar Q&A

Can Panic Disorder Be Cured? Tips for Quick Recovery

Panic disorder can improve with appropriate treatment. Effective approaches include cognitive-behavioral therapy (CBT), medication such as selective serotonin reuptake inhibitors (SSRIs), and lifestyle changes like regular exercise and stress management techniques. It's impo...

Dr. Ding Shuyan reply Psychiatry
Hello, panic disorder can be successfully treated, but there is a possibility of relapse in the future. As mentioned, medication treatment tends to show effects relatively quickly. Wishing you all the best. Sincerely, Dr. Ding Shuo-Yan.

Understanding Panic Disorder: Treatment Options and Managing Symptoms

Hello Doctor: I have mild panic disorder, which I have self-assessed as mild because I don't experience episodes frequently, only in specific situations such as flying or driving through long tunnels. I read some articles stating that panic disorder can be cured, but when I ...

Dr. Liang Sunyuan reply Psychiatry
Based on your description, it is indeed possible that you are experiencing symptoms of panic and anxiety. Epidemiological studies have found that the majority (64%) of panic disorders can be alleviated (Psychol Med. 2010;40(1):147). During times of anxiety, it is recommended to s...

Understanding Panic Disorder: Causes, Symptoms, and Effective Treatments

How can panic disorder be treated effectively? What causes panic attacks? Is it due to work-related stress, among other factors?

Dr. Ding Shuyan reply Psychiatry
Hello, the treatment for panic disorder includes both medication and psychotherapy. The effects of medication are usually quicker, significantly reducing the distress and impact on daily life caused by symptoms. The causes of panic disorder, aside from stress and psychological fa...

Effective Treatment Strategies for Panic Disorder: Beyond Medication

Hello Doctor: A psychiatrist has diagnosed me with panic disorder. What treatment options are available? I tend to forget things, including asking the doctor what exercises I should do besides medication to help myself recover more quickly. I also experience palpitations, and whe...

Dr. Zhang Xuncheng reply Psychiatry
Dr. Chang Hsun-Cheng from Tainan Hospital, Department of Health, responded to Mr. A-Rong: Hello, Mr. A-Rong. Currently, medical technology around the world is advancing rapidly. There are effective medications available for the treatment of panic disorder. Based on experience, ...