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Dr John B
Dr John B, Psychologist
Category: Mental Health
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Experience:  PhD in Clinical Psychology, registered clinical psychologist.
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Sometimes I get shaky and my heart races I always panic that

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Sometimes I get shaky and my heart races I always panic that there is something really wrong with me I have been under alot of stress the last few months is it anxiety attacks
Submitted: 2 years ago.
Category: Mental Health
Expert:  Dr John B replied 2 years ago.

Hi,

 

Sorry to hear of the situation. It sounds very much like you are experiencing panic (anxiety) attacks - they're horrible! Panic attacks are very very common and they can often develop when people are under significant stress for extended period s of time. The key thing to know right now is that as horrible as they feel they absolutely cannot hurt you physically.

 

I'll post a detailed description below so that you can further check whether what you are experiencing is panic.


A panic attack is a sudden surge of overwhelming anxiety and fear. Your heart pounds and you can't breathe. You feel dizzy and sick to your stomach. You may even feel like you're dying or going crazy. Left untreated, panic attacks can lead to panic disorder and other problems. They may even cause you to withdraw from normal activities.

In many cases, panic attacks strike out of the blue, without any warning. Often, there is no clear reason for the attack. They may even occur when you're relaxed or asleep. A panic attack may be a one-time occurrence, but many people experience repeat episodes. Recurrent panic attacks are often triggered by a specific situation, such as crossing a bridge or speaking in public - especially if that situation has caused a panic attack before. Usually, the panic-inducing
situation is one in which you feel endangered and unable to escape. You may experience one or more panic attacks, yet be otherwise perfectly happy and healthy. Or your panic attacks may occur as part of another disorder, such as panic disorder, social phobia, or depression.

Panic attacks often strike when you're away from home, but they can happen anywhere and at any time. You may have one while you're in a store shopping, walking down the street, driving in your car, or sitting on the couch at home. The
signs and symptoms of a panic attack develop abruptly and usually reach their
peak within 10 minutes. Most panic attacks end within 20 to 30 minutes, and
they rarely last more than an hour.


A full blown panic attack includes a combination of the following signs and symptoms:


Shortness of breath or hyperventilation


Sweating


Nausea


Racing heart/heart palpitations


Chest pain or discomfort


Trembling or shaking


Choking feeling


Feeling dizzy, lightheaded, or faint


Numbness of tingling sensations


Hot or cold flushes


Fear of dying, losing control or going crazy


Feeling unreal or detached from your surroundings.

 

Many people experience panic attacks without further episodes or complications. There is little reason to worry if you've had just one or two panic attacks. However, some people who've experienced panic attacks go on to develop panic disorder. Panic disorder is characterized by repeated panic attacks, combined with major changes in behavior or persistent anxiety over having further attacks.


You may be suffering from panic disorder if you 1) Experience frequent, unexpected panic attacks that aren't tied to a specific situation, 2) Worry a lot about having another panic attack or 3) Are behaving differently because of the panic attacks, such as avoiding places where you've previously panicked.


While a single panic attack may only last a few minutes, the effects of the experience can leave a lasting imprint. If you have panic disorder, the recurrent panic attacks take an emotional toll. The memory of the intense fear and terror that you felt during the attacks can negatively impact your self-confidence and cause serious disruption to your everyday life.


Eventually, this leads to the following panic disorder symptoms:


Anticipatory anxiety - Instead of feeling relaxed and like yourself in between panic attacks, you feel anxious and tense. This anxiety stems from a fear of having future panic attacks. This "fear of fear" is present most of the time, and can be extremely disabling.


Phobic avoidance - You begin to avoid certain situations or environments. This avoidance may be based on the belief that the situation you're avoiding caused a previous panic attack. Or you may avoid places where escape would be difficult or help would be unavailable if you had a panic attack. Taken to its extreme, phobic avoidance becomes agoraphobia.


Aagoraphobia develops as a complication of panic attacks. With agoraphobia, you're afraid of having a panic attack in a situation where escape would be difficult or embarrassing. You may also be afraid of having a panic attack where you wouldn't be able to get help. Because of these fears, you start avoiding more and more situations. For example, you might begin to avoid crowded places such as shopping malls or sports arenas. You might also avoid cars, airplanes, subways, and other forms of travel. In more severe cases, you might only feel safe at home.


The really good news is that Panic Attacks respond really well to the right kind of treatment and there is no reason why you won't be able to bring them under control. Cognitive Behavioral Therapy (CBT) is widely regarded as the gold standard treatment for Panic. CBT is a psychotherapeutic approach that aims to solve problems concerning dysfunctional emotions, behaviors and cognitions through a goal-oriented, systematic procedure. CBT is technique-driven, brief, direct, and time-limited (normally 10-12 sessions). CBT is used in individual therapy as well as group settings, and the techniques are often adapted for self-help applications. I would strongly encourage you consider CBT as a treatment option as I would expect you to benefit greatly from this approach.

Start by taking a look at this excellent CBT based self-help program here. It will teach you everything you need to know about anxiety, panic attacks, panic disorder and what you can do to manage your own symptoms. I use this material with patients regularly and I find it to be very helpful. Alternatively you can access some published CBT based self-help material to learn more about using CBT techniques. I can recommend the book Overcoming Panic. A Self Help Guide Using Cognitive Behavioral Techniques, you can find it here .


If you decide that you need further help getting it all under control then I would
suggest you consult with a CBT trained therapist. CBT is usually offered by
Clinical Psychologists (although not exclusively) and you can contact the American
Psychology Association for assistance with finding one near you. Take a look at
the American Psychology Association's locator service here. You can use this to find Psychologists in your area and there is a phone number you can contact if you want a referral arranged for you. Also, take a look at an article published by the APA here. It's an interview with a senior Psychologist and covers some of the things you should consider when you are looking for a Psychologist.


I hope this has been of some help. Please let me know if you have further questions or would like me to clarify any part of my answer.




Customer: replied 2 years ago.

I also don't feel hungry so I haven't been eating much or healthy is this also a sign of this disorder and well as not sleeping well every night?

Expert:  Dr John B replied 2 years ago.

Hi,

Regardless of Panic Attacks high levels of anxiety can quickly disrupt sleep and many people also describe reduced appetite at times of high stress. I does sound very much like you need to bring your anxiety down. Get started on the self-help program I provided you with straight away. It will give you detailed instructions on how to get back to feeling better and I would expect it to begin too make a difference quickly.

Dr John B, Psychologist
Category: Mental Health
Satisfied Customers: 557
Experience: PhD in Clinical Psychology, registered clinical psychologist.
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