What are the symptoms of panic attacks?
- Not everyone will have the same experience, so it varies. Here are some common ones:
- Tightening of the chest
- A sudden increase in heart rate
- Chest pain
- Abdominal cramping/pain
- Feeling tingly and numb
- Extreme worry about when it will happen again next
- Avoiding the places where you had previously experienced an attack
Panic attack diagnosis criteria?
If you have experienced a sudden, unexpected, overwhelming fear with or without apparent cause (expected and unexpected panic attack, respectively) and have felt the physical manifestations (increased heartbeat, sweating, shaking), it could have been a panic attack. According to DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5), one must have had four or more of the following symptoms:
- Pounding heart
- Shortness of breath
- Tightening of the chest
- Chest pain
- Fear of dying
- Fear of losing control
How to diagnose an individual with a panic attack/panic disorder?
- Since there is some overlap between panic attack/panic disorder, anxiety disorder, and other conditions (e.g., heart issues), a certified healthcare professional must determine a proper diagnosis. To do so, they may perform one of the following:
- A physical exam
- Blood tests
What treatment options are available for panic attacks?
The two most common ones used for the treatment of panic attacks are medications and therapy. Specialty Clinic of Austin offers both.
What kind of medications are used to treat panic attacks?
There are several kinds of medications used to treat symptoms of panic attacks. They are:
- Selective serotonin reuptake inhibitors (SSRIs) – typically used as antidepressants, are a set of drugs that can help with panic attacks, anxiety disorder, depression, and more. Serotonin, a type of neurotransmitter (a chemical messenger in the brain), plays a major role in stabilizing mood and happiness. The SSRIs work by increasing the duration of serotonin acting on the postsynaptic neuron, thereby preventing the reabsorption of serotonin by the presynaptic neuron (hence the name ‘serotonin reuptake inhibitor’). As a result, more serotonin neurotransmitters can stabilize mood and help with the symptoms of panic attacks, such as anxiety.
Specialty Clinic of Austin has several SSRIs to offer to anyone with panic attacks/panic disorder. They include, but are not limited to:
- Fluoxetine (Prozac)
- Paroxetine (Paxil)
- Sertraline (Zoloft)
- Serotonin and norepinephrine reuptake inhibitors (SNRIs) – functioning similar to the SSRIs, SNRIs are another set of antidepressants that can help with panic attacks. Specialty Clinic of Austin can offer these as well, with the most common one being venlafaxine (Effexor).
- Benzodiazepines – benzodiazepines are a class of depressants that act as sedatives. As the name implies, these medications have a calming effect on brain activity by stimulating neurons to release GABA (a type of inhibitory neurotransmitter in the brain). It can then aid in reducing the symptoms of anxiety and panic disorder. The most commonly used benzodiazepines for panic attacks are:
- Alprazolam (Xanax)
- Clonazepam (Klonopin)
The three types of drugs listed above are FDA-approved and produce effective results in patients with panic attacks. However, some may work better than others for some people. Talk with your healthcare professional to see which type is best suited for you.
How does therapy help with panic attacks?
While the medications help with the physical aspects of panic attacks, therapy helps with a more holistic approach to how to deal with panic attacks. One of the most common types of therapy, called Cognitive Behavioral Therapy (CBT), aims to change the cognitive and behavioral aspects of specific problems an individual faces at the time.
What can I expect from CBT?
The approach may include, but are not limited to:
- Teaching the patient personalized coping strategies
- Learning to face the fear instead of avoiding it
- Coming up with problem-solving skills to deal with the problems
It is essential that the patient is active in the process and is willing to put in the effort to follow through with the treatment plan. Other than medications and therapy, a patient may also see improvements via joining a support group, modifying to a healthier lifestyle (getting enough sleep, exercise), and seeking ways to manage stress daily (yoga, breathing technique.).
- American Psychological Association. (2017, July). What Is Cognitive Behavioral Therapy? APA. https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral
- Ankrom, S. (2020a, July 7). DSM-5 Criteria for Diagnosing Panic Disorder. Verywell Mind. https://www.verywellmind.com/diagnosing-panic-disorder-2583930
- Ankrom, S. (2020b, November 17). What Is the Difference Between Panic and Anxiety Attacks? Verywell Mind. https://www.verywellmind.com/anxiety-attacks-versus-panic-attacks-2584396
- NHS website. (2021, March 2). Overview – Selective serotonin reuptake inhibitors (SSRIs). Nhs.Uk. https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/overview/
- Panic attacks and panic disorder – Diagnosis and treatment – Mayo Clinic. (2018, May 4). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/panic-attacks/diagnosis-treatment/drc-20376027
- Vandergriendt, C. (2019, September 30). What’s the Difference Between a Panic Attack and an Anxiety Attack? Healthline. https://www.healthline.com/health/panic-attack-vs-anxiety-attack