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.

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.

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 condition. Hence, it is important to precisely pinpoint the cause of the symptoms in order know what type of treatment is necessary.

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.

Since children are more fragile, they more vulnerable to such attacks and the effects of these attacks may be more severe than to adults. But what causes anxiety attacks? Here are some of the most common reasons of anxiety attacks:

School Phobia and Separation Anxiety
When a child reaches a certain age, he or she develops school phobia. The exact reason for this is still unknown, but what happens is, the child becomes excessively afraid of going to school. A child manifests this fear by creating reasons and complaining ailments such as toothaches, headache, and stomach cramps to keep him or her from going to school. School phobia is often linked to separation anxiety but the latter can manifest to situations other than in school (e.g. being with a group of people or joining other family for the weekend).

Again, the exact reason for this is unknown. Separation anxiety is excessive fear of being away from someone whom the child is comfortable being with. Tale-told signs of separation anxiety are similar to school phobia.

Stress
Stress is linked to anxiety attacks. It may be a result of heavy responsibilities at home and in school, unfinished tasks, physical and psychological abuse, a school bully, environment that is unfit for the child’s age, violence, etc.

Change in lifestyle
A child creates friends in school and in the neighborhood. These friends would make him or her feel comfortable and accepted. So when the family moves to another place or to a different school, a child loses the friend and comfort he or she has established and forces him or her to start all over again. If the child cannot cope with this stressful situation, it can lead to episodes of anxiety attack.

Indirect Reasons
In many cases, anxiety attacks just come out of the blue, or happen without any logical, clear or apparent reason. It may occur while the child is relaxed during the day and even while asleep. This may only happen only once. Perhaps, an anxiety attack is brought about by unresolved internal issues, which are not directly connected with the trigger. For example, a child who experiences a death of a loved one may panic whenever a certain, almost similar situation happens. The traumatic experience that he or she went through in the past which are not processed properly can come out, in this case through an attack.

A child may also show episodes of anxiety attacks because the problem at hand reminded him or her about family conflicts. Fighting in the family as well as divorce of parents may be traumatic to a child that when witnessing a similar situation, he or she goes into a panic.

Take note that there is no single reason (and it takes several factors) for a child to have an anxiety attack, but whatever it is, what’s important is how do deal with it properly.

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

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.

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.

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.

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.