People with panic disorder have feelings of terror that strike suddenly and repeatedly with no warning. They can't predict when an attack will occur, and many develop intense anxiety between episodes, worrying when and where the next one will strike.
If you are having a panic attack, most likely your heart will pound and you may feel sweaty, weak, faint, or dizzy. Your hands may tingle or feel numb, and you might feel flushed or chilled. You may have nausea, chest pain or smothering sensations, a sense of unreality, or fear of impending doom or loss of control. You may genuinely believe you're having a heart attack or losing your mind, or on the verge of death.
Panic attacks can occur at any time, even during sleep. An attack generally peaks within 10 minutes, but some symptoms may last much longer.
Not everyone who experiences panic attacks will develop panic disorder-for example, many people have one attack but never have another. For those who do have panic disorder, though, it's important to seek treatment. Untreated, the disorder can become very disabling.
Panic disorder is often accompanied by other serious conditions such as depression, drug abuse, or alcoholism and may lead to a pattern of avoidance of places or situations where panic attacks have occurred. For example, if a panic attack strikes while you're riding in an elevator, you may develop a fear of elevators. If you start avoiding them, that could affect your choice of a job or apartment and greatly restrict other parts of your life.
Some people's lives become so restricted that they avoid normal, everyday activities such as grocery shopping or driving. In some cases they become housebound. Or, they may be able to confront a feared situation only if accompanied by a spouse or other trusted person.
Basically, these people avoid any situation in which they would feel helpless if a panic attack were to occur. When people's lives become so restricted, as happens in about one-third of people with panic disorder the condition is called agoraphobia. Early treatment of panic disorder can often prevent agoraphobia.
Depression often accompanies anxiety disorders4 and, when it does, it needs to be treated as well. Symptoms of depression include feelings of sadness, hopelessness, changes in appetite or sleep, low energy, and difficulty concentrating. Most people with depression can be effectively treated with antidepressant medications, certain types of psychotherapy, or a combination of both.
You may genuinely believe you're having a heart attack, losing your mind, or are on the verge of death. Attacks can occur at any time, even during sleep.
Hyperventilation
Many people who panic show some signs of hyperventilation. Hyperventilation may act as the initial cue, which causes an individual to panic. Alternatively, hyperventilation may also become the way in which the body reacts to a fearful situation and it is likely that hyperventilation plays a part in the panic reaction. It is easily possible, however, that the individual will not be aware of his or her breathing patterns. Therefore, it is important to examine the individual's breathing pattern.
One way to test whether individuals are breathing too fast is to get them to monitor their breathing. Ask them to count how many breaths they take in one minute (where breathing in and then out is counted as one breath). At rest, the average person needs to take only 10-12 breaths per minute. If the individual's rate of breathing is greater than 10-12 breaths per minute then the individual may need to learn to reduce his or her breathing rate. It will also be useful to monitor breathing rates at other times, particularly during times of stress, anxiety or worry.







