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Hi....pls clarify this for me....I'm a panic attack sufferer...Why, is it after I have a panic attack, I feel physically ill for 3-4 days after? I've spoken to numerous other sufferers and their responses, have all been the same..once the attack is over, they fine, apart from the fear of another attack. My symptoms of an attack, come on suddenly, often when falling asleep at night, or when waking in the morning...I get a weird tingly sensation in the lower part of my body, feel as though, I am about to feint, a cold sweat breaks out and of course this horrible feeling of doom sets in.....never do I feel breathless, etc...I normally just lay very still and try and breathe deeply and normally..it passes very quickly, but I suffer the aftermath if it....Is it perhaps, because I am sensitive to the chemicals, released into the blood stream, as I am highly sensitive to stimulants, such as adrenaline and caffeine? Could it be a seizure I'm having and not so much a panic attack? Thanx Heather

Submitted: 53 days ago.
Category: Mental Health
Value: $16
Status: CLOSED
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Optional Information

Gender: Female
Age: 50

Already Tried:
Am on medication, which controls depression and anxiety...but, am weaning myself off Effexor 75mg, as I am wanting to change to a different drug, that does not have the same weight gaining effects. I am presently on half dosage +_ 36mg p/day and anxiety is definitely returning and simply terrified of having another attack, before I can get onto new meds.

Posted by Dr.Dev 52 days and 23 hours ago.

Answer

Hy.

Dysphoric feelings may persist for a few days after a panic , this is not seen always however.
The symptoms of depression are the same as the symptoms of post panic dysphoria. -you feel physically drained out, you tend to have some OCD feelings, in general loosing the zest .
Instead of depending on totally on drug therapy, I would say, you start on a behavior therapy with a good therapist. Panic frequently occurs along with other disorders like social phobia, generalised anxiety, claustrophobia. All these have one root cause, which is an inability to cope up with stress. There is no logic in suppressing symptoms with drugs, the cure should come from eliminating the root cause. Drug therapy should be confined to only tide over difficult situations.
i think you would do well in understanding this one fact thoroughly- that anxiety attacks never , ever cause any harm to the being. Its only a fear , without any explanation and reason.
I suggest, you first try to root out stressors in your life, find out what drives you and what pulls you down. Talk to a good therapist and try not to depend on drugs.


Dr.Dev

MD FCCS

Critical Care physician

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52 days and 23 hours ago.

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Hi Dr Dev

 

Thnx for the mail, however, I'm not fully satisfied with the answers received..let me start by saying, without the drug, I probably would'nt be sitting here, as I was so close to death, before starting the meds..for 9 years I suffered and 3 nervous breakdowns later, without any proper diagnosis and being passed on from one doc to the next, then trying the alternate route, incl. behavioural therapies....which, nothing helped, until, I was put on medication....I have a pretty stress free life, I dont need to work, my kids are grown, so I have nothing better to do, than see to my own needs generally. I also don't have any known phobias(except flying). This disease started shortly after the birth of my 2nd child, who now is 21, before that, I was the most healthy, care free, fun loving person. I developed an anxiety disorder, which is now rearing its ugly head once again, because I am cutting down on my meds and certainly, dont ever want to go down that road again. All that said, I still feel you have'nt given me a satisfactory explaination, regarding my actual symtoms, after a panic attack and why, I am the exception to the rule, compared to other panic sufferers...I have to stay in bed for 3-4 days, for all symptoms to pass...why is this so??

Posted by Dr.Dev 52 days and 22 hours ago.

Answer



You were not close to death- thats what you have been thinking , but thats not the fact.
Its only an irrational thought.

You might feel impending doom, like you are having a heart attack- but in reality , your heart is pumping blood gloriously and very beautifully. Your mind gets disjointed at that time - and creates imagery and sensations by itself.

What I am trying to impress upon you is this. Get back to reality, do not create fear, do not imagine things.. Your feeling like a wreck post the attck is also an imagined thing, you have convinced yourself about this compulsory misery.

Drugs are a totally different thing. They can alter your neurotransmitters and make you a zombie. They will impair reflexes, alter judgement.... If you would rather prefer that, then start on Fluoxetine or any SSRI group of drugs, in consultation with the psychiatrist. Effexor also helps.

Nobody can guarantee total cure for your disorder with any drug existing today.

Dr.Dev

MD FCCS

Critical Care physician

Please press ACCEPT if this answer has been helpful.

PLEASE NOTE: No part of your deposit will go to the expert , until you click "ACCEPT" after reading your answer.


52 days and 20 hours ago.

Reply

Hi Dr Dev

 

No, I dont think you understood, what I was trying to say, regarding *being, close to death*..let me say this....after 9 years of suffering and no diagnosis or any form of medication, my body was shutting down, I weighed 42kgs, unable to walk from weakness, totally non-functional, was being fed liquid meals every 3 hours, else I would start shaking uncontrollably, etc, etc.....my attending physician, admitted, that they thought they would loose me...not because, I was having a panic attack and thought I was going to die....

 

Secondly, I have been on medication, for the past 11 years (Effexor), pls read my original posting....

 

Thirdly, the only clear answer, I seem to be receiving from you, is that you are anti medication and I stand before you, to tell you, that I am living proof, that from 1x tablet a day, it's a matter of quality of life or misery...which would u choose?

 

Thank you for your time. Perhaps, a phyciatrist, would be more suitable to answer my question.

Accepted Answer

Hello XXXXXXXXXXXX,

 

I am so sorry about the previous poster - he clearly doesn't understand mental health! I am Nancy and am a mental health professional and have been for over 20 years.

 

I have read your question and understand medication and how it works on both a personal and professional level.

 

Panic is effected by and in turn effects three neurotransmitter in the brain - serotonin, dopamine and norepinephrine (abbreviated NE). NE is adreneline. I have worked with people who have described to me what you are experiencing and we have concluded through their experiences that (1) this ia rare reaction and (2) it is NE related.

 

My best explanation is that it is not common - and not commonly known. It is related to adreneline - as people for a few days after a panic attack feel shaky, their head doesn't feel right - and they feel tingly and almsot as if they are withdrawing from a drug - or had a bad reaction to a drug.

 

I think you are right that it is based on chemical sensitivity (great insight on your part!) You may find that you do better off medications (less chemcials for the brain to react to).

 

One of my patients went off all meds and learned biofeedback to control the panic and it never happened again.

 

I hope my experiences have helped you - or shed some light - if nothing else, I hope you feel more validated than with the last professional.


I wish you all the best - and hope to hear back from you.

 

Nancy

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Expert: Nancy
Pos. Feedback: 98.7 %
Accepts: 
Answered: 9/30/2009

Psychotherapist

ABD for a PhD in Psychology, Psychotherapist for over 20 years

52 days and 3 hours ago.

Reply

Hi Nancy

 

Thank u so much for ur reply... the symptoms, I have after a panic attack, described by urself, are exactly as you have explained... as you can imagine, it's not so much the panic attack I fear, but, the dreaded illness after. Although, you say, it's rare, at least I don't feel so alone anymore, or that I had lost the plot completely....lol.

 

Thank you once again, I truely appreciate, your caring and understanding.

 

Hugzzzzzz

Heather

Posted by Nancy 51 days and 21 hours ago.

Info Request

You are very welcome!

 

Nancy

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