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.

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.

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.

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.

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.

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.

Child Anxiety Attacks

Just like adults, children experience fear, anxiety and apprehension. These are but normal emotional experiences that a person feels regardless of age. However, if anxiety becomes irrational, recurring and severe, and anxiety attacks happen without any apparent reason, and the reaction is disproportionate to the problem at hand, it can be a cause of concern. This is why on the first signs of problem, have your child get proper diagnosis by a health professional to be able to rule out any possible causes and determine the right treatment to be applied.

Since anxiety attack is a type of anxiety disorder, it is important to know what happens to a child who is suffering from such disorder. To be able to identify it, here are the following symptoms:

• Frequent feeling of fear and panic
• Bed wetting
• Tantrums and excessive crying
• Fear of making mistakes
• Fear of getting embarrassed
• Avoidance of certain activities such as school event and summer camps
• Nightmares and night terrors
• Compulsive behaviors
• Resistance to any change
• Low self-esteem, lack of confidence
• Overly shy and difficulty making friends
• Chronic physical symptoms such as stomach aches or headaches without any apparent reason

A child is under an anxiety attack if he shows the following symptoms: 

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

Different children of different ages or even of the same age may manifest different symptoms. Moreover, some of the symptoms given may be considered as a normal behavior of a child. Thus it is a bit tricky to determine if he or she is really having an attack or not. What should be done is to recognize these symptoms and consider them as a reason of concern, then help your child deal with these symptoms through the following:

Seek help from health professional – Effectively stopping anxiety attacks begins with recognition and followed by a compete diagnosis from your medical doctor. A full medical examination should be administered in order to rule out any other physical causes unrelated to anxiety.

Doctors usually give prescription medications to help relieve anxiety. If applicable, SSRI antidepressants may be needed for a long term solution. For a more severe case, doctors may refer the child to a psychologist.

Self-help techniques – Parents may seek the help of books available for treating child anxiety. This is also very effective in teaching parents strategies for responsible parenting, which improve parent-child relationship and help build child self-confidence and self-esteem.

Play therapy – is the child version of exposure therapy. As an effective child anxiety treatment, play therapy uses the power of play to simulate each fearful situation in a controlled environment, which then helps the child face the problem and come up with a solution.  

Herbal medicines – is proven and effective means of treating anxiety attacks and other types of anxiety disorder. Some of the commonly recommended remedies include passionflower, valerian, scuttelaria laterifolia (scullcap), California poppy, Melissa officinalis, hypericum perforatum (St. John's Wort), hops and lavender.

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.

Teen Anxiety Attacks: Signs, Symptoms and Remedies

All teens, just like any adult, feel anxious from time to time as a normal reaction to stressors. Going on a date, speaking in public, meeting new people, competing in sports, performing on stage, and taking exams are some of the things that make us feel apprehensive. However, some teens experience severe anxiety than others. Some even feel severe anxiety by just thinking about the situation that has yet to happen. And when someone experiences episodes of panics or develops irrational fear over certain events or problems, it is known as anxiety attack.

When is too much anxiety too much?

Excess anxiety is when you feel worry, anxious and afraid for no apparent reason at all. Under normal circumstances, teens worry because of specific things (like what was mentioned above). But there is an obvious difference between healthy anxiety and irrational anxiousness. Teens during an anxiety attack tend to react disproportionately over simple things or events that seem not to cause any excessive anxious reaction to others. In other words, too much anxiety is an unusual reaction over simple or trivial things.

What are the signs and symptoms of anxiety attacks?

Different people react to situations differently. Hence, there are really no uniform symptoms of anxiety attack that are present to all. Nonetheless, teens may show some or all of the following signs: shortness of breath, chest pain, heart burn, smothering sensation, sweating, shivering, chilling or shaking, numbness in the head and face, neck and shoulder pain, palpitation, derealisation or depersonalization, hyperactivity, dry mouth, fear of going crazy, headaches, stomach pain, and other body pains.

Take note that some of the mentioned signs and symptoms can be caused by other medical, psychological, and physical conditionals. They can also be the effects of current medical treatment, side effects of certain medications or the body's natural reaction to stimuli.

What are the available remedies for anxiety attacks?

Medication
Severe cases of anxiety attacks may require prescription drugs to control or reduce its symptoms. Prescription drugs may be antidepressants and benzodiazepines. Antidepressants may take some weeks to take effect so it is important to continuously take medications and not just during an attack.  Benzodiazepines, on the other hand, have quick relief effects, usually within 30 minutes, but they are highly addictive, thus it should be used with caution. Remember that medication should not be the first treatment option as there are other effective ways to combat the effects of anxiety.

Therapy
Cognitive behavioral therapy (CBT) is one of the most effective ways to treat anxiety attacks or any anxiety disorder for that matter. CBT focuses on the thinking pattern of the patients and replaces negative thoughts with positive ones.

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.

Natural Remedies
Proper diet, regular exercise and sufficient sleep bring balance to the body, which help reduce the episodes of anxiety attacks.

Massage, aromatherapy, relaxation and breathing techniques promote wellness, relax muscles and ease muscle tension.

Herbal treatments naturally relieve stress and restlessness associated with anxiety, thus solving anxiety problem.

Thinking positively and talking to a supportive person help stop the occurrence of anxiety attacks.

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.

(Image Source: anxietyattacksymptomsinwomen.net)

What is Anxiety 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.

(Image Source: panic-attacks.maxupdates.tv)