Panic Attacks
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- Опубликовано: 18 окт 2020
- Panic Attacks represent an abrupt surge of intense fear, discomfort or anxiety peaking in intensity within minutes and manifest by physical symptoms. Primary manifestations of Panic Attacks include a racing heart beat or palpitations, trembling or shaking and nausea or a feeling of abdominal distress. Other common symptoms are lightheadedness, feeling faint and chills or a hot sensation sometimes associated with tingling of the extremities. Feelings of unreality or being detached from oneself and fear of losing control and dying round out the list of major complaints associated with Panic Attacks.
The frequency of Panic Attacks can vary from several times daily to only a few attacks during the year. Panic Attacks generally begin without warning but more careful probing finds some autonomic system arousal up to an hour before symptoms begin.
Nearly 1-3% of the general population may experience Panic Attacks with the number growing to 3-8% among patients in a general practice setting. Peak age of onset is bimodal with adolescents and young adults primarily targeted with another spike among individuals in their mid-30s.
Panic Attacks generally last between 20-30 minutes but at times may persist for several hours. They may also occur during sleep. Diagnosis of Panic Attacks may be delayed for years as patients and doctors futility search for an underlying physical cause for the symptoms.
Panic Disorder requires recurrent Panic Attacks followed by at least a month of persistent concern that another one will occur. Additionally the individual changes their behavior to avoid situations they believe precipitated the previous attacks. Similar symptoms may involve fear of heights, spiders and snakes. Posttraumatic Stress Disorder may display overlapping complaints.
Many individuals experiencing Panic Attack also fulfill the diagnostic criteria for depression, anxiety or bipolar disorder. They may abuse illicit drugs or suffer a personality disorder. Anxiety Attacks are not a specific disease but refer to symptoms much less intense than associated with Panic Attacks.
Treatment may include psychotherapy or antidepressants in the SSRI family including Celexa, Prozac, Zoloft. Although much maligned, benzodiazepines including Klonopin, Alprazolam and Lorazepam may be additionally required.
The fear of the fear itself is the worst.
The fear is more devastating than any other symptoms
Yes
Wouldn't wish it all on my worst enemy, just awful.
Oh yeah . . Ugh
Such an absolute lost to the world RIP sir
I started getting panic attacks when menopause kicked in ….:(
This man is amazing. I wish he was my doctor!
I have really bad health anxiety and fear of dying from disease. I check all these boxes for panic attacks, very bad anxiety and depression. It’s crazy how the mind can break you.
Indeed.
I almost dropped out of college because of panic attacks. I got panic attacks if I had to give a presentation, or just reading in front of people. It was a big problem for me, and I got treatment eventually but it was a big problem in my life, and altered the trajectory of my life. Thank you for covering this often overlooked, and dismissed condition.
All the best, David. I was the same for years.
@@4evaavfc thanks Rangatiratumeke! I appreciate that! You as well!
How did you overcome it?
@@danrothman6129 Eventually, I was at a very low point, and I walked into an ER and said I'm having suicidal thoughts. Got sent to a psychiatric hospital which was the best learning opportunity. Was there for about a week and saw a psychiatrist, went on meds. I wish I was put on meds when I was a teenager, not in my late 20s. Anyways, I've gotten better and now on a low dose anti-depressant.
@@davidk.1089 I walked into hospital a few times saying I had suicidal thoughts and they wouldn't admit me! The support for mental health is a joke.
If you live with a person who suffers panic attacks it is easy to recognize that it’s a panic attack. They can mimic a heart attack and can be terrifying for the patient as well as the caregiver.
So many doctor channels talk down to viewers expecting them to be experts and understand everything. You, Doctor, explain, take the time to include so many specifics and explain them. It make a massive contribution to medical study for layman and student alike. Thank you for taking the time to explain the doctor-eze!
Constant unrelieved stress will cause it too.
For someone who has panic attacks marijuana can freak you out so bad you think your dying
For some reason I love watching his videos, I find them calming even if it's a condition that has nothing to do with me. A little overboard on terminology sometimes but a good channel.
I've had 5 distinct "panic attacks" in my life, and the first one came on without any provocation of any sort whatsoever; I was simply lounging in an office about to break for lunch and suddenly my breathing rate increased, then my heart rate increased, then I started shaking, then I started sweating, and it wasn't cooling down on it's own. It was scary at first as I didn't know what was happening but afterward I realized it was a panic attack and I tried finding ways of dealing with them. More would come, but they would get more spread out and less severe until they fizzled out into sparse episodes of chaotic breathing that can be dealt with in under 30 seconds.
Terrifying. I've had anxiety for 18 years, ruined my life. I a panic attack yesterday and my heart rate was over 130! Blood pressure sky high.
this channel scratches my brain in just the right way
I love your explanations, I have been going through and learning as much as I can about everything I can... Thanks to you and anyone that may assist you.
I've had 4 panic attacks in my life - all within a short time frame; I used yoga/exercise and breathing techniques (and practically eliminate all caffeine and alcohol) to get them under control. This stopped them from returning. Those of you who suffer with these daily, I truly feel for you. Until you've experienced a panic attack, no one can adequately convey how terrifying they are.
Indeed. Don't wish them on my worst enemy.
This was just what I needed, thanks for a wonderful channel doctor Landow
You're a sufferer am I right?
Yes, I've tried hydroxyzine, st johns wort, passionflower, valerian root etc. Benzos help but I am afraid of dependency, and also Ssris seem scary to me but I guess I might have to try it eventually
@@kimpettersson6605 Perhaps try cbd, but go easy and micro dose at 1st because if you have too much it might make your anxiety orders of magnitude worse 😬 cbd really can help those with this disorder, please research it for more info.
Thank you for your thoughts and care, I have tried Cbt and it has helped a lot, but sometimes it feels as though it's more in the body than the mind, but eventually being calm in the mind will calm down the body too. Take care!
I would like to try it but it's hard to get your hands on it in Europe. Thanks for your thoughts and care
Risk factors👍
Family history of panic attacks or panic disorder.
Major life stress, such as the death or serious illness of a loved one.
A traumatic event, such as sexual assault or a serious accident.
Major changes in your life, such as a divorce or the addition of a baby.
Smoking or excessive caffeine intake.
I have to imagine recreational drugs are among the greatest contributors. Anxiety and derealization go off the charts on various compounds.
YOUR SO COOL YOU REMIND ME OF PAUL HARVEY....
I GET SO MUCH FROM YOUR VIDEOS THANKS FOR PUTTING THEM OUT THERE
Thanks again, for all the information. Best doctor I've ever seen.
These videos are amazing.
great video doc
Thank you so much. This was so very helpful video, you described my condition exactly. The information you provided in your video was so helpful for me to understand what has been happening to me with panic disorder. Thank you!
This man is a genius
My divorce cured them, have not had one since 1989. (serious comment)
Unfortunately this has been a life long struggle
Same here 😒
soldier on, never give up! God bless n protects u!
Excellent video. Thank you.
It's by far the best I've seen on panic attacks 🙂
What an absolute loss to the world RIP SIR. Anyone seeing this we can go on Neptune and light a candle for him
6mg of ativan a day❤❤😂😂
Thank you Awesome explanation
Great information your delivery is right on point I like your videos
Thank you, Dr. I had my first panic attack when I was 46, haven't had one for three years, now. 10 mg Escitalopram helped a lot.
Great Video!
Panic attacks is pure hell
I had my hands go numb and I couldn't walk. I felt the life was leaving me. It's the worst feeling in the world. Especially considering when it happened I was out in the middle of nowhere and the nearest hospital was several miles away.
Thanks so much for all this free info best channel for pharmacology info
70mg of valium❤❤
good stuff as always Doc!
Much appreciated!
@@wellnowdoctor5976 you are awesome. I think you're the best doctor ever
My attacks came as nocturnal panic attacks. My first one was during a nightmare. I woke up with a fast heart rate. I then got up from bed and walked outside so I would keep myself from fainting (the cold air helped). I felt weak and got chills. I got a few more of these nocturnal attacks and was very random. This was the start of my path to hell by now fearing to go to sleep at night in fear of the attack happening again. It started to compound now in my daytime with worry and fear and jumping to loud noises. It was horrible. My PC doctor gave me Xanax at first and I worried about addiction happening so I asked her to put me on another medication for anxiety. She put me on Paxil and I’ve been on it for 3 months now. It made all my symptoms disappear. The only side effect so far is gut and diarrhea issues. I don’t think this is a fair lifestyle change to have to live with. I just went on the extended release at a 12.5mg from a 20mg. I’m hoping this will help. If not, I’m going to wean off of this and look for other options. BTW, I have some dizziness on occasion and wonder if this is related.
how r u doing with Paxil so far ? I wish u the best of luck and best of health. is Paxil a benzo or a ssri? any weight changes concerns so far ?
Ive been struggling with this for years. I need help.
I love this man. I wish he was my doctor. He is so informative. Please make a video on dextroamphetamine spansules and IR (Dexedrine) It would be greatly appreciated. I'm aware you've mentioned it in another video but a video on pure dextroamphetamine in itself would be greatly appreaciated
That, Vyvanse, or Daytrana, would be nice, yes.
This is helping me so much.
First time I had a panic attack I thought I was going to die. I thought I was having a heart attack. The strange things was I just woke up. So I had a hard time believe it was a panic attack. I was taking SSRI’s so now this makes sense.
Had my first one big time bout 5 years ago haven’t been right since
Love your videos! Why don't you talk about vagus nerve irritation and damage as a cause for anxiety? A slightly elongated styloid from a common whiplash injury or a craniocervical instability from excessive cell phone or laptop use can cause anxiety as well as all of the other comorbidities you mentioned. Anxiety is a symptom not a cause for anything. For example, anxiety has at least as many neurogenic pathways as pain and nausea because all forms of pain and nausea cause an anxiety response.
This man just told my life story lol
Hey Doc I love love your channel, I have so many questions but based on this topic, how does Generalised anxiety disorder differ from just a panic attack disorder anxiety disorder acrophobia social phobia cause I have generalised anxiety disorder but I have all of those disorders as well isn't that kind of incompassing all Anxieties in general , Cause every time I've done research those condemned to the same conclusion, some people have Generalising anxiety disorder as a diagnosable but they don't suffer from certain amount of anxieties only specifics but I know a follow people like me for example who has every single anxiety phobia there is but it's jist in compass as generalised anxiety Cause it's generally everything. I could be totally wrong, Which is why I want to ask you? The lot of doctors have a lot of different opinions on the same medication and he gets confusing in my own research said something different, Also how do pharmaceutical company able to get medication out like say gabapentin when they don't fully understand it but they know what it can treat? Doesn't reach the liability of that 1% possibility so in dying from that uncertainty?
Hey Sir, any bit of a chance you can please do a video on gut bacteria? I haven't done any research on my own however for some reason I keep hearing about yogurts.
Another epic video. 🤓
Hi I'm a fan trying to come off benzo was having a panic attack this helped thank you
@Tori7o38
Agree! I'm still having Withdrawal from being cold Turkey off Xanax 37 months now. Took 8mg for 25 years and no taper 😥 a psychiatrist did this to Me. Had I known what would happen and the Akathisia and Pain from not tapering, I would have never taken them. Have had anxiety attacks all My life.
I was getting impending doom attacks. I sometimes would just have a very odd thought loop where 'go somewhere else'. I wouldn't be able to move or think normal thoughts. I couldn't tell you the thought I had but it convinced something that I AM going to die soon.
It is like I took a bad psychedelic tbh.
I suffer from this and its terrible
Thanks for the video. I tick every box, except that I don't panic about much of anything, don't really have fears, I do get highly excited about things though. The chest pain has been here for over a month now which makes me think it is not panic. I had no idea how many pathways of possible causes these symptoms can be attributed to, for instance, the gut information was something I'd never heard of. All I know is Carisoprodol and Valium seem to stop it dead in it's tracks, although I just take one 10mg Amitryptaline and a 350g Carisoprodol before bed and have Valium, but don't take the Valium unless the chest pain symptoms get extremely bad. (thought I was dying from chest pain and heart rate 3 times, for no apprehensible reason I can find)
And yes to both the questions you asked, my heart goes insane when I play a competitive game with friends, and sometimes even panic while playing games with friends because of how competitive I am, which is comedic but true.
I’m so glad I’ve only had anxiety attacks and only 1 panic attack. First panic attack adrenaline lasted for hours until I went to pee the second time I felt it leave my body. What a great sleep after that lol
what's anxiety attacks like? I have only had panic attacks both short ones and lingering ones. take care keep well!
Thank you for all the insight. I took Prozac (fluoxetine) for 4 months and started noticing that in perceived stressful situations instead of having my anxiety lessened i started having panic attacks. now that I’m off of it i have none
Prozac can bring panic attacks on. I'm not a big fan of antidepressants.
I was suffering from panic attacks many years ago, my doctor put me on Prozac and it made me 10 times worse! It made my panic attack so bad, that I had literally convinced myself I was becoming a paranoid schizophrenic. It was a horrible time in my life, I personally would not ever want to be on Prozac ever again. Luckily, that part of my life is long behind me, and I don't need to be medicated for anxiety or panic attacks anymore, and I have learned to have mind over matter when I start to get one.
have anyone tried lexapro for anxiety and if so how's it? I pray for everyone of us suffering from these horrifying experiences. God bless and protects and guards us!
im stuck with a shrink who wont even consider any meds other then prozac or abilify and it sux so bad ... im 33 and still have yet to find a doctor to help me with proper meds :(
I’ve had a couple vasovagal syncopes and I think that’s caused mine
Kaiser Took my Ativan and all benzodiazepines away from me now I panic attack daily I have no quality of life and they don’t care they will not give my medicine back
@vintagebleachedblonde4322
This happened to me. I can barely drive, and
no functionality or quality of life. Have diagnosed agoraphobia as well.
They didn't offer a taper, but I did ask. Took the med for 17 years.
Can't tolerate antidepressants - just too many intolerable side effects.
Extremely difficult to get any therapy in a timely manner, and then it's about once every three weeks.
I'm sorry this has happened to you.
It is an awful mental suffering, and rare to receive empathy or understanding.
😂😂😂😂
6mg of ativan a day
Do you think that Ambien is a boodsafe
sleeping pill?
I'm Latino american I started suffer from panic attack n inxaety n stress disorder n chronic back pain n neck my grandfather got it n my dad too I didn't not know cus I didn't see him for about 20 years n my grandfather told me I said shit that why I got this panic attack n my two brother got it now my little brother he when crazy is first panic attack the doctor did not knew what is wrong with him I told him is having panic attack n he bipolar disorder he don't want to take is med n he mood changes really bad sometimes he get panic attack I have to run to give him the med to calm him down he be tripping Badly I told him you need to take it everyday but is bipolar is messing with him
Do you think Ambien is appropriate for panic attacks?
I take diazepam and lorazepam is that ok lorazepam I take of them and 3 diazepam am cold as well
Pls do a video on ocd
Well the one thing I’d like to know what what the heck do you do about it?
I just got diagnosed with this. I don’t get any anxiety tho is the weird part (other than feeling like I’m about to die…). Not worried about anything at the time totally random in the supermarket maybe and BAM adrenaline rush heart rate to 160 dissociation shakes… what the heck??? I’m goin DOWN!! Never actually go down though.. It’s like 100% physical with me messed up brain I guess 🤷🏼
What is your opinion or anyones opinion in managing anxiety/panic attacks when you have bipolar1. Its so f n debilitating . I cant even keep jobs cause I freak out and have attacks and my own panic and brain eats itself . I hate it and I just want to get better and live a semi normal life.
Do you happen to have a video on gabapentin?
gabapentin video first aired Jan 11, 2018...do a search
How do u treat them
I get them in my sleep. Been in the ER several times.
Me too :(
Dr. U know what your talking about. ,I got over them after years,
i am on paroxetine but it is saditing and cause Erectile dysfunction . i want to switch to another one but my doctor says that it is the best ssri for panic and agoraphobia . i think he goes by old studies
I drove from NC to WV and had to leave my car and go back to NC because I panicked leaving my comfortable surrounding...I had to get my daughter to go get my car and she picked me up and took me back .. I was trying to leave a bad marriage and I feel like I cannot leave due to my fears of being alone
Being alone with panic attacks is the worst. I totally relate to this type of dilemma.
Where can i find a doctor like this gentleman???????
Exactly.
He used to be on local las vegas am radio back in early 2000's. This guy was a really good doctor
You need lots of $$$$, the best doctor's are hidden behind a paywall.
My whole life has revolved around my fears ...when does it stop
What do you fear?
When you teach your mind to accept and embrace the fear. When you stop running from the fear. The goal isn't to fight the fear, it's to accept it. When you are able to do that. It will stop.
Have tried all the antidepressants, including MAOI’s, nothing helps : ( except diazepam, but of cause you can’t take that too often. Not sure what to do :-/
So wierd,My panick attecks are gone after 1 year of Escitalopram 10mg.
Try Opioids !!!
Have you tried Buspar?
@@irishman4671 difficult to get in Aus :-/
@@robertb.3651 I wish!
Hello, I recently took ciprofloxacin and besides all the pain and sickness I have due to it but I'm wondering can cipro bring out red blood spots on the body "cherry angiomas" if not what would cause that
Are you taking a Benzodiazepine?? The two should not be taken. Most Doctor's are not aware that many people have reactions when given Cipro with a Benzo.
@@BflyMom_212 no just cipro on its own, still feel terrible, hate this! Just wanna feel normal again.
@@KEire1916 i have a severe intolerance.to.cipro. I almost died. Was tachycardic for 3 days straight and insomniac and began hallucinating by day 3. Was unable to.movr.legs and arms.
@@BigSoul29 it really is a terrible thing! I had so much anxiety I thought I had multiple illnesses, I cannot run from what it's done inside me, and I still cannot sleep at nights either I still have pains all over my body, do you think this will ever get better?
@@KEire1916 Sounds like you are allergic or your body has reacted badly to this type of antibiotic. Many people are very sensitive to this "Drug Class". (Fluorquinolone's) See 2018 FDA Box Warning.
If you have stopped this and your still having the problems described in your other comment, I'd say your body can't tolerate this Drug and you're experiencing the worst of the side effects from it. I'd contact your Doctor, but beware that He/She may not recognize or admit that the Drug caused your symptom.
I'd say it's very likely.
I know a Woman personally who had a horrible reaction to Cipro and 3 yrs later, is still not better. I pray you get this resolved. I would recommend you go to the FDA Website and report your side effects from this Medication. I'd make sure your never prescribed this Class of Medication again. Hope you feel better soon. 🙏
Ever since taking dextramphetamine my panic attacks have diminished. Is that an anomaly?
No. I take Adderall, and it lowers my anxiety.
If you are ADHD then stimulates actually calm you down. Caffeine, Adderall, cocaine, even down to marijuana (must be 100% sativa) will calm you down & relax you. While the opposite applies with downers. The typical "relaxers" will actually heighten your anxiety.
I get panic attacks when I ride down the road with my husband driving I’m scared to death it’s horrible
how do i fix it need help
My chest pain was so bad they put me on nitroglycerin. Had all the tests did doctors found out my heart is fine it is good. But still having bad chest pain I am still taking nitroglycerin. I am very stressed out!
Same here with the chest pain.
Well that one sleeping pill that I take does help me get to sleep from insomnia but I don’t wanna take no Prozac garbage I heard nothing but bad about that but it would be nice if I could take something for my nerves I’m thinking five HTP maybe might help some some
I had it so bad I could not drive when it rained
😆😆😆that's me,just keep remembering it's uncomfortable but not dangerous, breath from your nose
@@yazeedabutouq5664 unfortunately it is dangerous. Prolonged panic and anxiety do cause cardiac issues.
👍
I developed panic attacks during my meth addiction. Clean one year but still have panic attacks. It's the only Behavior I have that is left over from crystal meth days. I wish I could get rid of it
Your not alone, and it does go away with time trust me i know
Ssri will definitely help
@@breakdance4cash228 it doesn't always just go away for everyone.
Anxiety is the worst I don’t know what’s worst depression or this it’s horrible 😞 but my klonopin has been helping
High bp and high pulse rate is not fun.
feels like being strangled, followed by a heart attack. was the best thing that ever happened to me.
Yeah, I think if I had too much cocaine I’d be pretty worried, too 😂.
Love the video!
Yes like I said when I write down the road my husband driving I feel like I’m gonna have a heart attack I’m scared to death terrorizes me you do feel like you’re gonna die I can’t wait to get off the road and then I’m OK
yup thats a panic attack alright.
Adrenaline spikes
Again 6mg of ativan a day❤❤
Escitalopram killed my Panick Atacks
But the problem with its side effects
it made mine worse and I couldn't stay on it long enough to get relief it was that bad.
pls do Agoraphobia!
Absolutely horrible, truly is scary, as F…. seriously, great video!
Do you know. 9:15
How many of you actually have akathisia from an antibiotic or trying an antidepressant or…. I thought I had “panic attacks” and it wasn’t until I was hurt (worse) by a benzodiazepine and left with chronic akathisia and dystonia did I realize how I was neurologically hurt from 4 weeks of an SSRI when I was a teen. It ALL hit me. I thought Prozac was HORRIBLE. I wrote it down as an “allergy” my entire life at pharmacies not realizing SSRIs/SNRIs and basically ALL psychotropics neurologically injure on some level. These aren’t “side effects” these are toxic, potentially permanent ones. Lower level dopamine injuries like anhedonia or inner akathisia/inner agitation are COMMON. Don’t let the industry fool you and allow you to get made one notch worse. Benzodiazepine Induced Neurological Disorder and other tapering injuries are very real. Benzodiazepines should never be taken daily and not used for anxiety unless it’s VERY episodic. 3X per month. Find me or look for the Benzodiazepine Information Coalition online or on Twitter. Don’t fear seizure or death, fear things you have to live with like akathisia.
I have GAD and panic disorder. I'm on 15mg of Buspar 3 x a day and prescribed 2 mg of Xanax a day as needed for this. The Buspar has helped greatly, and the xanax works well to take if I know I'm going into a situation that might trigger an attack (work meeting, speech, interview, party, etc). I do not take the xanax everyday, though, because of how highly addictive it is. It's a very effective, but dangerous, medication.
Same as valium.
It all comes down what works. Clonazepam work since the first I took it. I like Venlafaxine and Duloxetine. I don't like any SSRI, zoloft, citalopram paroxetine.
Both Venlefaxine & Duloxetine, amongst other actions, act as SSRIs.