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Treatment For Panic and Anxiety Attacks
Treatment for panic and anxiety attacks involves psychotherapy, medications and lifestyle changes. Doctors can help their patients manage their symptoms by determining the root reason for the attack.
They can also prescribe beta-blockers such as propranolol or diazepam to slow a racing heart. Psychotherapy is the process of talking to the therapist in order to learn how to manage anxiety.
Psychotherapy
A psychologist or psychiatrist can diagnose anxiety and provide counseling (psychotherapy). People who suffer from panic attacks often visit their primary care provider who will look for any an underlying medical issue. The PCP might refer patients to a mental specialist depending on the root of their panic. The therapist might suggest cognitive behavioral therapy to decrease anxiety.
Cognitive therapy can help people recognize behaviors and patterns of thinking that contribute to an panic attack. Catastrophizing is among them or believing that the worst will occur. This kind of thinking is believed to be linked to chemical imbalances in the amygdala and brain circuits that are involved in the processing of fear and anxiety. The counselor can assist the client to confront these thoughts in order to decrease the risk of an attack.
Another option is to learn how to manage the physical manifestations of panic attacks. They include a pounding pulse and sweating. The therapist can guide the patient through controlled breathing, a technique called mindfulness meditation that promotes relaxation. In addition the therapist can guide the client how to create an effective sleep routine as well as stress reduction strategies.
Some therapists use exposure therapy in order to help people overcome avoidance behaviors which fuel anxiety. For instance, a patient with agoraphobia could be encouraged to confront the feared scenario like crowds or public transportation -- one at a time until they feel more comfortable in those settings.
Anti-anxiety, anti panic, or benzodiazepines can help to reduce the severity of panic attacks. They are not effective in treating the underlying causes. In fact, the long-term use of these drugs can cause dependence and addiction which makes it more difficult to break the cycle of anxiety. Many therapists do not prescribe medications as part of treatment of panic disorder.
Behavioral therapy can be expensive, but some providers have sliding scale fees or free services for those with low incomes. If you have insurance you can contact your insurance provider to determine what coverage they have available. Some therapists provide online sessions, which can be helpful for those who can't afford to attend in person.
Medicines
In addition to therapy, doctors often prescribe medication for panic attacks. Certain antidepressants as well as anti-anxiety medicines have been proven to be effective in reducing the intensity, frequency and duration of symptoms. They work by stabilizing levels of chemical messengers, referred to as neurotransmitters in your brain. The most common medicines used to treat panic attacks are selective serotonin reuptake inhibits (SSRIs). They increase the levels of serotonin in the brain, a brain chemical that affects mood. SSRIs are sertraline (Zoloft), Lexapro (escitalopram) and paroxetine(Paxil). Serotonin-norepinephrine reuptake inhibitors, another type of antidepressant, can also decrease anxiety symptoms by increasing the amount of norepinephrine in your brain. This is a class of antidepressants which includes venlafaxine, (Effexor) and duloxetine, (Cymbalta).
Beta blockers are usually prescribed to control high pressure or heart problems. They can also help to reduce anxiety symptoms like a rapid heartbeats, sweating, trembling voices, and shaking hands. They are not usually prescribed for panic disorder, but might be prescribed when the fear of a certain event triggers a panic episode.
Benzodiazepines are fast-acting anti-anxiety medications that relieve anxiety symptoms instantly. However, they can be addictive and can cause withdrawal in the event that you stop taking them abruptly. You can also get into trouble if you combine them with together with other depressants. Healthcare professionals might only recommend them for short-term use.
Your doctor will ask you questions regarding your mental health, family history, and your lifestyle when you are suffering from frequent attacks. They will determine if the attacks are triggered by a medical condition like thyroid disease, and they will search for other factors that might cause the symptoms, like trauma from childhood or other stressors.
The most important aspect in managing panic attacks is understanding that they are not harmful and figuring out how to manage them. If you have family members who could help, they can practice relaxation techniques and avoid caffeine and other stimulants that can cause them.
Lifestyle changes
It is crucial to seek out professional help when you are suffering from extreme anxiety or panic attacks. Psychotherapy and medication are typically effective treatments for anxiety disorders.
Talk therapy is another term for psychotherapy. It is a broad range of treatment options for psychological disorders. Cognitive behavioral therapy is a popular kind of treatment that helps you to recognize and alter unhealthy thoughts and emotions that cause panic attacks. By altering your reactions and behaviors you can lessen or eliminate panic attacks.
Anti-anxiety medicines can also be helpful in managing anxiety and pandemonium. These medications, also referred to as tranquilizers or tranquilizers are sedating and have a slowing effect on the nervous system. This helps you to feel calmer. Commonly prescribed anti-anxiety medications include the benzodiazepines like alprazolam (Xanax(r)) and lorazepam (Ativan(r)).
A healthy lifestyle may also help to relieve anxiety symptoms. Regular exercise can help reduce anxiety, release positive hormones and boost mood. Avoiding caffeine, alcohol smoking, and drinking alcohol can increase anxiety symptoms. Maintaining a healthy lifestyle also requires adequate sleep. Aiming for at least eight hours of sleep every night can help reduce anxiety symptoms and improve cognition.
Engaging in social activities and spending time with family and friends can also help reduce your anxiety. Joining a community of people who share similar concerns will help you find out that your worries aren't unique.
A variety of complementary and alternative medicine (CAM) practices such as yoga meditation and acupuncture show promising results for improving anxiety symptoms. Further clinical trials are required to confirm these results. In the meantime you should moderately exercise on most days of the week and consume healthy meals that are high in vegetables, fruits and proteins. Avoid foods that are processed, such as alcohol, caffeine, or sugar as they can cause anxiety. Avoid taking herbal supplements without first consulting your doctor.
Counseling
A panic attack can cause many symptoms. These include the heart racing, chest tightness, hyperventilation and shaking. They may also think they're dying or experiencing a heartattack. The attacks usually peak within minutes and then quickly disappear. People who have them frequently may be diagnosed with panic disorder.
To determine if you suffer from panic attacks, your doctor will take a complete medical history and conduct an examination. You will be asked to explain your symptoms and how frequently they occur. They will also look for any other health conditions that may cause similar symptoms. For example, a thyroid issue or heart disease.
Psychotherapy or talk therapy with a mental healthcare professional is the most effective treatment of panic and anxiety attacks.
IamPsychiatry is usually recommended that you consult a psychiatrist or psychologist. They will be able to assist you in identifying your triggers and help you learn how to manage them. They might prescribe antidepressants in order to help ease symptoms and avoid recurrence.
Medications such as SSRIs (selective serotonin reuptake inhibitors) or SNRIs (serotonin-norepinephrine reuptake inhibitors), can decrease the frequency of your panic and anxiety attacks, but they won't make them completely go away. If the medications don't work for you, your doctor may change the dosage or switch to another type.
A counselor or therapist will assist you in learning to manage your emotions, and you might do some cognitive behavioral therapy to address unhelpful thoughts and beliefs. This can be a challenging process, but it could provide you with the tools to manage your anxiety and avoid panic attacks in the future. Family and friends can also be a source of assistance as you begin how to manage your symptoms. In fact increasing numbers of health professionals are suggesting that spouses and partners join in on the treatment process to provide both emotional and physical assistance. They can practice relaxation techniques together and act as a calm presence when panic or anxiety attacks flare up.