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Anxiety and Panic Attacks In Emphysema ... - Mind Publications

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<strong>Anxiety</strong>, <strong>Panic</strong> <strong>Attacks</strong> Feed on Breath, Body <strong>and</strong> Thought<br />

Discomfort<br />

<strong>In</strong> light of the above theories, namely, suffocation-, hyperventilation <strong>and</strong>/or<br />

hyperinflation <strong>and</strong> Catastrophic threat theories, we can now list the various panic attack<br />

symptoms in three categories: 1) Breath-related discomfort. 2) Uncomfortable bodily<br />

sensations 3) Catastrophic thoughts<br />

Let us review the thirteen (13) symptoms of a panic attack as per the psychiatric<br />

manual (DSM IV) <strong>and</strong> note how 13 panic attack symptoms fit into in the above three<br />

categories.<br />

Breath related discomfort<br />

Shortness of breath or smothering<br />

Feeling of choking<br />

Dizziness or lightheadedness or fainting feeling<br />

Uncomfortable bodily sensations<br />

Palpitations, pounding heart, or accelerated heart rate<br />

Chest pain or discomfort<br />

Sweating (not due to heat or exertion)<br />

Trembling or shaking (extremities or the insides)<br />

Numbness or tingling sensations (parts of body or whole body)<br />

Chills or hot flashes (parts of body or whole body)<br />

Nausea or abdominal distress<br />

Feeling of unreality or of detached from self.<br />

Catastrophic thoughts<br />

Fear of losing control or going crazy (e.g. “I am losing my mind!”)<br />

Fear of dying (e.g. I won’t make it to the hospital!”<br />

Many cognitive therapists believe panic attacks occur because of our highly<br />

exaggerated response to breathing discomfort <strong>and</strong> unpleasant bodily sensations, <strong>and</strong> due<br />

to the catastrophic thoughts that cross our mind at that time.<br />

Please go to the next page to the Self-Help Exercise <strong>and</strong> identify<br />

which ones do you think might be playing a part in your anxiety/panic<br />

attacks!

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