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Treatment for Panic Disorders

Why Am I So Sweaty And What Is Panic Disorder?

Most people who experience panic disorders or panic attacks know that many times these experiences come out of nowhere. Often those who have experienced a panic attack due to panic disorder will explain that the fear and anxiety they felt at the moment was overwhelming and paralyzing. They sweat, have trouble breathing, their heart pounds so loud they feel it in their hands or ears.

Why can’t I stop sweating? Can anyone else hear my heartbeat?

Am I crazy? Am I okay? Am I dying? I think I am dying.

There is too much noise. There are too many people. The room is spinning.

 My chest hurts… why does my chest hurt? Am I having a heart attack? 

What is that noise? Is that my heartbeat?

These are all common thoughts and feelings when someone is struggling with a panic disorder, which can cause panic attacks and episodes. According to the National Alliance on Mental Illness (NAMI), panic disorder impacts 2.4 million people in our country each year.

They also report that in the United States, 1.6% of the adult population, which is more than three million people, will have panic disorder at some time in their lives. But why, and what  does a panic disorder even feel like?

About to Panic? – Symptoms of Panic Disorder

Panic attacks themselves usually do not last very long. Most are over within an hour of starting and most reach a peak within the first 10 minutes.

Symptoms can be different depending on the type of panic attack. Often, we think that when it comes to panic or anxiety that it is one-size-fits-all but that is not the case.

There are two main types of panic attacks that can occur if you have a panic disorder. They are:

  • An expected panic attackIt turns out that there are some panic attacks that come on slow. Think of someone who has a fear of flying having a gradually worsening fear that leads to panic during their flight taking off. This is why these usually occur if someone is around what gives them anxiety or fear for a long time.
  • The unexpected panic attackThese are sometimes called “out-of-the-blue” panic attacks. This is what most of us imagine when we think of a panic attack. These come on quickly, with little to no warning.

Panic disorders on the other hand can include panic attacks as well as some other symptoms. In general some common symptoms of panic disorder are:

  • feeling “out of it”, or detached from reality
  • trembling, shaking, rocking, scratching, numbness, or tingling
  • chest pain and heart palpitations
  • dizziness, light-headedness, mild vertigo
  • feelings of sudden, extreme fear
  • chills, hot flashes, sweating
  • nausea, upset stomach, vomiting, or diarrhea

It is so important to seek care if you think that you or a loved one may be experiencing a panic disorderSome of these symptoms can be a result of many other things. 

Can You Use Medication for Panic Disorders?

Medications are often prescribed for those with panic or anxiety disorders. Intensive treatment and therapies usually last from six months to one year, although medicine may be required for the remainder of the person’s lifetime. These work to counteract the extreme stimulation that is felt during a panic or anxiety attack because they are usually part of a class of medicines known as depressants.

It is important to remember that these medicines will not cure a panic disorder but studies show that up to 90% of people with panic disorder are helped by therapy and medication in combination.

panic attacks

Some common examples of medications prescribed for these disorders are:

Benzodiazepines

These typically have few side effects, aside from drowsiness and are a common first-prescribed medication for those with panic disorders. Common types of these are:

  • clonazepam (Klonopin®)
  • lorazepam (Ativan®)
  • alprazolam (Xanax®)
MAOIs (MAO Inhibitors)

This type of medicine is the oldest and is still effective for a lot of people. The most common types are:

  • phenelzine (Nardil®)
  • tranylcypromine (Parnate®)
Newer antidepressants

These are newer medications like selective serotonin reuptake inhibitors known as SSRIs that work to change the brain chemistry of the person who takes them. Common medicine names are:

  • fluoxetine (Prozac®)
  • sertraline (Zoloft®)
  • fluvoxamine (Luvox®)
  • paroxetine (Paxil®)
  • citalopram (Celexa®)
Tricyclic antidepressants

These are ideal for those who also experience depression that is contributing to the panic disorder. Common types are:

  • imipramine (Tofranil®)
  • protriptyline (Vivactil®)
  • clomipramine (Anafranil®)
  •  

Some combinations of medicines include protocols like citalopram and clonazepam. Due to unique chemical reactions to medications, your care team may try drugs individually or in combination until the most effective regimen is found. It is important to remember, medication is most effective when used alongside therapy.

Some combinations of medicines include protocols like citalopram and clonazepam. Due to unique chemical reactions to medications, your care team may try drugs individually or in combination until the most effective regimen is found. It is important to remember, medication is most effective when used alongside therapy.

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Panic disorder can be a scary time and the team at SUN is ready to help you every step of the way. Call SUN Columbus today.

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What Causes Panic Attacks?

Some data suggests that panic disorder, like anxiety or depression, is more likely to occur in those who have a family history of it. Other things to consider when thinking about the causes of mental health disorders in general, panic disorder included, is risk factors.

Risk factors are things that cause you or a loved one to be more likely to experience these disorders, illnesses, or symptoms. Panic disorder risk factors are:

  • Those with childhood trauma are more likely to have a panic disorder
  • Women are twice as likely to have a panic disorder
  • A person with a family history of panic disorders is more likely to be diagnosed with a panic disorder

The general understanding of the science suggests the cause of panic disorder is unknown. Some scientific evidence points to major life changes or triggers. These can include, but are not limited to:

  • Going to college
  • Losing or changing jobs
  • Marriage or divorce
  • Death in the family

How Is Panic Disorder Diagnosed By a Mental Health Specialist?

Diagnosis of a panic disorder is done by using the classification outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM–5). This is a source of classification and diagnosis guidelines for mental illnesses that is used across the world.

According to the DSM-5, a person must have recurrent and often unexpected panic attacks and at least one of these attacks needs to be followed by one or more, or fear of more attacksThis is a disorder that requires a professional diagnosis. This will help rule out other causes of some symptoms like: drug use, medication side effects, other mental disorders such as phobias, obsessive-compulsive disorder (OCD), etc.

Aside from the causes and risk factors related to panic disorders, most people are focused on their signs and symptoms related to panic disorders and panic attacks.

Panic Disorder FAQs

Is there a difference between anxiety and panic disorder?

Yes. An anxiety attack is classified much differently than a panic disorder. Panic disorders are commonly known as recurrent panic attacks whereas anxiety is a simple fear or overwhelming feeling. Those with anxiety disorders experience this anxiety, fear or worry for prolonged periods of time with no rest.

Is a panic disorder a mental illness?

Yes, a panic disorder is considered a mental illness according to the DSM-5.

Yes, a panic disorder is considered a mental illness according to the DSM-5.

The research suggests that formal causes are largely unknown when it comes to panic disorders but there is some small consensus on topics like genetics, environmental factors and experiences.

Treat Yourself to Recovery!

The capable team at SUN Columbus has been serving our community for years. Reach out to begin your journey to recovery.

614-706-2786

SUN Behavioral Columbus

900 E Dublin Granville Rd
Columbus, OH, 43229

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