Panic disorder - NHS

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Anxiety is a feeling of unease. It can range from mild to severe, and can include feelings of worry and fear. Panic is the most severe form of anxiety. You may ... Skiptomaincontent Home Mentalhealth Mentalhealthconditions Backto Mentalhealthconditions Panicdisorder Panicdisorderisananxietydisorderwhereyouregularlyhave suddenattacksofpanicorfear.Everyoneexperiencesfeelingsof anxietyandpanicatcertaintimes.It'sanaturalresponsetostressfulor dangeroussituations.Butsomeonewithpanicdisorderhasfeelingsofanxiety,stressandpanicregularlyandatanytime,oftenfornoapparentreason. Symptomsofpanicdisorder AnxietyAnxietyisafeelingofunease.Itcanrangefrommildtosevere,andcanincludefeelingsofworryandfear.Panicisthemostsevereformofanxiety.Youmaystarttoavoidcertainsituationsbecauseyoufearthey'lltriggeranotherattack.Thiscancreateacycleofliving"infearoffear".Itcanaddtoyoursenseofpanicandmaycauseyoutohavemoreattacks.PanicattacksDuringapanicattack yougetarushofintensementalandphysicalsymptoms.Itcancomeonveryquicklyandfornoapparentreason.Apanicattackcanbeveryfrighteninganddistressing.Symptomsinclude:aracingheartbeatfeelingfaintsweatingnauseachestpainshortnessofbreathtremblinghotflusheschillsshakylimbsachokingsensationdizzinessnumbnessorpinsandneedlesdrymouthaneedtogotothetoiletringinginyourearsafeelingofdreadorafearofdyingachurningstomachatinglinginyourfingersfeelinglikeyou'renotconnectedtoyourbodyMostpanicattackslastbetween5and20minutes.Somehavebeenreportedtolastuptoanhour.Thenumberofattacksyouhavewilldependonhowsevereyourconditionis.Somepeoplehaveattacksonceortwiceamonth,whileothershavethemseveraltimesaweek.Althoughpanicattacksarefrightening,they'renotdangerous.Anattackwillnotcauseyouanyphysicalharm,andit'sunlikelyyou'llbeadmittedtohospitalifyouhaveone.Beawarethatmostofthesesymptomscanalso besymptomsofotherconditionsorproblems,soyoumaynotalwaysbeexperiencingapanicattack.Forexample,youmayhavearacingheartbeatifyouhaveverylowbloodpressure. Whentogethelp SeeaGPifyou'vebeenexperiencingsymptomsofpanicdisorder.They'llaskyoutodescribeyoursymptoms,howoftenyougetthem,andhowlongyouhavehadthem.Theymayalsocarryoutaphysicalexaminationtoruleoutotherconditionsthatcouldbecausingyoursymptoms.Itcansometimesbedifficulttotalkaboutyourfeelings,emotionsandpersonallife,buttrynottofeelanxiousorembarrassed.Youmaybediagnosedwithpanicdisorderifyouhaveregularandunexpectedpanicattacksfollowedbyatleastamonthofcontinuousworryorconcernabouthavingfurtherattacks. Treatmentsforpanicdisorder Treatmentaims toreducethenumberofpanicattacksyouhaveandeaseyoursymptoms.Talkingtherapiesandmedicinearethemaintreatmentsforpanicdisorder.Yourtreatmentwilldependonyoursymptoms. PsychologicaltherapiesYoucanreferyourselfdirectlytoapsychologicaltherapiesservicefortreatmentbasedoncognitivebehaviouraltherapy(CBT). Findapsychologicaltherapiesservice(Englandonly) Ifyouprefer,youcanseeaGPandtheycanreferyou.Yourtherapistmaydiscusswithyouhowyoureactwhenyouhaveapanicattackandwhatyouthinkabout.Theycanteachyouwaysofchangingyourbehaviourtohelpyoukeepcalmduringanattack.YoumayneedtoseeyourGPregularlywhileyou'rehavingCBTsotheycanassessyourprogress.MedicineIfyouandyourdoctorthinkitmightbehelpful,youmaybeprescribed:atypeofantidepressantcalledaselectiveserotoninreuptakeinhibitor(SSRI)or,ifSSRIsarenotsuitable,atricyclicantidepressant(usuallyimipramineorclomipramine)ananti-epilepsymedicinesuchaspregabalin or,ifyouranxietyissevere,clonazepam(thesemedicinesarealsobeneficialfortreatinganxiety)Antidepressantscantake2to4weeksbeforetheystarttowork,andupto8weekstoworkfully.Keeptakingyourmedicines,evenifyoufeelthey'renotworking,andonlystoptakingthemifyourGPadvisesyoutodoso.ReferraltoaspecialistIfyoursymptomsdonotimproveafterCBT,medicineandconnectingwithasupportgroup,yourGPmayreferyoutoamentalhealth specialistsuchasapsychiatristorclinicalpsychologist.Thespecialistwillcarryoutanassessmentanddeviseatreatmentplantohelpyoumanageyoursymptoms. Video:Psychologicaltherapiesforstress,anxietyanddepression Animatedvideoexplainingself-referraltopsychologicaltherapiesservicesforstress,anxietyordepression. Medialastreviewed:14March2022 Mediareviewdue:14March2025 Thingsyoucantryyourself WhattododuringapanicattackThenexttimeyoufeelapanicattackcomingon:donotfightitstaywhereyouare,ifpossiblebreatheslowlyanddeeplyremindyourselfthattheattackwillpassfocusonpositive,peacefulandrelaxingimagesrememberit'snotlifethreateningPreventingafurtherattackItmayhelpto:readaself-helpbookforanxietybasedontheprinciplesofcognitivebehaviouraltherapy(CBT)–askyourGPtorecommendonetrycomplementarytherapiessuchasmassageandaromatherapy,oractivitieslikeyogaandpilates,tohelpyourelaxlearnbreathingtechniquestohelpeasesymptomsdoregularphysical exercisetoreducestressandtensionavoidsugaryfoodanddrinks,caffeineandalcohol,andstopsmoking,asalltheycanallmakeattacksworse Formorehelp,readhowtodealwithpanicattacks. SupportgroupsPanicdisordercanhaveabigimpactonyourlife,butsupportisavailable.Itmighthelptospeaktootherpeoplewiththesamecondition,ortoconnectwithacharity.Youmayfindthefollowinglinksuseful:AnxietyUKMind:understandinganxietyandpanicattacksNoPanicTriumphOverPhobia(TOPUK)AskyourGPaboutsupportgroupsforpanicdisordernearyou.Findanxietyservicesinyourarea Complicationsofpanicdisorder Panicdisorderistreatableandyoucanmakeafullrecovery.Butit'sbesttogetmedicalhelpassoonasyoucan.Ifyoudonotgetmedicalhelp,panicdisordercanescalateandbecomeverydifficulttocopewith.You'remoreatriskofdevelopingothermentalhealthconditions,suchasagoraphobiaorotherphobias,oranalcoholordrugproblem.Having panicdisordermayaffectyourabilitytodrive. Thelawrequiresyou toinformtheDriverandVehicleLicensingAgency(DVLA)aboutamedicalconditionthatcouldimpact yourdrivingability.VisitGOV.UK forfurtherinformationaboutdrivingwithadisabilityorhealthcondition. Causes Aswithmanymentalhealthconditions,theexactcauseofpanicdisorderisnotfullyunderstood.Butit'sthoughttobelinkedtoacombinationofthings,including:atraumaticorverystressfullifeexperience,suchasbereavementhavingaclosefamilymemberwithpanicdisorderanimbalanceofneurotransmitters(chemicalmessengers)inthebrain Panicdisorderinchildren Panicdisorderismorecommoninteenagersthaninyoungerchildren.Panicattackscanbeparticularlyhardforchildrenandyoungpeopletodealwith.Severepanicdisordermayaffecttheirdevelopmentandlearning.Ifyourchildhasthesignsandsymptomsofpanicdisorder,theyshouldseeaGP.AftertakingadetailedmedicalhistorytheGPwillcarryoutathoroughphysicalexaminationtoruleoutanyphysicalcausesforthesymptoms.Theymayreferyourchildtoaspecialistforfurtherassessmentandtreatment.ThespecialistmayrecommendacourseofCBTforyourchild.Screeningforotheranxietydisordersmayalsobeneededtohelpfindthecauseofyourchild'spanicattacks.Readmoreaboutanxietydisordersinchildrenorfindoutaboutmentalhealthservicesforchildrenandyoungpeople. Pagelastreviewed:28July2020 Nextreviewdue:28July2023

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