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Abstract

Panic Attack Recovery

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Help & Recovery from Panic Attacks

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In my opinion, the best way to provide help for people suffering with
panic attacks is to provide comprehensive, easy to understand,
information which discusses anxiety, panic attacks, panic disorder, and
agoraphobia.

Many people who first experience a panic attack don't know what is
happening to them. Moreover, people who experience a panic attack or
panic attacks find it reassuring to understand what is happening to
them biologically and psychologically. This knowledge (knowing what is
happening) can be a real and initial form of help with panic attacks.

As per the Mayo Clinic's website:

A panic attack is a sudden episode of intense fear that develops for no
apparent reason and that triggers severe physical reactions. Panic
attacks can be very frightening. When panic attacks occur, you might
think you're losing control, having a heart attack or even dying.

You may have only one or two panic attacks in your lifetime. But if you
have had several panic attacks and have spent long periods in constant
fear of another attack, you may have a chronic condition called panic
disorder.

Panic attacks were once dismissed as nerves or stress, but they're now
recognized as a real medical condition. Although panic attacks can
significantly affect your quality of life, treatment is very
effective.^1

As per the Diagnostic and Statistical Manual of Mental Disorders, 4th
ed., Panic Disorder involves the following :

Recurrent unexpected panic attacks and at least one of the attacks have
been followed by 1 month (or more) of one (or more) of the following:

The attacks are not due to the direct physiological effects of a
substance (such as drug of abuse or a medication), or a general medical
condition.
The attacks are not better accounted for by another mental disorder,
such as social phobia (such as occurring on exposure to feared social
situations), specific phobia, obsessive-compulsive disorder,
post-traumatic stress disorder or separation anxiety disorder
If the above criteria are met, the diagnosis is further clarified by
the presence or absence of agoraphobia (such as Panic Disorder with
Agoraphobia or Panic Disorder without Agoraphobia). ^2

I know how scary it can be, first hand. I initially felt like I was
going crazy - the thought that I might be suffering from a panic attack
- a highly treatable illness - never crossed my mind.

Unfortunately I was not sure where to turn to for help with my panic
attacks (of course at the time though I did not know that I was
suffering from panic attacks).

When I described my symptoms to my family doctor, after having my first
panic attack, he didn't provide what I considered helpful treatment or
advice. He only recommended that I see a psychologist. He did not
suggest to me that I might be suffering a panic attack.

While the doctor's referral to a psychologist led to me receiving help,
it was really hard going through this period not knowing anything about
what was happening to me. Knowing something about the process would
have put me somewhat at ease.

Now in fairness, most medical doctors, at least general practitioners,
are not trained in panic attacks, mental health issues, at least in any
real depth, and are not prepared to provide any type of counseling, as
their training is in only a biological model.

Furthermore most healthcare systems require physicians to work within
many time constraints. Obviously this does not help the panic attack
sufferer. So dealing with panic attacks in many senses is outside a
general practitioner's expertise, hence the recommendation made by my
doctor was a good one, real help followed because the psychologist
really had the right training and experience.

Fortunately, though, awareness of panic attacks is increasing, and now,
when patients experience a panic attack, more family doctors will tell
them so and can then direct them to the help they need.

Once a physical exam is completed by a medical doctor and this exam
rules out any physical causes/issues, then a diagnosis of a panic
attack can be made. Medical doctors, psychologists and psychiatrists
can make a diagnosis of panic attacks or panic disorder. If you
suspect you might be suffering from any of these conditions then see a
medical professional as noted above.

Now although a medical doctor can make a diagnosis of a panic disorder
and prescribe medication, more is necessary. A referral to a mental
health professional with experience in panic attacks is very
important. This is where the real help continues, in my opinion.

I will now discuss the process of a panic attack.

During a panic attack what is known as the "fight or flight response"
is activated,^3 even though the individual is not any real danger.

The "fight or flight response" activates the body's mental and physical
survival responses which are to fight or flee from a perceived
attacker, harm or threat.

When this response is initiated chemicals such as adrenaline,
noradrenaline and cortisol are released into the bloodstream which
causes a series of physiological effects. Heart rate increases, pupils
dilate, and respiration increases. Blood flow to the brain is reduced,
which means that rational thinking is compromised.

This in turn causes one's thoughts to race and puts one on a heightened
alert. One is hypersensitive to things that normally wouldn't bother
him or her.

The whole process is cyclical because one's racing thoughts and worries
increase his/her physiological symptoms, and in turn one's
physiological symptoms increase his/her racing thoughts and worries.

While many people suffering from panic attacks feel that they are
either having a heart attack or going crazy, initially, it can be
helpful to know that this is not the case.

Of course if you've experienced a panic attack you are probably
concerned about experiencing another. This is where agoraphobia can
come in.

I like to define agoraphobia as fear of fear.

The Mayo Clinic's website indicates that Agoraphobia is a type of
anxiety disorder in which you avoid situations that you're afraid might
cause you to panic. You might avoid being alone, leaving your home or
any situation where you could feel trapped, embarrassed or helpless if
you do panic.

People with agoraphobia often have a hard time feeling safe in any
public place, especially where crowds gather. The fears can be so
overwhelming that you may be essentially trapped in your own home.

Agoraphobia treatment can be tough because it usually means confronting
your fears. But with medications and psychotherapy, you can escape the
trap of agoraphobia and live a more enjoyable life.^4

Please be reassured that if you've been diagnosed with panic disorder
you are not losing your mind or having a heart attack.

Being informed and proactive in your recovery is key. You can continue
to learn more by joining my free newsletter.

Join the Panic Attack Recovery Newsletter

Just enter your email address below and click the button. We promise
not to share your email address with anyone. You can unsubscribe at
any time.

E-mail address
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Warmly,

Matthew Wagner
PanicAttackRecovery

1. mayoclinic/health/panic-attacks/DS00338
2. American Psychiatric Association. "Diagnostic and Statistical Manual
of Mental Disorders, 4th ed., text revision" 2000 Washington, DC:
Author.
3. Bourne, E. J. (2000) The Anxiety & Phobia Workbook. Oakland, CA: New
Harbinger Publications
4. mayoclinic/health/agoraphobia/DS00894

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The material in this website and newsletter is provided for educational
and informational purposes only, and is not intended to be a substitute
for a psychologist's, psychiatrist's or other health care provider's
consultation. Please consult a psychologist, psychiatrist or
appropriate health care provider about the applicability of any
opinions or recommendations with respect to your own panic attacks,
anxiety or agoraphobia, or any other symptom or condition. The
proprietor of this website shall have neither liability nor
responsibility to any person or entity with respect to any loss,
damage, or injury caused or alleged to be caused directly or indirectly
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Cognitive Behavioral Therapy for Panic Attacks, Anxiety, and
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Relaxation from Anxiety, Panic Attacks, and Agoraphobia
Behavioral Techniques for Anxiety, Panic Attacks, and Agoraphobia
Other Useful Suggestions for Anxiety, Panic Attacks, and Agoraphobia
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