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Panic Disorder

Commonly called panic or anxiety attacks.

What Is Panic Disorder?
Panic disorder is a type of anxiety disorder that causes sudden and overwhelming feelings of fear, often without any obvious reason or warning. These intense episodes, also known as panic or anxiety attacks, can feel like they happen out of nowhere and can make a person fear that it might happen again, even if there’s no real danger present. We refer to this as “the panic about the panic attack”.

Why does panic disorder happen?
Panic disorder’s exact cause is still unclear, but it’s believed to involve a combination of factors, like genetics, stressful life events, and changes in how the brain reacts to stress. If panic disorder runs in your family, you may be more likely to develop it. It’s also linked to how the brain’s fight-or-flight system works, sometimes triggering fear when there’s no real threat.

Diagnosing panic disorder
Diagnosis isn’t always easy because symptoms can look like other medical issues. To make sure panic disorder is the cause, doctors usually conduct a detailed evaluation, which includes:

  • A good medical history with referral to medical specialists to rule out heart, endocrine, or respiratory conditions
  • Understanding your history and symptoms to identify panic attacks and their frequency

The goal is to make sure that the panic attacks aren’t due to other medical problems or disorders.

Treatment for panic disorder
While panic disorder can feel overwhelming, there’s good news: it’s treatable, and many people find relief with the right approach. Treatment usually includes therapy and sometimes medication.

Cognitive Behavioral Therapy (CBT)
One of the most effective forms of therapy for panic disorder is Cognitive Behavioral Therapy (CBT). CBT helps you understand your thoughts and behaviors that lead to panic attacks and teaches you how to cope and reframe those thoughts in a healthier way.

Medications
In some cases, medication can help manage the symptoms. Medications that might be prescribed include:

  • Medications that affect serotonin levels or norepinephrine activity
  • Medications for temporary anxiety relief
  • Other treatments that help stabilize mood and alleviate anxiety

Many times, panic disorder responds well to Cognitive Behavioral Therapy (CBT). Otherwise, psychotropic treatment may be warranted. Working closely with our psychiatric providers, we will find you the proper therapy, medication, and dosage if needed.

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Key symptoms of panic disorder

A panic attack can feel overwhelming, often coming on suddenly and without warning. These episodes are far more intense than typical stress or anxiety, and the symptoms can mimic serious health conditions like heart problems or breathing issues. Some common signs of a panic attack include:

  • Feeling a sudden wave of intense fear or discomfort
  • Rapid heart rate, palpitations, or pounding heart
  • Sweating, trembling, or shaking
  • Shortness of breath or a choking sensation
  • Chest pain or tightness
  • Nausea or stomach discomfort
  • Feeling lightheaded or dizzy
  • Sensations of heat, chills, or tingling
  • Feeling detached or “unreal” (derealization) or out of touch with yourself (depersonalization)
  • Fear of losing control or “going crazy”
  • Fear of dying

You can manage Panic Disorder.
Panic disorder doesn’t have to control your life. With the right support and treatment plan you can regain control and find a path to feeling better. If you or someone you know is struggling, reaching out for help is the first step toward feeling better. You don’t have to face it alone.

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We help children, adolescents, adults, and families achieve behavioral health solutions in a comforting, confidential, and supportive environment. You’ll hear a friendly, live voice 24/7. Appointments are easy to book. No long waits.

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