Panic Attack: Signs, Symptoms, Panic Disorder and Agoraphobia

A panic attack is a sudden surge of overwhelming fear and anxiety, usually without any clear reason and without warning. It can happen to anyone regardless of age, health and status. Many attacks are a one-time occurrence, but some people experience recurring episodes. Recurring episodes are often caused by a "trigger" – like speaking in front of a crowd or doing a presentation at work. Panic attacks may be a part of another disorder such as depression, panic disorder, or social phobia. These, however, are generally harmless, but sufferers still feel that their life is in danger. Either way, panic attacks are treatable.

Signs and Symptoms

A panic attack can happen anytime, but it usually happens when you are away from home. You may be at a store shopping, at work preparing for a presentation, in a class, driving, walking down the street or even during asleep.

The signs and symptoms develop quickly and usually arrive at its peak in 10 minutes. The majority of panic attacks do not last for more than 30 minutes and it rarely lasts for more than an hour.

A person during an attack shows these signs and symptoms:

• Increased heartbeat or palpitation
• Chest pain
• Hyperventilation or shortness of breath
• Stomach churning, upset stomach
• Trembling and shaking
• Muscle tension
• Sweating
• Dizziness and light-headedness
• Hot or cold flashes
• Tingling sensation or numbness
• Fear of dying, going crazy or losing control
• Feeling detached from the surroundings

Panic Disorder

• A panic attack may happen just once without any problem or complication. And there is almost no reason to be concerned if you have one or two episodes. But those who have experienced several episodes usually develop panic disorder.
• Recurring panic attacks along with persistent anxiety for future attacks and major changes in behavior can be considered as panic disorder. There are two symptoms of panic disorder: (1) phobic avoidance and (2) anticipatory anxiety.
• Phobic avoidance - When you begin to avoid certain things or situations based on the belief that it would trigger another attack. It can also be avoiding situations that have caused the previous attack. You may also avoid places or situations where escape is difficult and help is unavailable, like riding an elevator or an airplane. Extreme case of phobic avoidance may lead to agoraphobia.
• Anticipatory anxiety – The "fear of fear" or the fear of having future panic attacks. The person manifesting this symptom is usually tensed and anxious. When ignored, the condition can be disabling.

Panic disorder with agoraphobia

Agoraphobia is traditionally believed as fear of open places or public places, thus, it literally means "fear of the marketplace." However, now it is believed that agoraphobia is fear of experiencing panic attack in a place where help is difficult or where escape would be difficult.

People with agoraphobia tend to avoid the following situations or activities:

• Being away from home
• Driving
• Confined places where there is a possibility of being trapped (elevator, theaters, public transportation, stores)
• Going out with "unsafe" person or someone he or she is not comfortable being with.
• Places where it would be embarrassing to have a panic attack like parties and other social gatherings.

In severe cases, people with agoraphobia see their home as the only safe place.

Symptoms of Anxiety Attacks

Everyone worries, gets nervous and concerned, feels certain fears, and experiences apprehensions. To a certain degree, anxiousness is healthy as it enables the body to react to certain stimuli and take into action or perform better. As long as the feeling is relative to the situation or problem at hand, it is normal. However, when anxiety gets severe, chronic and irrational, you might already have an anxiety disorder and experience episodes of anxiety attacks.

Common symptoms include:

Fear of going crazy – When under tremendous pressure, a person may feel that he is going crazy. This, however, is more evident during anxiety attack, but rest assured that you are not going crazy. This is because going crazy is not a conscious act; people who are suffering from mental illnesses do not even know that they have one. Again, if you are experiencing excessive fear or irrational thoughts, you are not going crazy.

Dry mouth – This is a natural occurrence during anxiety attack as fluids are diverted to other parts of the body. To counter dry mouth, sip water or suck sweets to stimulate the production of saliva. In severe cases, doctors may prescribe you with liquid.

Shaking and shivering – These two are necessary functions of the body as it constantly tries to keep the body temperature normal. When the body temperature drops from normal, the muscles spasmodically contract, creating friction between muscles and body tissues, thus increasing the body temperature. During anxiety attacks, shaking and shivering are normal.

Heart palpitation – or the feeling that the heart is missing beats is caused by the release of adrenaline into the bloodstream during an attack. This is perfectly normal and cannot harm you in any way. However, it can cause discomfort.

Body pain – such as neck, shoulder, jaw, mouth and stomach pains, as well as head headaches. When the body is under stress, parts of the body usually get tensed, which results to pain.

Chest pain – is a normal body reaction to anxiety attack because of muscle tension. Sometimes, chest pain is misinterpreted as a heart attack, but it is important to identify from one another as the latter can be deadly.

Shortness of breath – is the most distressing symptom of anxiety attack as it almost feels that the chest cannot expand to accommodate the necessary air that the body needs. Sometimes, it feels that someone is pushing a pillow into your face. Three important points to remember are you will not suffocate, stop breathing or pass out.

Feeling detach or unreal – is a symptom of anxiety attack which alters the way you experience yourself or see reality. It makes you feel that everything around you is like a dream, foggy and unreal.

Recognizing the symptoms of anxiety attacks need not require you to understand the physiology of the human body. What is required is your awareness on each symptoms and the danger they have when ignored.

Different people manifest different behaviors when experiencing anxiety. The intensity of prevailing symptoms differs either. And since the term "anxiety disorders" is coined to refer a group of related conditions rather than a single disorder, symptoms may look different on every anxiety attack. It is important, therefore, to consult a health professional so that it will out any possible condition apart from anxiety.

What You should Do if You Had a Panic Attack

Experiencing a panic attack for the first time can be distressing not only because of the actual experience during the attack but also because you tend to develop fear of future attacks. Also known as anticipatory anxiety, fear of future attacks causes continuous fear and tension disabling you to relax. Often when the condition is not addressed, it will lead to phobic avoidance wherein you avoid places, situations, gatherings, and events where emergency help is not readily available or where having an attack can be embarrassing.

Taken to the extreme, this condition may lead to agoraphobia where you begin to avoid much of the activities you usually do. To avoid this, consider the following advices:

1. Consult your medical doctor. Symptoms attributed to panic attacks such racing heart, chest pain, heavy breathing, profuse sweating, agitation, etc., are also common to other physiological and psychological conditions. Seeking for proper diagnosis from your doctor, therefore, will rule out any cause unrelated to anxiety. Tell him your symptoms, when did the attack happen, and how intense the attack was. Your doctor will ask about your past medical history and may run some tests (e.g. urine test, blood test, drug screens, etc.).
2. See a therapist who is properly trained to handle such psychological condition. No, you are not crazy (people who go to a therapist are not crazy). The reason why you have to see a therapist is to process your emotion and prevent future attacks. Do not wait too long to seek help. Left untreated, a panic attack can lead to more severe conditions. Your therapist may subject you to cognitive-behavioral therapy and exposure therapy to process your thoughts. 
3. Find the cause of the attack. Some cases of panic attacks may show a "pattern" – certain activity, thoughts, time or person you are with at the time of the attack. These give you important clues to eliminate later symptoms.   
4. Learn some relaxation techniques you can practice at home or while out. Music, meditation, yoga, and breathing techniques are not only helpful in reducing the symptoms during the actual attack but also in strengthening your body's relaxation response.
5. Do not add more fear. Absorbing all the fears and other negative thoughts that come with anxiety attack only adds to more fear which worsen the negative impact even further. Instead, recognize that you are afraid and make it work to your advantage.  
6. Practice healthy lifestyle (regular exercise, balanced diet, and enough sleep). Studies prove that at little as 30 minutes of physical activity 3 to 5 times a week is a great stress buster, helpful in preventing future attacks. Balanced diet keeps the supply of nutrients and maintains the balance of chemical in the body. Sleeping at least 8 hours each day recharges the body, refreshes the mind, and calms the muscles. 
7. Remove all unnecessary stress. Since, panic attacks are closely linked to stress, avoiding things, people, and situations that stress you out help reduce the chance of future attacks. 
8. Educate yourself about panic attacks. There are many resources where you can learn more about the condition. Reading books, health magazines and internet articles about panic attack will definitely equip you with the right information on how to combat any negative effects it brings.

Panic Attack: Signs, Symptoms, Panic Disorder and Agoraphobia

A panic attack is a sudden surge of overwhelming fear and anxiety, usually without any clear reason and without warning. It can happen to anyone regardless of age, health and status. Many attacks are a one-time occurrence, but some people experience recurring episodes. Recurring episodes are often caused by a "trigger" – like speaking in front of a crowd or doing a presentation at work. Panic attacks may be a part of another disorder such as depression, panic disorder, or social phobia. These, however, are generally harmless, but sufferers still feel that their life is in danger. Either way, panic attacks are treatable.

Signs and Symptoms 

A panic attack can happen anytime, but it usually happens when you are away from home. You may be at a store shopping, at work preparing for a presentation, in a class, driving, walking down the street or even during asleep.

The signs and symptoms develop quickly and usually arrive at its peak in 10 minutes. The majority of panic attacks do not last for more than 30 minutes and it rarely lasts for more than an hour.

A person during an attack shows these signs and symptoms:

• Increased heartbeat or palpitation
• Chest pain
• Hyperventilation or shortness of breath 
• Stomach churning, upset stomach
• Trembling and shaking
• Muscle tension
• Sweating
• Dizziness and light-headedness
• Hot or cold flashes
• Tingling sensation or numbness
• Fear of dying, going crazy or losing control
• Feeling detached from the surroundings

Panic Disorder 
A panic attack may happen just once without any problem or complication. And there is almost no reason to be concerned if you have one or two episodes. But those who have experienced several episodes usually develop panic disorder.

Recurring panic attacks along with persistent anxiety for future attacks and major changes in behavior can be considered as panic disorder. There are two symptoms of panic disorder: (1) phobic avoidance and (2) anticipatory anxiety.

Phobic avoidance - When you begin to avoid certain things or situations based on the belief that it would trigger another attack. It can also be avoiding situations that have caused the previous attack. You may also avoid places or situations where escape is difficult and help is unavailable, like riding an elevator or an airplane. Extreme case of phobic avoidance may lead to agoraphobia.

Anticipatory anxiety – The "fear of fear" or the fear of having future panic attacks. The person manifesting this symptom is usually tensed and anxious. When ignored, the condition can be disabling.

Panic disorder with agoraphobia
Agoraphobia is traditionally believed as fear of open places or public places, thus, it literally means "fear of the marketplace." However, now it is believed that agoraphobia is fear of experiencing panic attack in a place where help is difficult or where escape would be difficult.

People with agoraphobia tend to avoid the following situations or activities:

• Being away from home
• Driving
• Confined places where there is a possibility of being trapped (elevator, theaters, public transportation, stores)
• Going out with "unsafe" person or someone he or she is not comfortable being with.
• Places where it would be embarrassing to have a panic attack like parties and other social gatherings.

In severe cases, people with agoraphobia see their home as the only safe place.

Help Someone Having a Panic Attack

Panic attacks often occur to anyone without warning. So whenever someone had an attack, it is important that you know what to do.

Understand what a panic attack is. A panic attack is a sudden surge of overwhelming fear or anxiety. It is manifested by several signs and symptoms. During an attack, a person experiences increased heartbeat or palpitation, chest pain, hyperventilation or shortness of breath, stomach churning, upset stomach, trembling and shaking, muscle tension, sweating, dizziness and light-headedness, hot or cold flashes, tingling sensation or numbness, fear of dying, going crazy or losing control and feeling detached from the surroundings.

Seek for emergency medical help. It is important to call for a health professional especially if a person experiences an attack for the first time. 

Identify the cause of the symptoms. The signs and symptoms of panic attack are similar to medical conditions. Hyperventilation or shortness of breath can be a sign of asthma. Chest pain, increased heartbeat or palpitation and sweating can be a heart attack. Talk to the person and determine if the symptoms are caused by other medical conditions. When in doubt, a health professional will be a great help.

While waiting for help, find the cause of attack. Once it is established that the cause of the symptoms is really a panic attack, find the source of the panic and take the person away from it. Do not make an assumption about what the person needs. A person who is suffering from the attack may know exactly what to do or has medications which will get him through the attack, so it is best to ask.

Don't surprise the patient. Be predictable with your movements. Do not grab, hold or restrain. Keep him calm and stay calm yourself. Reassure the person that everything is going to be fine but do not dismiss his fear by saying "it's all in your mind" or "don't worry about it" or "you are overreacting." Take note that the fear is very real to the victim so it dismissing the fear has no effect or can even make the matter worse.

Help the patient to control his breathing. Many patients breathe heavily during an attack; others hold their breath. Using deep breathing technique is a very effective way to purge the symptoms of a panic attack as well as calm the patient down. Guide the person and tell him to breathe in for 3 slow counts. Then ask him to hold his breath for 3 slow counts and breathe out for another 3 slow counts. Do this several times until the person is calm. You can also advice him to breathe into a paper bag. This way, he will re-breathe his carbon dioxide. Carbon dioxide helps correct the blood acid level that had been disturbed by excessive breathing. But be careful when using paper bags since they may trigger another fear.

Stay with the person throughout his ordeal. Never leave a person especially if he is having difficulty in breathing. Be patient. They may act rude or unfriendly but remember that it is temporary and will go back to normal as soon as the attack is over.

Do not forget that for the patient, the thoughts are real. Reassure him the help is on the way. Never allow the patient to do things that will put his life at risk.

Panic Attack Medications – Can You Live Without Them?

Medications, a quick fix solution, are the most common way out of panic attacks. They are, for sure, not the ultimate solution to all behavioral dysfunction and many people have become well without the aid of them. Nonetheless, they are still being prescribed for two reasons—because they work and because they are convenient.

But can people with panic attacks truly live normally without the medications? For those who believe in their capacity to help themselves intro treatment other than taking pills and tablets, they can. Sadly for those who are used to the idea of resorting to meds for cure, it may be a bit hard not to take them.

People who depend too heavily on medication for the alleviation of panic attack symptoms know for a fact that dependence will ultimately occur. Along with the possibility that they will not get cured of their behavioral condition, they also will create another problem for themselves—how to recover from dependence on the medication? This truth is perhaps further exacerbated by the fact that panic attack medications are not the typical over the counter drugs that one could easily get over with.

Oftentimes, these drugs (e.g. valium and antidepressants) are meant to cure serious cases of mental disorders. Eventually, the patients will no longer suffer from only one condition but two serious conditions. The bonus? The addiction adds and aggravates the unpleasant experiences accompanying panic attacks. This is the common experience of people who rely too much on laboratory-produced substances.

Apart from drug dependence, panic attack medications can also trigger side effects at varying degrees. Typical examples of side effects are slower reflexes, light headedness, lack of energy, nausea, dizziness, upset stomach, blurry vision, disorientation, memory loss, confusion, impaired judgment, reduced brain activity, slurred speech and depression. Beyond the typical side effects, panic attack medications can also pose added risks overtime especially when certain combinations of medications are used.

Another problem that may be experienced are the paradoxical effects they could elicit. Paradoxical effects include those conditions that are excited by the use of specific medications which include irritability and anxiety at the less serious levels, and mania, aggression and hallucination at the more advanced stages.

Further, panic attack medications come with hefty price tags—not really the best way of exacerbating your already serious behavioral disorder.

However, despite all the negativities surrounding panic attack medications, their effects should not be counted as entirely useless or dangerous. They were made to provide symptom relief and possible cure to start with. Thus, not all effects are bad. Nonetheless, it must be remembered that relief from the symptoms should not be entirely dependent on their effects. They must only be used when extremely necessary. Otherwise, these medications, which are by nature foreign chemicals, might destroy something in you that is beyond repairable.

The truth is, there are a number of ways to cure yourself from panic attacks apart from depending on medications to give you the solution. Behavioral therapies as well as cognitive approaches are among the best alternatives to drugs. Group and individual therapies are also good options. But despite all the promises of these therapies and treatments, if the person lacks the determination to take himself out of the grip of panic attacks, all these may prove useless.

Over the years, medical professionals and patients alike proved that only the person, the patient of panic attacks, could find the cure for his condition.

Triggers and Causes of Panic Attacks

Here are the common triggers and causes of panic attacks:

Phobia – People who are exposed to certain situation or objects they are afraid of will often experience a panic attack.

Passiveness – Many think that excessive politeness, shyness, and respectfulness are a positive thing and it is normal for someone to possess these characteristics. Be that as it may, a growing number of evidence supports the idea that passiveness as a result of fear (sometimes unexplained), low self-esteem and self-confidence is consistent with a person experiencing episodes of panic attack.

Hyperventilation syndrome – Mouth breathing and over-breathing or exhaling more carbon dioxide with respect to the amount of oxygen in the bloodstream can result to symptoms including dizziness, lightheadedness, and rapid heartbeat. These symptoms, in turn trigger panic attacks.

Benzodiazepines – Drugs such as benzodiazepines are prescribed to treat the symptoms of panic attacks. These drugs have a very quick to take effect. Usually, the patient finds relief within 30 minutes. However, benzodiazepines are highly addictive and rebound effect is common (a panic attack triggered by withdrawing from the drug).

Medications – There are certain drugs such as fluoroquinolone type antibiotics and Ritalin (methylphenidate) with panic attacks listed as a side effect. Attacks may be temporary, usually occurring when a patient begins medication but may continue occurring even if the patient is already accustomed to the drug. When this happens, change of dosage or type of drug is usually warranted. Selective Serotonin Reuptake Inhibitors or SSRIs boost the level of serotonin in the brain which regulates and normalizes emotions. However, intake of SSRIs can increase anxiety at the beginning of use. Panic attacks may even be more frequent to patients who wean on and off the medications

Biological causes – post traumatic stress disorder, obsessive compulsive disorder, Wilson's disease, pheochromocytoma, hypoglycemia, mitral valve prolapse and labyrinthitis (inner ear disturbances) can manifest through panic attack. Vitamin B deficiency from periodic depletion because of parasitic infection from tapeworm or due to inadequate diet can trigger panic attacks.

Heredity – Children, whose parents have been found to suffer from panic disorder, are likely to experience or have panic attacks as well. In other words, inheritance plays an important role in determining who gets it. However, people with no family history can still develop panic disorder.

Environment factors and upbringing – People who grew up overly cautious about their life and actions, and those who live in a very stressful environment, plus different traumatic experiences from the past are likely to have panic attacks.

Short-term triggering causes – Significant life changes, emotional trauma from a failed relationship, life transition, stimulants such as nicotine and caffeine, psilocybin, marijuana, and drugs can trigger panic attacks.

Take note that these triggers and causes may have different effects to different people. One may only need one trigger to have an episode of panic attacks. Others may require several triggers in order to break down. Also, by simply being exposed to any of these triggers do not automatically result to panic attacks because some are emotionally stronger than others.

It is also important to note that some symptoms of panic attacks may also be a sign of other medical conditions. Hence, it is important to precisely pinpoint the cause of the symptoms in order know what type of treatment is necessary.

Physical Signs of Anxiety Attack

Anxiety is a feeling of fear, apprehension and discomfort over a situation. This is actually a good and healthy feeling since the body is able to recognize something that it needs to address. This "flight or fight" response enables the body to get that much needed boost of energy to react to the specific situation. In this case, anxiety is helpful. However, if it gets intense, recurring and exaggerated, it may already be considered as an anxiety attack.

The exact cause of an anxiety attack is not fully understood, but research suggests that genetics, life experiences and brain chemistry contribute to the onset of the attack. What is known is that during the attack, a person shows signs and changes in the body.

The immediate sign of anxiety attack is increased heartbeat or palpitation. This is the most distressing among anxiety symptoms. But this is generally a good thing since the heart works harder to pump more blood to your body, especially to your legs and your arms, enabling you to have a surge of energy to respond quicker than normal to any emergency. The chest feels tight as if it refuses to expand to accommodate air the body needs. Sometimes, the feeling is like someone is pushing a pillow into your face.

The additional oxygen requirement of the body must be compensated by breathing. Thus, during an anxiety attack, you breathe faster. As your arms and legs receive more oxygen and energy, your muscles tend to get tensed, which is important when abrupt movement is needed.

As your arms and legs receive more supply of oxygen through the blood, other parts of the body receive less than normal supply of oxygen (the stomach and the brain can survive with less oxygen during emergency situations). In other words, the oxygen that is supposed to go to the stomach is redirected to the arms and legs. This explains why a person who is undergoing an anxiety attack experiences churning feeling in the stomach. Because the brain receives less amount of oxygen for a short period of time, the person experiences light-headedness and dizziness. (Take note, however, that the reduced supply of oxygen in the brain is just enough to produce these symptoms and doesn't cause any permanent brain damage.)

Because your heart pumps more blood to your muscles, your body temperature increases. So to keep a relatively normal temperature, you begin to sweat.

Aside from these signs, you can also experience weakness or fatigue, tingling sensation, and dry mouth. Also, side-effects of these signs may include diarrhea and constant urination.

These body responses are automatic. Meaning, there is no "switch" to turn it on. Thus, there is also no way you can turn it off by simply thinking that you should not feel any of these symptoms. What you should do, especially if the attack is chronic, recurring and it already affects your life, is to seek medical help. This way, your doctor will be able to identify and rule out any other possible causes of these signs which are unrelated to anxiety.

Allow your doctor to conduct a physical exam. He may prescribe you a drug or may refer you to a psychologist or a therapist. Following your doctor is important so do not ignore any advice and believe that you are totally okay.

Various Treatments for Panic Attacks

The cause of panic attacks is still not fully understood. What is known is that it can happen to anyone, without any reason, regardless of age. Meaning, a happy and healthy person has an equal chance of experiencing a panic attack with those who are depressed and unhealthy. An episode of panic attack chooses no time. It can happen while you are at home, sitting on your couch, watching television, while driving, shopping or walking, at the office, etc. It can even happen while you are asleep.

Given such circumstances, methods of treatment may vary from person to person, depending on his conditions, symptoms, lifestyle, and frequency of attacks. Typically however, treatment involves psychotherapy, cognitive behavioral therapy (CBT) and/or medication. Other treatments that can be employed are meditation, breathing exercises, relaxation techniques and herbal treatment.

Anti-anxiety medications such as Ativan, Xanax and Klonopin provide quick relief from the symptoms panic attack. Benzodiazepines have immediate effects, usually within 30 minutes to an hour. Benzodiazepines, however, are highly addictive and have some serious withdrawal symptoms. Anti-depressant drugs (Paxil, Prozac, Zoloft, Lexapro, and Celexa) should be taken continuously before you can begin to notice the effects, usually up to 6 months to a year. You cannot take anti-depressant drugs just during an attack.

In addition, since you cannot anticipate when you will have such attack, only those who are diagnosed with panic disorder (or recurring panic attacks) can acquire these types of drug. 

Panic attacks, as well as panic disorder, agoraphobia and other phobias and related conditions can be treated effectively by psychotherapy. Cognitive-behavioral therapy is proven as an effective way to reduce the symptoms of panic attacks or completely eliminate the condition. CBT focuses on changing the thinking pattern of the person from negative to positive thoughts as well as changing the way a person reacts or behaves when he encounters emergency or situations that can trigger an attack.

Another treatment similar to CTB that is worth mentioning is exposure therapy. This helps the person overcome his fear by letting him face those fearful situations in a controlled and safe manner. The result of this technique is that the person learns how to react positively on what he thinks are fearful situations.  Moreover, through this experience, the patient learns that the situations he fears are not harmful and dangerous.  

In many cases, medication alone or therapy alone is enough to completely treat the condition, but other cases require both treatment methods to effectively treat panic disorder. 

Meditation, breathing exercises, and relaxation techniques have been found effective in reducing the chances of experiencing another attack. They help calm the mind and relax the muscles. Regularly practicing these exercises and techniques strengthen the body's relaxation response.

Natural herbs such as bacopin, ginkgo biloba, passion flower, St. John Wort, hyperforin, 5HTP (5-hydroxytryptophan), chamomile, rhodiola, are equally effective since they have natural anti-stress properties. In some cases, using these herbs is sufficient enough to combat panic attacks. Many people also react positively using this kind of treatment.

Fresh leaves can be made as tea. Some are also available over-the-counter in oil, tincture, capsule, powder and tea. The best thing about these natural herbs is that they do not carry any side effects as compared to mainstream anti-anxiety and anti depressant prescription medications.

Natural Herbs To Help With Anxiety

Understanding Anxiety and Anxiety Attacks

Anxiety is a normal, healthy feeling that is experienced by everyone. It is the body's way of reacting to stimulus that pushes us to either "fight" or "flight" over a situation. However, when anxiety attacks are chronic, severe, and irrational, and begin to affect the health of a person (physically, psychologically and emotionally), it already becomes a problem that must be addressed immediately. There is a thick line between healthy and unhealthy anxiety attacks. Unfortunately, the demarcation line is almost ignored that normal anxiety crosses into the territory of anxiety disorders.

Types of Anxiety Disorder

There are six different types of anxiety disorder, each has its own characteristics: generalized anxiety disorder, panic disorder, phobia, post-traumatic stress disorder, social anxiety disorder, and obsessive-compulsive disorder.

Generalized anxiety disorder (GAD) is a chronic worry or fear over almost everything without even knowing why. They feel anxious from day to day activities and are troubled that bad things will happen. People with GAD show symptoms such as stomach upset, fatigue, restlessness, and insomnia.

Panic disorder is repeated, unexpected panic attacks, and fears that panic episodes will likely to happen. People with panic disorder are likely to have agoraphobia, or fear of being in places where help or escape will be difficult in case of another panic attack. People with agoraphobia are also afraid of being trapped in confined places such as an airplane or crowded areas such as a shopping mall.

Phobia is excessive, irrational, and exaggerated fear over simple things that generally present little or no danger. Common phobias are heights, snakes, spiders, dark, and flying. People with phobias tend to avoid the things they are afraid of in order to escape anxiety attacks. However, avoidance only strengthens the phobia.

Post-traumatic stress disorder (PTSD) is an anxiety disorder that happens after a life-threatening or a traumatic event. People with PTSD show symptoms such as hyper-vigilance, avoiding situations or places that remind them about the event, nightmares and flashbacks about the things that happened, startling easily, and isolation.

Social anxiety disorder or social phobia is fear of being seen negatively by others or fear of getting humiliated in public by other people. Social anxiety is often mistaken as an ordinary extreme shyness. People with this kind of disorder usually isolate themselves from others or event and places where crowd usually gathers. Stage fright is the most common type of social anxiety.

Obsessive-compulsive disorder (OCD) is a condition where a person has unwanted behavior or thoughts which appear to be impossible to control. People with OCD can have certain obsession such as worries that they might hurt someone or that they have forgotten to turn the lights off. They can also have uncontrollable compulsion. The most common is washing of hands repeatedly.

Do you experience anxiety attacks?

• Are you always worried, tense, and on the edge?
• Do you feel like you are in danger whenever you are in confined places?
• Are you afraid of mingling with strangers, meeting new friends or even meeting relatives?
• Do you feel that something bad or catastrophic will happen if certain things are not done according to plan?
• Do you experience worry, fear and anxiousness that affect your relationship, work, healthy, and other responsibilities?
• Do you feel irrational fear but couldn't shake it?
• Does your anxiety force you to avoid everyday situations and activities?

Panic Attacks – Psyche Your Self

Consulting a psychologist, or a behavioral therapist for that matter, regarding panic attacks may be the best course of action you could do for yourself. That is, if you are not convinced that you can actually help your self out of your condition. But you cannot forever rely on drugs and medical practitioners to give you help. Somehow you have to take action; you have to learn to cope. Here are some ideas that could help you psyche yourself into coping with panic attacks.

You are what you think. If you think that you are fearful of something, you would actually become fearful of that thing, regardless of how irrational that fear could be. If you expect that you would have panic attacks any time soon, you might actually enter into one. The mind is so powerful that it could trigger experiences that are frightening enough to cause you extreme levels of panic sensations. With this similar capacity at your disposal, you could reverse the power of your mind and use it to your advantage.

Based on the principles of Cognitive Behavioral Therapy, a psychotherapeutic approach, a person has the capacity to manipulate dysfunctional reactions, emotions, cognitions and behaviors in order to arrive at a more cohesive and healthier well-being. Given that your panic attacks are triggered by your brain, you could help your brain tone down certain symptoms by just trying to fix its dysfunctions. While simple positive thoughts can help you direct your experience of panic attacks, more intensive and systematic Cognitive Behavioral Therapies can provide you an atmosphere of peace that is free from panic attacks.

Run towards the object of your fear. People have the natural tendency to get away from things, places and events that caused them bad experiences. But the thing is, running away from something would not help release you from your fear, it may actually aggravate your condition. This is because you are somehow reinforcing your fear by feeding in more dosages of fear to your current condition which is the last thing you should really want to do.

No matter how difficult the idea of facing your fear may seem, it is actually among the most effective ways to help you cope and overcome panic attacks. Once you confront the object of your fear or the cause of your panic attacks, you can gain more courage to subdue the symptoms without having to resort to pills and medications.

Win over yourself. Sometimes, it is much easier to accept your lack of sense of control after undergoing panic attack symptoms. One thing will lead to another until you find yourself completely powerless against your condition. Unfortunately, many people have become victimized of their own disorders only because they did not try anything to save themselves from panic-triggering episodes.

If you could try to gain power over yourself and over your symptoms little by little, you can possibly cope well with the disorder until you either have learned to effectively live with it or entirely remove it from your system.

It sometimes the self that causes people with panic attacks the most serious problems. It is also sometimes the mitigating factor to the progression of the condition and its symptoms. If you can gain some control over your own predicaments, half of the trouble is already resolved. 

Panic Attacks – What Would Happen If You Do Not Get Treatment

At the onset of panic attacks or disorder, it is best to go see your doctor immediately and have it evaluated as this will not only give you a clear understanding of what condition you are undergoing but this could also prevent the aggravation of the disorder. Here are several possible scenarios if you do not get panic attacks intervention immediately:

Agoraphobia. Contrary to public belief, agoraphobia is not the fear of closed spaces. It is actually fear of public places basing from the Greek root word "agora" which means market or marketplace. Agoraphobics fear interaction with people especially in places where they expect to experience episodes of panic or anxiety. Panic attacks and agoraphobia are often closely connected as these disorders exhibit identical symptoms such as shortness of breath, the sensation of dying or going crazy, and the feeling of having heart attack.

Over-dependence on psychotherapeutic medications specifically anti-anxiety disorder medications. People suffering from panic attacks and could not get hold of themselves are often helped by medications to control their symptoms. But for those who cannot muster enough initiative to resolve their condition without having to rely on medications are often enclosed within the idea of medication as the ultimate solution against panic attacks.

While over-dependence on medication to control the symptoms of panic attacks is not the same as addiction to the medications, this behavior still poses serious possible problems since those people who become dependent on drugs oftentimes fail to utilize other more effective treatments. They can also become too dependent that they would fail to function properly without the necessary dosage of particular drugs.

Further, although dependence on medications is not an entirely negative solution, in fact for some people it is the most effective, it should be remembered that it is not the only solution. There are less intensive, less invasive, but equally appropriate and effective therapies and methods that are typically overlooked due to too much dependence on panic attack drugs.

Depression. 20% of panic attack patients are likely to commit suicide, a typical outcome of depression, at one time or another, says research. The connection between panic attacks and depression can be viewed from several different standpoints. According to an explanation for example, depression develops from a person's exhaustion caused by chronic anxiety that typically accompany such attacks.

Another explanation purports to the fact that those people with panic attacks and also have developed serious cases of agoraphobia are prevented from socializing with other people and from doing the things that they previously enjoyed, leading to a general feeling of isolation and unhappiness. This further leads to the development of episodes of depression.

Diabetes. It is not uncommon to find people who are suffering from panic attacks and also have indications of comorbid disorders, an example of which is diabetes. Research shows that people with diabetes and who also experienced intermittent episodes of panic attacks are less likely to live quality lives and are also more likely to develop complications. Among people with diabetes, panic attacks as well as depression impede them from efficiently monitoring and controlling their blood glucose level.

Substance abuse. Chronic misuse of alcohol and other unhealthy substances is a coping mechanism against negative conditions such as behavioral disorders. So long as the condition that caused the chronic use of substances exists, in this case panic attacks, the negative resolution will persist.

Success Story

Self-Help Treatment for Panic Attack

Although it is not advisable to diagnose yourself with panic attack, it is really not sensible to wait until your supposed "attack" is over before you do something about it. Here are the things you must know so that when you feel that you are having an attack, you know what to do:

Understand what panic attack is all about. Awareness is the most important weapon to combat panic attacks because when you feel or know that you are under an attack, it is much easier for you to counter the effects of the symptoms that go along with it. Remember this: panic attacks can happen to anyone. It can happen to stressed and depressed person as well as happy and healthy ones. It can happen without warning, without any apparent reason.

Triggers can also cause irrational and exaggerated fear and anxiety. Chemical imbalance in the body (low serotonin and low progesterone levels) can trigger an attack. And while there are so many studies that suggest some causes of panic attacks, the condition is still not fully understood.

Know its symptoms. For most many people, there is no easy telling whether or not they are experiencing a panic attack during the moment of attack since it is difficult for them to rationalize things and to differentiate what is real from the unreal. While this is the case, it is not really an excuse. Here are the symptoms of panic attacks: heartbeat or palpitation, chest pain, hyperventilation or shortness of breath, stomach churning, upset stomach, trembling and shaking, muscle tension, sweating, dizziness and light-headedness, hot or cold flashes, tingling sensation or numbness, fear of dying, going crazy or losing control and feeling detached from the surroundings. Take note that people react to triggers differently, thus symptoms may vary from person to person.

Practice deep breathing. Deep breathing during an attack is the most effective way to reduce the symptoms you are experiencing as well as divert your attention from the fearful thought. Breathe in deeply for 3 slow counts, hold your breath for 3 slow counts, and breathe out for another 3 slow counts. Repeat this process until you feel you are calm. You can also breathe into a paper bag. This reason for this is that re-breathing your carbon dioxide helps correct the blood acid level that had been disturbed by excessive breathing.

Stay positive. While it is easier said than done, staying positive during an attack will speed up your recovery. Let the situation flow while keeping in mind that it will going to pass. An attack peaks for 5 to 10 minutes and rarely extends for more than half an hour so do not think that you are going crazy (or going to die) even if it feels that you are going crazy (or going to die).

Avoid unnecessary stress. While you cannot avoid every stressful situation and it is also unhealthy to turn your back on situations that need to be addressed, avoiding unnecessary stress help reduce the chances of you experiencing an attack. Stay away from people who stress you out, from relationship that causes stress, and situations that get you tensed.

Learn to say "no" if you have other much important things to do; do not work for extended hours; do not accept additional work if you know you cannot do it properly, etc. 

Preventing Anxiety Attacks

 Anxiety attacks choose no one. It can happen to happy and perfectly normal people of all ages including children. Many cases of anxiety attacks just come out of the blue, or happen without any logical, clear or apparent reason. It may occur while you are relaxed during the day and even while asleep. Still, there are several ways on how to prevent anxiety attacks.

Learn about anxiety – Understanding how anxiety affects the body as well as the mind can go a long way in your effort to prevent attacks. Read articles about anxiety and other psychological disorders that are related to it. Learn what are the things you should watch out for, things you should avoid, and practices you should do in case of an attack.

Avoid unnecessary stressors – Recurring attacks are caused by "triggers" – situations such as speaking in front of the public or getting trapped in an elevator.  The effects of these triggers are often aggravated by stress. In other words, stress can act as a catalyst for such attacks to happen. Hence, reducing the stress level by avoiding unnecessary stressors can help prevent attacks. Avoid people that stress you out. Learn how to say 'no' to invitations as well as overtime when you have other things to do. Do not accept additional work that you can't accomplish. These may seem very little things but can significantly increase stress level as well as increase the chances of having an attack.

Exercise – has lots of health benefits including the promotion of well-being. It is also proven and effective method to prevent anxiety attack. Research shows that as little as 30 minutes of physical activity - 3 to 5 times a week - is enough to promote a healthy body. Increasing the intensity of the exercise produces more positive effects.

Eat balanced diet – Like exercise, a well-balanced diet is important in keeping the body healthy, resistant to illnesses, and maintain a low stress level. As much as possible, eat natural or organic foods. Avoid processed foods or those that contain preservatives and chemicals.

Avoid smoking and caffeine. To those who are susceptible to anxiety attacks, substantial amount of caffeine (from coffee, soda and tea) as well as smoking cigarettes can provoke such attacks even further. It is wise, therefore, to avoid these things as much as possible.

Practice relaxation techniques – Yoga, meditation, and other breathing techniques help strengthen the body's relaxation response. When practiced regularly, these techniques even increase the feeling of uplifted emotions, happiness, and self-control, which increase self-confidence and self-esteem - significant factors in fighting anxiety attacks.

Learn to become assertive – People with anxiety disorder usually have low self-esteem. Low self-esteem is manifested by passiveness, feeling worthless, feeling of guilt and shame, depressed mood, isolation, and difficulty in school, work, and community functions. Learning to become assertive may involve joining a group, entering into therapy sessions or simply learning to open up to others. It may take a while, but once a person learns how to assert himself, he will carry positive outlook in life which helps prevent anxiety attacks caused by "triggers".

Awareness of the symptoms of anxiety attacks is as important as knowing how to prevent it. Watch out for:

• Chest pain or heart palpitation
• Feeling of loosing control or going crazy
• Irrational fear over trivial things
• Hot flashes or chills
• Trouble breathing or choking sensation
• Feeling like passing out
• Feeling unreal or detach
• Nausea or stomach cramps
• Hyperventilation
• Shaking or trembling
• Feeling and fear of dying

Anxiety Attack Treatments

Anxiety attacks are frightening but the good thing is, episodes are generally harmless. In most cases, attacks rarely last for more than 30 minutes, with peak of intensity within the first 10 minutes. What make such attacks dangerous is if it becomes chronic and if it already affects the well-being of a person and already disrupts his normal way of life.

Several treatments are proven very effective in stopping anxiety attacks. Let us look at some of the more popular ones:

Breathing technique – is one of the most effective ways in controlling anxiety attacks. Proper breathing helps slow down heartbeat and helps calm the tensed muscles as a result of the attack. Breathing also diverts the mind's attention from the "trigger" and calms the self, thus, stopping the attack even faster. Proper breathing techniques are easy to learn and master.

Self-hypnosis – is a great tool to alter your thought process as well as your body's reaction to those fearful thoughts. During an anxiety attack, lay down on your back or in any comfortable position and try to process your thoughts. Identify the origin of such fearful thoughts. Know if it is real. If you concentrate enough in finding the origins of your thoughts, you will soon realize that they are really not a valid reason for excessive fear. It may sound simple, and it is. Psychiatrists now recommend self-hypnosis as a treatment for anxiety attacks and other anxiety disorders. (Hypnosis and cognitive-behavioral therapy can be used together by your therapist to stop symptoms of anxiety attacks.)

Meditation – has long been credited to relieve stress and anxiety as it promotes the release of negative energy from the body, relaxes tensed muscles, and calms the mind, which in turn, effectively reduces irrational fear and apprehension. Meditation may not be for all because of the time required to master the technique, however, with proper guidance of an expert or a little bit of patience and dedication, you can reap its benefits.

Herbs – (such as chamomile, passion flower, lavender, and ginkgo biloba) are very effective long-term treatment for anxiety attacks. Since they are all-natural, they posses no side effects. They may not be as aggressive as prescription drugs but they work just as effective.

Prescription medicines – are a major help in stopping the symptoms of anxiety and episodes of anxiety attacks. Antidepressants are the most common anxiety treatment. They must be taken continuously, which may take as long as six weeks before noticing the effects. Beta-blockers are a type of drugs that prevent symptoms from recurring. SSRIs or Selective Serotonin Reuptake Inhibitors boost the level of serotonin in the brain which regulates and normalizes emotions.

Therapies – are a very important anxiety treatment. These target the psychological aspect of anxiety. CBT or the cognitive-behavioral therapy is used to alter the way of thinking – converting negative thoughts into positive ones. Techniques used in CBT include role-playing and relaxation technique. Exposure therapy exposes the person to the physical sensations of panic in a safe and controlled environment. Through repeated exposure, patients gain greater self control and more confidence in facing fearful situation.

Prescription medicines and therapies, when combined and used at treatment, are very effective. Medical studies show that the response rate of patients is much higher if both methods are used compared to those that are treated using either method.

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Panic Attacks – Out With the Myths

Misinformation does not only create vague pictures of a condition but will also likely cause people to believe things that do not actually exist. Among those conditions that typically receive serious amounts of myths are psychological and behavioral disorders, partly because psychological conditions are often hard to understand and seem mysterious. In this article, we would try to debug the myths of one of the more common behavioral conditions—panic attacks.

People with panic attacks are crazy. Crazy is never a good term for people with psychological conditions and people with panic attacks are hardly crazy. They may seem deranged and a bit psychotic for some people when they experience attacks of panic and terror but this does not suggest that they are.

As if to add to the insult, people with panic attacks are sometimes perceived to have schizophrenia, the most advanced form of psychosis which is marked by severe auditory and visual hallucination as well as aggravated delusions and dysfunctional thoughts. Clearly, there is no relationship between people who feel like they are "going crazy" when undergoing attacks and people who have advanced (and even minor) psychological conditions.

People with panic attacks lose control. Wrong. Panic attacks do not rob a person his sense of control. While a person's thoughts may seem distorted for a while during attacks due to physical symptoms that lend themselves towards this possibility such as shortness of breath and heart attack-like symptoms, this does not mean that the person is losing grip of the reality. Anxiety which normally accompanies panic attacks is a body's way to tell you that something is going wrong. Since this is a defense mechanism, it is not dangerous to anyone, not even the person undergoing the panic attack.

It is good to remember that panic attack happens only in the mind, it may, in fact, be unnoticeable for people surrounding the person during the attack. What exacerbates the attack is the person's conscious thought that it could cause embarrassment or harm to other people. It is the sense of losing control of one's self that makes the condition worse, a thought that is manufactured in the brain, never the total lack of sense of control.

People with panic attacks have chronic heart disorders. While this may be partly true due to the link between mitral valve prolapse and panic attacks, this does not make the assertion entirely valid. People have good reasons to believe that they are having heart attacks or heart failures when they experience episodes of panic attacks since some of the symptoms of both conditions are similar. But such symptoms are perfectly rational when seen from the viewpoint of elevated fear.

For example, people subjected under conditions that stimulate fear experience tightening of the chest, faster heart beat, profuse perspiration, shortness of breath and increased respiration. All these signs are also symptoms of heart attacks which make it easy for most people to believe that instead of having a disorder of the mind, they are having dysfunctional hearts. But then again, similarity in symptoms does not make two completely different conditions alike.

Myths often offer a semblance of the reality that is not hard to believe in. But do not be fooled. Knowing what is the exact truth and not the half lies may serve you well when dealing with conditions that root from and are aggravated by thoughts.

Natural Ways to Deal with Anxiety Attacks

Anxiety attacks are unhealthy to the overall well-being of a person. It can alter the way a person lives. If under an anxiety attack, a person thinks, reacts, and behaves abnormally. This happens because the chemicals in the body tip their balance, hence worsening the effects of anxiety even further. As a result, the person feels physical pain, experiences irrational fear, and shows disproportioned reaction over things.

His social life may suffer including his relationship to his friends, relatives, family, and even to him/herself. If the condition is not addressed and properly treated, the person may think that his life is worthless. In extreme case, he may commit suicide. Thus, on the onset of anxiety, treatment is necessary. Here are some of the possible natural treatments for anxiety attacks:

Meditation and relaxation techniques – These are proven effective methods in dealing with anxiety attacks. Through meditation and relaxation techniques such as breathing techniques, the mind will be able to control the body. Meditation and relaxation techniques can be used during an anxiety attack to slow down the heartbeat, control breathing, and divert the mind away from the cause of anxiety attack. Although these methods require practice, once you learn the proper techniques, they are very effective.

Diet – The food we eat plays a very large role in our overall health, including our mental health. A well-balanced diet and healthy eating promotes a healthy brain and a healthy body. It is advised to prefer natural or organic foods rather than processed foods or those with preservatives and chemicals. If the cause of anxiety attack is weight problem, adapting a diet that helps you reduce weight can solve the problem.

Exercise – Aside from diet, another important factor that helps promote a healthy well-being is exercise. Studies suggest that as little as 30 minutes of exercise, 3 to 5 times a week can have great effects to the body as well as the mind.

Herbal treatments - St. John Wort, Hyperforin, 5HTP (5-hydroxytryptophan), Melissa officinalis, Ginkgo Biloba, passionflower, valerian, scullcap, California poppy, hops and lavender are used as an alternative to prescription drugs to treat anxiety. Natural herbs can be made as tea, but some of these are already available over-the-counter as powder, liquid, capsule, oil, tincture, tablets and tea.

Pray – If you believe in the power of prayer, pray. Many studies show that prayer is an effective way to relieve stress and anxiety as prayers have soothing and calming effect both on the body and on the mind.

Laugh – Laughter still holds the title as the best medicine. This is because when you laugh, your body releases endorphins or "happy chemicals" that help you to feel good and happier.

Identify where anxiety is coming from – Sometimes, anxiety attacks happen for no apparent reason. But that doesn't mean that there is really no reason. After all something cannot happen out of nothing. Thus, if you experience an episode of anxiety attack, there must be a trigger (it might be directly linked to the attack or it might come from something else, totally apart from the event).

Once you identify the cause of the attack (which is as important as recognizing that you are having one), it is easy deal with it directly and process your condition using the natural ways mentioned above or through medication and therapy. 

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Handling Anxiety Attacks

Anxiety attacks can be seen as an abnormal and irrational panic over trivial things or accidents or for no reason at all. Attacks usually occur without warning and a person can simply burst into fear. Triggers can cause anxiety attack – like getting stuck in the elevator or being called to recite in the class – but in other cases, attacks come out of the blue. An anxiety attack is disproportionate reaction to the situation or the problem at hand, leaving the person excessively fearful, or sometimes incapacitated, which affects life, relationships, happiness and peace of mind.

Symptoms of Anxiety Attack

A person undergoing an episode of anxiety attack shows the following symptoms:

• Heart palpitation (increase in heartbeat)
• Hot flashes or chills
• Hyperventilation
• Surge of overwhelming panic
• Feeling detached or unreal
• Trembling or shaking
• Trouble breathing
• Feeling of losing control, going crazy; or fear of dying
• Choking sensation
• Nausea or stomach crams
• Sweating
• Dizziness
• Chest discomfort or pain

Handling anxiety attacks

Anxiety attacks usually peak within 10 minutes and rarely last for half an hour. But during this time, a person can totally lose control of himself and show symptoms mentioned above. To handle this attack, a person must:

Relax – Although it is often impossible to relax during an attack, it is very crucial not to submit yourself to your emotion. Breathe. Deep breathing helps calms and relaxes your mind and body. During an anxiety attack, focus your breathing to slow down your heartbeat. This also diverts your attention from the attack which helps you recover faster. Take some time and practice deep breathing exercises even if you are not stressed or feel anxious.

Think positively – Again, during an anxiety attack, it is often impossible to relax or even calm yourself, but you have to be in control. Push more positive thoughts to your head. Instead of thinking that others will humiliate you or you are going to faint because you cannot take the pressure, think of the good things. Do no anticipate that something bad will happen because in reality, there isn't. Keep in mind that the more you think negatively, the more anxious and panicky it is going to be.

Think that it will be over soon – and it will. Anxiety attacks do not last for more than an hour so there is no reason for you to think and feel that your world is over. You don't have to be mindful of the time. You don't even have to count every minute that passed. What you should be doing is be conscious that it will not going to last forever.

Start an exercise program – We have heard that exercise has lots of benefits both to the body and the mind. It is also a great stress buster and anxiety reliever. Experts agree that as little as 30 minutes of exercise, 3 to 5 times a week is enough to lower the level of stress and reduce the chances of having episodes of anxiety attacks.

Talk to someone you trust – It can be your friend, your wife (husband), a relative or a therapist. Often, having someone who listens and understands what a person is going through will make a lot of difference. This is because it allows you to bring out your emotion rather than keeping it to yourself.

Panics Cure - Success Story

Panic Attacks -- Signs of Vulnerability

Panic attacks do not come from nowhere, though the possibility of them coming out of the blue cannot be discounted. Nonetheless, there is always that something that triggers the occurrence of such attacks. Experts believe that the causes are multi-factorial and pre-disposing factors are many. Included are the following:

Genetics. Panic attacks run in the family. If you great grandfather had it, there is a relative possibility that you might develop the disorder as well. In typical cases, those people who have relatives with panic attacks are twice more likely to experience either acute or chronic but intermittent episodes of panic disorder than normal people. Nonetheless, there are people who have family history of panic attacks that do not develop the disorder.

Medical causes. There are several medical conditions that could allow for the development of panic disorder and panic attacks. Among them are mitral valve prolapse, hypoglycemia, hyperthyroidism, abrupt withdrawal from medication usage, and use of stimulants. Mitral valve prolapse, otherwise known as MVP, is a heart disease that affects the mitral valves, the part of the heart that prevents the backflow of blood. The symptoms of this disease are shortness of breath and chest pain along with others. Not only do these symptoms resemble those of panic attacks but research by the American Heart Association confirmed that there is a direct link between MVP and panic attacks.

Hypoglycemia, on the other hand, is a condition characterized by a lower level of blood glucose. Meanwhile, hyperthyroidism is also a condition that is somehow linked with panic attacks. This condition is marked by the overproduction of thyroid hormones namely T3 and T4 hormones. Abrupt withdrawal from certain medications is also believed to be a cause of panic attacks since this triggers sudden changes in the body.  Another factor that may lead to the development of panic attacks is the use of stimulant substances such as beverages with high caffeine content and marijuana.

Medications. The body's reaction to foreign materials with medical properties is not always necessarily positive. There are cases when the substances found in the drugs produce the right conditions in the body conducive to the arousal of panic attacks. For example, methylphenidate which is more commonly known as Ritalin is used for patients of ADHD or Attention Deficit Hyperactivity Disorder as well as narcolepsy could cause panic attacks for some people.

Gender. This seems to be a predisposing factor towards the development of panic disorder. According to studies females are 50% more likely than their counterparts to develop the disorder.

Major life events. Substantial events in life that lead to extreme changes can create the right environments for the occurrence of panic attacks. This may be because such drastic changes create tensions in the homeostasis of a person's life, thus upsetting the previous order of things and forcing the person to confront the changes. If the person fails to respond accordingly, the tension may persist and he might be overcome by it. Thus, producing a number of symptoms that could be characterized under psychological disorders, panic attacks included.

Phobias. Although the statistics are not established yet, it seems clear that people who have severe cases of phobias are more susceptible to developing panic disorders. This could be due to the fact that phobias cause elevated levels of fear to start with.

What Can You Do to Stop Anxiety Attacks

Episodes of anxiety attacks can be uncomfortable, unpleasant and unhealthy. Because of this, most people head to the medicine cabinet for a quick relief. While some may find medications as an effective way to battle anxiety, there are more natural and equally effective ways of dealing your excessive emotion without subjecting the body to different negative side-effects.

Exercise – Exercise improves the health of the body and mind, and improves the overall well-being of a person. A 30-minute exercise, 3-5 times a week is enough to provide anxiety relief. Increasing to at least an hour of aerobic exercise each day provides maximum benefits for relieving stress and anxiety.

Sleep – A popular adage, "early to bed and early to rise makes a man healthy, wealthy and wise," speaks of the importance of sleep in the overall health of a person. Qualitative sleep for 8 hours a day is a proven and effective technique to battle stress as well as anxiety attacks.

Healthy diet – Along with exercise, diet plays an important role in the overall health of the body. Eating healthy food maintains the normal chemistry and hormones of the body as well has provides resistance to common ailments that increases the risk of anxiety attacks.

Avoid unnecessary stressors – Most stressors are unavoidable and it is also unhealthy to turn your back to certain situations that need to be addressed. Still, some situations and people cause unnecessary stress that result to anxiety attacks. Avoid people that stress you out, learn how to say 'no', trim down your to-do-list, avoid sensitive topics such as politics and religion, etc.

Relaxation techniques – Yoga, meditation, Taiji, progressive muscle relaxation, visualization and breathing exercises can reduce anxiety and promote the feeling of relaxation and emotional well-being.

Keep a positive outlook – While it is very difficult to maintain a good attitude when experiencing an anxiety attack, it is very crucial to be more conscious and help stay in control over the situation to effectively battle your condition. Do not think "Oh no, not again!" or "I'm screwed" when an episode hits you. Think that it will be over soon and control your emotions so that your anxiety will now get worse.

If the abovementioned techniques do not work for you, it is probably time to consult a health professional about your health. Since symptoms of anxiety attacks may be a result of other psychological and physical conditions, you need to see your medical doctor first and get a complete physical in order to rule out any other possible causes.

If anxiety prevails and symptoms last for more than 1 to 2 weeks, especially if you have no idea why, see a trained therapist.

A person with anxiety disorder usually goes under medication, therapy or both. Prescription drugs for anxiety are usually antidepressants and benzodiazepines. However, they provide short-term relief and thus, other therapy is often recommended. Therapies given are cognitive-behavioral therapy and exposure therapy. They are both effective (especially when combined with medication) to treat anxiety disorders. Cognitive-behavioral therapy helps patients to replace negative thoughts with positive ones.

Exposure therapy, on the other hand, helps treat anxiety attacks by subjecting the patients to control fear in a safe and controlled environment. Through repeated exposure, patients gain greater self control and more confidence in facing fearful situation.

Understanding Panic Attacks

What is a panic attack?

A panic attack is a sudden attack of exaggerated anxiety and fear. Often, attacks happen without warning and without any apparent reason. Some people may experience just one episode of panic attack, while others can have recurring episodes. Recurring episodes usually happen after a person is exposed to various events or situations that may "trigger" panic. While it is generally harmless, panic attacks can severely disable a person physically, emotionally and psychologically. In extreme cases, panic attacks can lead to panic disorder.

Who gets panic attacks?

The condition affects many people. It is believed that 10% of the total population is suffering from panic attacks, yet many are still undiagnosed or under-diagnosed. They tend to occur more on young adults. Female are twice as prone to have an attack as male. It is also said that the condition is genetically inherited so panic attacks may run in the family.

How do I know if I am having an attack?

A panic attack can be identified with different signs and symptoms. They include increased heartbeat or palpitation, chest pain, hyperventilation or shortness of breath, stomach churning, upset stomach, trembling and shaking, muscle tension, sweating, dizziness and light-headedness, hot or cold flashes, tingling sensation or numbness, fear of dying, going crazy or losing control and feeling detached from the surroundings.

The signs and symptoms of panic attacks are similar to a heart attack. The former is not dangerous, the latter can be deadly. It is best therefore to seek for emergency medical help, especially if the patient experiences it for the first time.

What cause an attack?

Many panic attacks happen without any apparent reason; they just come out of the blue. However, attacks may be caused by past traumatic experiences such as death of a loved one, family conflicts, bad relationships, divorce of parents, car accident, public humiliation, etc. An attack may occur when a person is exposed to various events or situations almost similar to the past that may "trigger" panic.

Stress is closely linked to panic attacks. Triggers include stressful life event as well as stressful working and living environment. Genetics is also believed to cause an attack.

What should I do during an attack?

Panic attacks peak from 5 to 10 minutes; it rarely lasts for more than half an hour. But during this time, you can experience discomfort such as those signs and symptoms mentioned above. Since the increased in heart rate is the main reason for experiencing other symptoms, it is important to take control of your breathing during an attack. Breathe slowly and deeply as you can. Breathe in slowly for 3 counts then hold your breath for the next 3 slow counts. Then, exhale for 3 slow counts.

Do this until you are calm. If you are able to stand, get up slowly and walk around. It is also helpful to breathe into a plastic or a paper bag. This allows you to re-breathe your carbon dioxide. Carbon dioxide helps correct the blood acid level that had been disturbed by excessive breathing.

While practicing deep breathing, try to focus your attention away from the cause of panic. Replace your anxious thoughts with happy ones. If available, do something that will occupy your mind such as solving puzzles and playing word games.