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Treatment For Panic and Anxiety Attacks

Psychotherapy, medications and lifestyle changes are all part of the treatment for anxiety and panic disorders. Doctors can help patients manage symptoms by determining the cause of the attack.

They can prescribe benzodiazepines, such as diazepam (Valium) and alprazolam or beta-blockers, such as propranolol (Inderal), which slows the heart rate. Psychotherapy involves talking with an therapist to discover how to cope with anxiety.

Psychotherapy

A psychiatrist or psychologist may diagnose anxiety and offer counseling (psychotherapy). People who suffer from panic attacks often visit their primary care physician who will look for any underlying medical issues. Based on the reason for the panic, the PCP may refer the person to a mental health specialist. The therapist could recommend cognitive behavioral therapy to reduce anxiety.

Cognitive behavioral therapy can help people identify the actions and patterns of thinking that trigger an episode of panic. This includes catastrophizing, or believing that the worst is coming. This type of thinking is thought to be a result of chemical imbalances in the amygdala, and brain circuits that are involved in the processing of fear and anxiety. The Therapist can help the client challenge these thoughts to reduce the possibility of an attack.

Another technique is to master the physical symptoms that come with panic attacks, such as sweating and a heart that is pounding. The therapist may guide the client to control their breathing, a method known as mindfulness meditation that promotes relaxation. Therapists can also teach the client how to develop a routine for sleeping that is efficient and effective in reducing stress.

Therapy practitioners may employ exposure therapy as a method to help someone overcome the habit of avoidance that fuels anxiety. For example, a person with agoraphobia might be encouraged to confront the feared scenario -- such as 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. However, they are not effective at treating the underlying causes of these episodes. In fact, long-term usage of these medications can lead to dependence and addiction which makes it harder to break the cycle of anxiety. A lot of therapists don't prescribe medications to treat panic disorder.

Some providers offer sliding scale fees for people with low incomes, or even free services. Insurance holders should check with their provider to inquire about what services are covered. Some therapists offer online sessions, which can be beneficial for people who cannot afford in-person visits.

Medications

Doctors frequently prescribe medications to treat panic attacks in addition to treatment. Certain antidepressants, such as anti-anxiety medication, have been proven effective in decreasing the frequency, intensity and duration of symptoms. They are effective in stabilizing the levels of chemical messengers, also known as neurotransmitters in your brain. Selective serotonin reuptake inhibitors (SSRIs) are the most frequently prescribed medications for panic attacks. They are a category of antidepressants that increase the amount of serotonin, a brain chemical that influences mood in your brain. The SSRIs include 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 treat high pressure or heart issues. They can also reduce anxiety symptoms like a rapid heartbeats, sweating, trembling voices and shaking hands. They aren't usually prescribed for panic disorder but could be prescribed if the fear of a certain event causes a panic attack.

Benzodiazepines can be used to treat anxiety symptoms quickly. However, they can also be addictive and can cause withdrawal when you stop taking them abruptly. They can also be dangerous when combined with alcohol or other depressants. Health professionals may only recommend them for short-term use.

Your doctor will ask you questions about your mental health as well as family history and lifestyle when you are suffering from frequent attacks. They will determine if your attacks are caused by a medical condition, like thyroid disorders and also look for other factors like negative memories from childhood or other stressors, that could be contributing to the symptoms.

The most important aspect in treating anxiety panic attacks is recognizing that they aren't harmful and learning to manage them. If you are surrounded by the support of family members, they can also help by practicing relaxation techniques and staying away from caffeine and other stimulants that may cause them to occur.

Lifestyle changes

While everyone has moments of feeling anxious or having panic attacks, if these feelings get more intense and persistent and result in your life being significantly impacted, it may be time to seek professional help. In most cases, psychotherapy and medications are 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 typical type of best treatment for social anxiety that teaches you to recognize and change unhealthy thoughts and emotions that cause panic attacks. You can lessen or eliminate anxiety by changing your thoughts and behaviors.

Anti-anxiety medications can also be useful in managing anxiety and anxiety. These medications, sometimes called tranquilizers, reduce the activity of the nervous system and provide a sedating effect that helps you feel more calm. Benzodiazepines like lorazepam and alprazolam, also referred to as Xanax (r) or Ativan (r), are commonly prescribed to treat anxiety.

A healthy lifestyle can aid in relieving anxiety symptoms. Regular exercise can reduce stress, release happy hormones and improve your mood. It's important to avoid alcohol, caffeine and smoking since they can make your anxiety symptoms worse. A good night's sleep is a crucial element to maintaining an active life style. At minimum eight hours of rest every night can help ease anxiety symptoms and improve cognition.

Getting involved in social activities and spending time with friends and family can help you reduce your anxiety. Being part of a group who share similar concerns will help you find out that your worries are not unique.

A variety of complementary and alternative medicine (CAM) practices, such as yoga meditation and acupuncture demonstrate promising results for reducing anxiety symptoms. Further clinical trials are needed to confirm these results. In the meantime you should moderately exercise most days of the week and eat healthy meals that are rich in vegetables, fruits and proteins. Avoid foods that contain refined alcohol, caffeine, or sugar, since they can increase anxiety. Also do not take herbal supplements unless you have discussed your doctor first.

Counseling

A panic attack can cause a variety of symptoms. These include an accelerated heart rate, chest tightness, hyperventilation and shaking. They may also believe that they're dying or suffering from an attack on their heart. The attacks typically peak within minutes, and then disappear. People who experience them frequently might be diagnosed with panic disorder.

Your doctor will require you to give a detailed medical history, and perform a physical examination in order to determine if panic attacks are present. They will also ask you to identify the symptoms and frequency they occur. They will also search for signs of other health conditions that could cause similar symptoms, such as an issue with thyroid or heart disease.

The most effective treatment for panic and anxiety attacks is psychotherapy, also known as talk therapy, in conjunction with an expert in mental health. It is advised to consult a psychiatrist or psychologist. They can assist you in identifying your triggers and teach you how to deal with them. They might also prescribe medication like antidepressants to ease your symptoms and stop the recurrence of symptoms.

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 your medication doesn't work, your doctor may change the dosage or change the type of medication.

A counselor or therapist can assist you in managing your emotions. You may also opt for cognitive behavioral therapy to address unhelpful beliefs and thoughts. This can be a difficult process, but you will gain the tools to manage your anxiety. You can also get support from your family and your friends as you learn to manage your symptoms. More and more health professionals recommend that spouses and partners take part in the treatment process for emotional and physical support. They can learn relaxation techniques together and act as an calming presence when anxiety or panic attacks start to flare up.