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Panic Attack

WHAT YOU SHOULD KNOW

Panic attacks are a type of anxiety disorder. They are marked by overwhelming feelings of fear that last anywhere from a few minutes to an hour or two. They may strike for no apparent reason. The problem can usually be treated with a combination of counseling and medicine. If not treated, the attacks can lead to more severe problems.

Causes

Illness, stress, or certain medicines may trigger the first attack. Past injuries and dangers may also be a factor. Fear of additional attacks can actually set them off.

Signs/Symptoms

Adrenaline (uh-DREN-uh-lin), a chemical made by your system in response to danger (real or imagined), causes many of the body changes typically felt during a panic attack. Among these symptoms are a feeling of dread, fear, or danger; a fast heart rate and breathing; trembling; upset stomach; dry mouth; sweating; dizziness or fainting; and sometimes diarrhea. You may also feel detached from the people or things around you.

Care

The doctor may run tests for underlying physical disorders. Certain tranquilizers and antidepressant medications can relieve the attacks. Counseling may help you understand the cause of the panic and prepare you to deal effectively with the attacks. Learning to relax through muscle relaxation or biofeedback techniques can reduce your overall level of anxiety.

WHAT YOU SHOULD DO

  • Don't smoke, use drugs, drink alcohol, or take high-caffeine foods and beverages such as coffee, tea, soda, and chocolate. They can either cause anxiety or make your symptoms worse.
  • Try to spend time outdoors.
  • Get plenty of rest.
  • Muscle relaxation or aerobic exercise (such as walking) can help you relax. Ask your doctor to recommend the best exercise program for you.
  • Take any medications exactly as prescribed. Do not change the dosage. If you feel the medicine is not helping, let your doctor know; but don't stop taking it on your own. It is important to stick with a regular program of therapy.
  • For more information, get in touch with the following associations:
    • Anxiety Disorders Association of America
      6000 Executive Blvd., Suite 200
      Rockville, MD 20852
    • National Institute of Mental Health
      Panic Campaign
      Room 15C-05
      5600 Fishers Lane
      Rockville, MD 20857

Call Your Doctor If...

  • Your feelings of anxiety become worse.
  • You develop new, unexplained symptoms.
  • You have problems that may be related to medication you are taking.

Seek Care Immediately If...

  • You have a sudden feeling of panic that you can't control.
  • You develop chest pain, sweating, trouble breathing, or pain in your jaw, neck, and arm during an anxiety attack.

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