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    What Do You Do When You Have a Panic Attack

    en-usJuly 24, 2022

    Podcast Summary

    • Panic attacks are a symptom, not a diagnosisPanic attacks are a symptom of panic disorder, not a cause, and can occur randomly with physical symptoms.

      Panic attacks are a symptom, not a diagnosis. Panic attacks can occur for various reasons, including physical conditions, and they don't always align with the traditional view of anxiety being a purely mental health issue. The confusion arises when people assume that panic attacks are the cause of their problems, but they are actually a symptom of a diagnosis called panic disorder. A diagnosis, like COVID-19 infection, is a source of problems and causes a constellation of symptoms. It's important to understand this distinction between symptoms and diagnoses to better comprehend panic attacks and panic disorder. Additionally, panic attacks can occur randomly, even in people who have lived normal lives until that point, and can present with physical symptoms that don't feel mental or anxiety-related. Understanding this can help reduce the stigma and misunderstanding surrounding panic attacks and panic disorder.

    • Fear of future panic attacks is the real issuePeople with panic disorder are not just affected by the panic attack itself, but also by the fear and need to adapt to potential situations, leading to avoidance behaviors and significant limitations in daily life

      During a panic attack, the primary experience is physiological and can result in a sense of impending doom. People may experience symptoms such as elevated heart rate, difficulty breathing, nausea, muscle tension, and shakes. However, what truly impairs functioning in individuals with panic disorder is not the panic attack itself, but rather the fear of future panic attacks and the need to adapt to potential situations. This fear can lead to avoidance behaviors and significant limitations in daily life. It's essential to understand that the consequences and adaptations to the panic attacks are often the root cause of the problem.

    • Negative experiences can cause inappropriate panic responsesNegative experiences can trigger physiological responses leading to panic attacks, which are not based on rational interpretations of the situation.

      Our negative experiences can lead us to make generalizations and adaptations that cause us further problems, such as in the case of panic disorder and the persistent fear of future attacks. Our brains interpret physiological signals, like heart rate and shortness of breath, as life-threatening situations, leading to an inappropriate activation of the suffocation reflex and the amygdala. This response can result in symptoms consistent with a panic attack. It's important to understand that panic attacks may be physiologically driven, and therapy can be effective in managing them. However, it's crucial to recognize that these attacks are not a result of a rational interpretation of the situation, but rather an inappropriate response to perceived threats. Therefore, understanding the mechanisms behind panic attacks is essential in developing effective coping strategies.

    • Misactivation of brain parts causes panic attacks, not always life-threateningPanic attacks aren't fatal, but seek emergency help if it's your first or uncertain, and follow up with a medical evaluation for potential physical causes

      Panic attacks are not always life-threatening, despite feelings of impending doom or fear of dying. Instead, they may be caused by a misactivation of certain parts of the brain. If you experience a panic attack, it's important to seek emergency medical services if it's your first one or if you're unsure of the cause. While panic attacks won't typically kill you, emergency services are not just for life-threatening conditions. After the panic attack has passed, seek a medical evaluation to rule out other potential causes such as cardiac arrhythmias or thyroid issues. A psychiatric evaluation may not be necessary as there are various physical conditions that can cause symptoms similar to a panic attack.

    • Seek medical evaluation for panic attacksGetting a proper diagnosis and treatment from a medical professional is crucial for managing panic attacks. While therapy and medication are effective, only a doctor can provide a diagnosis and long-term solution.

      It's crucial to get a medical evaluation if you experience symptoms of a panic attack. A medical cause could be the root cause, and finding and treating it can lead to a complete cure. Therapists can recommend this, but only medical professionals can provide a proper diagnosis and treatment. While psychotherapy and medication are equally effective for managing panic attacks, psychotherapy can help you understand and cope with the emotional and behavioral aspects. It can also help you challenge and change negative thought patterns. Medications like SSRIs and SNRIs are the preferred first-line treatment for panic disorder, and while Benzodiazepines can be effective for individual panic attacks, they have addictive properties and are not the best long-term solution. Breathing techniques can be beneficial in managing symptoms during an attack.

    • Breath training and meditation for panic disorderWhile breath training and meditation can help manage panic disorder symptoms, their consistency and effectiveness are average. Not all breath techniques are suitable for panic attacks, and the lack of standardization makes it less reliable compared to professional interventions like medication or therapy. Seek professional help for effective treatment.

      While meditation and breath training are often suggested for managing symptoms of panic disorder, the evidence supporting their consistency and effectiveness is average at best. The issue lies in the fact that not all breath techniques are appropriate for panic attacks, and the lack of standardization in breath training makes it less reliable compared to standardized interventions like medication or psychotherapy. Therefore, while meditation and breath training can still be beneficial, individuals experiencing true panic attacks or panic disorder may need to consider seeking professional help, such as consulting a healthcare provider or therapist, for effective treatment.

    • Techniques for managing anxiety and panic attacks should not replace medical careWhile deep breathing and meditation can help manage anxiety and panic attacks, seeking medical attention is crucial during an episode and proper understanding is needed for breath of fire technique.

      While techniques like deep breathing and meditation can be helpful for managing anxiety and panic attacks, they should not be a substitute for medical care. If someone is experiencing a panic attack, the first step is to ensure their safety and seek medical attention. Techniques like breath of fire, which involves hyperventilating to induce hypocapnia, can be effective but require proper understanding and supervision. The field of anxiety treatment is evolving, and there is a need for more research to differentiate the physiological effects and benefits of various techniques. For those dealing with anxiety disorders like agoraphobia, seeking the help of a therapist is crucial for effective treatment and overcoming the condition.

    • Understanding Panic Attacks: Symptoms and DiagnosisConsult a medical professional for accurate diagnosis of panic attacks, as symptoms can vary greatly and other health issues may need to be ruled out. Focus on breathing out during meditation for relaxation, but individual preferences may differ. Panic attacks are distinct from anxiety attacks.

      While it's important to understand the signs and symptoms of panic attacks, it's crucial to consult a medical professional for an accurate diagnosis. The discussion highlighted that the symptoms of panic attacks can vary greatly from person to person, and a thorough medical evaluation is necessary to rule out other potential health issues. Furthermore, the length of exhalation during breathing can contribute to feelings of relaxation, but the focus on breathing out versus in can depend on individual preferences. Additionally, while anxiety attacks and panic attacks are often used interchangeably, only panic attacks are recognized as a medical term. Lastly, reaching a second no mind state during meditation can be more challenging due to the expectation of the experience.

    • Let go of the pursuit of 'no mind' stateFocusing too much on achieving a 'no mind' state during meditation can hinder progress, instead let go of attachment and allow the practice to unfold naturally

      During meditation, it's essential not to actively search for a "no mind" state. The more we focus on achieving this state, the more elusive it becomes. Instead, we should let go of our attachment to this particular goal and allow the meditation practice to unfold naturally. The expectation of reaching a specific mental state can create an obstacle, making it harder to attain. By relaxing our grip on this expectation, we may find that the "no mind" state emerges on its own. In essence, the journey towards mindfulness and inner peace is not a destination to be reached but a process to be embraced.

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