Understanding and Managing Panic Disorder

A Comprehensive Guide for Patients

Psychiatry

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Last updated: Mar 24, 2025

What is Panic Disorder?

Panic disorder is characterized by recurring, unexpected panic attacks and persistent worry about future attacks. A panic attack is an intense surge of fear that peaks within minutes, causing physical and emotional symptoms.

Common Symptoms

  • Rapid heartbeat or heart palpitations
  • Sweating
  • Trembling or shaking
  • Shortness of breath
  • Feeling of choking
  • Chest pain or discomfort
  • Nausea
  • Dizziness
  • Chills or heat sensations
  • Numbness or tingling
  • Feelings of unreality (derealization)
  • Fear of losing control

Diagnosis

Your healthcare provider will diagnose panic disorder based on:

  • Frequency and intensity of panic attacks
  • Physical examination
  • Medical history
  • Psychological evaluation

Treatment Options

1. Psychotherapy

  • Cognitive Behavioral Therapy (CBT)
  • Exposure therapy
  • Panic-focused psychodynamic psychotherapy

2. Medications

  • Selective Serotonin Reuptake Inhibitors (SSRIs)
  • Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)
  • Benzodiazepines (for short-term use)

Self-Management Strategies

  1. Practice Relaxation Techniques

    • Deep breathing exercises
    • Progressive muscle relaxation
    • Mindfulness meditation
  2. Lifestyle Changes

    • Regular exercise
    • Adequate sleep
    • Balanced diet
    • Limiting caffeine and alcohol
  3. Coping Skills

    • Identifying triggers
    • Using grounding techniques
    • Maintaining a panic diary

When to Seek Help

Contact your healthcare provider if you:

  • Experience frequent panic attacks
  • Develop avoidance behaviors
  • Feel your daily life is impacted
  • Have thoughts of self-harm

Support Resources

  • National mental health hotlines
  • Local support groups
  • Online communities
  • Family and friends

Remember: Panic disorder is treatable, and recovery is possible with proper support and treatment.

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