How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask MN Psychiatrist Your Own Question

MN Psychiatrist
MN Psychiatrist, Psychiatrist
Category: Mental Health
Satisfied Customers: 792
Experience:  Physician for 17 years, adult psychiatrist for 13 years working with a wide variety of patients.
Type Your Mental Health Question Here...
MN Psychiatrist is online now
A new question is answered every 9 seconds

Is it normal to have panic attacks on and off for 2 or 3 days

Resolved Question:

Is it normal to have panic attacks on and off for 2 or 3 days and then they go away for a week or two and then come back. Also do they feel like a heart attack and cause chest pain? I went to the er last night with shortness of breath, chest tightness, and shaking. Chest X-ray and EKG were normal and I was fine after like an hour. Is this typical!
Submitted: 2 years ago.
Category: Mental Health
Expert:  MN Psychiatrist replied 2 years ago.
Hello, I am a psychiatrist.

I'm sorry you're struggling with this.
This sounds like panic disorder. People can definitely have chest discomfort and chest tightness. They an be constant, or come and go, or be sporadic, or disappear for a while and then come back.
The good news is that for as miserable as panic is, it's one of the easier things to treat in psychiatry. Family doctors and general medical doctors treat this, as do psychiatrists.
Customer: replied 2 years ago.
So if everything was normal in the er, I don't need to worry if I'm having the same symptoms tonight. They are not nearly as bad as last night though.
Expert:  MN Psychiatrist replied 2 years ago.
Just so long as it's been verified that you were/are not having an kind of medical problem, this is correct. In fact, some people just live with untreated panic, since they know it won't hurt them (I wouldn't, but some people do).
Customer: replied 2 years ago.
What can make it better? It really feels like you could die of heart attack or something but chest X-rays and ekg is normal. It's very unnerving. Other than a Xanax a day, I take about three .25 pills a week, what can I do?
Expert:  MN Psychiatrist replied 2 years ago.
The way panic is treated is to take an SSRI (serotonin) antidepressant (Prozac, Paxil, Zoloft, etc.) daily. They call them antidepressants because that is their main use; but they are used for a variety of things. Anyway, at an appropriate dose, they will often completely stop panic attacks from happening. In the meantime, while one is being started or increased, an agent like Xanax is used. Xanax is a quick-acting antianxiety medication that will stop panic attacks that are already in progress, although 0.25mg is a very small dose. I frequently start patients on 0.5-1mg of Xanax, up to 2-3 times daily as needed. The idea behind using the SSRI is that since they can often get the panic to stop happening, you don't have to then take Xanax all the time in order to be panic-free; this is a good thing, as Xanax and other medications that work like it can become addictive. That said, I've never, ever seen a patient get close to being addicted to Xanax during the early stages of treatment when we're still trying to get the panic to go away.

Does this make sense?
Customer: replied 2 years ago.
Yes, I understand the treatment and will talk to my doctor about it. But... Are the scary, dying feelings normal during panic attacks?
Expert:  MN Psychiatrist replied 2 years ago.
They don't happen to everyone, but they happen to a lot of people who have them. I'm sorry that you're one of those people.
Be encouraged, though - panic disorder is very treatable.
Customer: replied 2 years ago.
So I'm not physically sick, just having typical attacks?
Expert:  MN Psychiatrist replied 2 years ago.
If the ER doctor verified that you're not having a medical problem, then there shouldn't be anything wrong with you, and yes, what you're having is fully consistent with panic.
MN Psychiatrist, Psychiatrist
Category: Mental Health
Satisfied Customers: 792
Experience: Physician for 17 years, adult psychiatrist for 13 years working with a wide variety of patients.
MN Psychiatrist and other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education