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Anxiety /

Panic Attacks

Anxiety is a normal emotion that we all

experience, such as in the run up to exams or a

job interview. But when anxiety becomes much

more severe this feeling can take over and begin

to interfere with everyday life. Conditions under

the anxiety disorder umbrella include: social

anxiety, generalised anxiety disorder (GAD), panic

disorder, obsessive-compulsive disorder (OCD),

phobias, and post-traumatic stress disorder

(PTSD).

For people with an anxiety disorder, feelings like

stress, panic and worry are longer lasting, more

extreme and far harder to control. Anxiety can

stop people living the life they want – whether that

means not being able to work, see friends or, in

the most severe cases, even leave the house.

As with many mental health conditions, the exact

cause of panic disorder isn’t fully understood.

But it’s thought the condition is probably linked

to a combination of things, including a traumatic

or very stressful life experience, such as

bereavement, having a close family member with

the disorder or an imbalance of neurotransmitters

(chemical messengers) in the brain.

Symptoms

Everyone experiences feelings of anxiety and

panic at certain times. It’s a natural response

to stressful or dangerous situations. But for

someone with panic disorder, feelings of anxiety,

stress, panic or fear occur regularly and at any

time, often for no apparent reason. You may start

to avoid certain situations because you fear that

they will trigger another attack. This can create a

cycle of living “in fear of fear”. It can add to your

sense of panic and may cause you to have more

attacks.

A panic attack is when your body experiences a

rush of intense mental and physical symptoms.

It can come on very quickly and for no apparent

reason and can be very frightening and

distressing. Symptoms may include a racing

heartbeat, feeling faint, sweating, nausea, chest

pain, shortness of breath, trembling, hot flushes,

chills, shaky limbs and, a choking sensation.

Most panic attacks last for between 5 and 20

minutes, but may last up to an hour. The number

of attacks you have will depend on how severe

your condition is, sometimes once or twice a

month, while others have them several times a

week. Although panic attacks are frightening,

they’re not dangerous. An attack won’t cause you

any physical harm, and it’s unlikely that you’ll be

admitted to hospital if you have one.

Treatments for

panic disorder

Panic disorder is treatable and you can make

a full recovery. If you’ve been experiencing

symptoms of panic disorder visit your GP. They’ll

ask you to describe your symptoms, how often

they occur and how long you’ve had them. They

may also carry out a physical examination to

rule out other conditions that could be causing

your symptoms. If you don’t get medical help,

panic disorder can escalate and become very

difficult to cope with. You’re more at risk of

developing other mental health conditions, such

as agoraphobia or other phobias, or an alcohol or

drug problem.

Treatment aims to reduce the number of panic

attacks you have and ease your symptoms, using

one or a combination of Psychological therapy

(based on cognitive behavioural therapy) and

medication. If your symptoms don’t improve after

CBT, medication and connecting with a support

group, your GP may refer you to a mental health

specialist such as a psychiatrist

or clinical psychologist.

www.mhap.co.uk 31

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