Do I have panic disorder?
Hello...
I have seen the symptoms of panic disorder...
I suspect that I have panic disorder...
because I have several symptoms...
but I have never seen a doctor...
so I don't know if I actually have panic disorder...
Could you please help me with this...
Thank you...
I don't know when it started...
but I often experience discomfort on the first day of starting a new job...
such as feeling nervous, having rapid breathing, increased heart rate, dizziness, nausea, trembling, cold sweats, and a heavy feeling in my body.
If it gets severe, I may not be able to stand, have difficulty breathing, feel like I can't catch my breath, experience tunnel vision, and have numbness from head to toe, along with facial and hand cramps, almost leading to fainting.
Because of this, I often go home feeling unwell on the first day of many jobs...
and I can't continue...
However, it's not just on the first day of work; sometimes, when my emotions are too intense, such as during an argument with my boyfriend, I also experience the same symptoms...
This has been very distressing for me because it is truly uncomfortable and upsetting, so I would appreciate your help with this...
Thank you...
Fanrao de ren, 20~29 year old female. Ask Date: 2005/05/23
Dr. Lin Yanhong reply Psychiatry
Hello, panic disorder is a type of severe anxiety disorder that can occur without any warning or obvious reason.
The overwhelming fear of dying is much more intense than the typical anxiety experienced by most people.
Symptoms of a panic attack include: *rapid heartbeat*shortness of breath, feeling as if you can't get enough air*headache, dizziness, or nausea*trembling, sweating*feeling of a lump in the throat*chest pain*a burning sensation in the body or face*numbness or tingling in the fingers or toes*fear of losing control or dying.
Based on your description, it is possible that you have panic disorder; however, it seems to occur in response to clear triggers, such as adapting to a new environment or after an argument.
A thorough evaluation by a physician is necessary for an accurate diagnosis.
Medication for panic disorder can be effective, but if coping skills and stress resilience are not improved, recurrent episodes may still occur.
It is essential to consult a doctor to identify treatment options, including medication and relaxation techniques.
Dr.
Lin.
Reply Date: 2005/05/23
More Info
It sounds like you are experiencing a range of distressing symptoms that could indeed be indicative of panic disorder or another anxiety-related condition. Panic disorder is characterized by recurrent, unexpected panic attacks, which are sudden periods of intense fear or discomfort that can include physical symptoms such as rapid heartbeat, sweating, trembling, shortness of breath, and feelings of impending doom. The symptoms you describe, such as rapid breathing, heart palpitations, dizziness, nausea, and feelings of unreality, align closely with those of panic attacks.
Your experience of feeling overwhelmed in new work environments, along with the physical manifestations of anxiety during emotionally charged situations, suggests that your body is reacting strongly to stressors. This is not uncommon; many people with anxiety disorders report similar experiences. The fact that these symptoms occur not only in new situations but also during emotional conflicts indicates a heightened sensitivity to stress and anxiety.
It's important to recognize that these symptoms can significantly impact your daily life and well-being. Avoiding situations that trigger these feelings, such as new jobs or confrontations, can lead to a cycle of avoidance that may exacerbate your anxiety over time. This is a common pattern in anxiety disorders, where the fear of experiencing panic attacks leads to avoiding situations where they might occur, ultimately limiting your opportunities and experiences.
Seeking professional help is a crucial step in addressing these concerns. A mental health professional can provide a comprehensive evaluation to determine whether you meet the criteria for panic disorder or another anxiety disorder. They can also help you understand the underlying causes of your anxiety and develop a tailored treatment plan. Treatment options may include cognitive-behavioral therapy (CBT), which is effective for many individuals with panic disorder, as it helps to identify and change negative thought patterns and behaviors associated with anxiety. In some cases, medication may also be recommended to help manage symptoms.
It's understandable to feel apprehensive about seeking help, especially if you have never seen a doctor for these issues before. However, mental health professionals are trained to handle such situations with confidentiality and sensitivity. They can provide a safe space for you to discuss your feelings and experiences without judgment. Remember, seeking help is a sign of strength, not weakness.
In addition to professional help, there are self-care strategies you can implement to help manage your anxiety. These may include practicing mindfulness or relaxation techniques, engaging in regular physical activity, maintaining a healthy diet, and ensuring you get enough sleep. Building a support network of friends or family members who understand your situation can also be beneficial.
In summary, based on the symptoms you've described, it is advisable to seek professional help to assess whether you have panic disorder or another anxiety-related condition. Early intervention can lead to more effective management of your symptoms and an improved quality of life. Remember, you are not alone in this, and there are resources available to help you navigate these challenges.
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