Anxiety 2 Calm

September 22, 2009

Treatment for Panic Attacks







Treatment for Panic Attacks in mainstream medicine revolves around two things: medication and CBT (Cognitive Behavior Therapy).

Medication tends to fall into two categories: SSRI’s and Benzodiazepines.

The SSRI’s, like prozac, celexa, zoloft etc have pros and cons. They are clinically proven to be effective (although all data from big pharma companies has been called in question at sometime or other). Unfortunately they do have side-effects of which weight gain, nausea (normally temporarily) and sexual dysfunction/loss of libido  (normally temporary) are the most severe and commonly reported. SSRI’s normally take 4-6 weeks to start working and may need to be tapered off slowly at the end of treatment.

Benzodiazepines, like Xanax alprazolam and valium also have pros and cons. They are fast working, normally taking considerably less than an hour to kick in, and are extremely effective. On the downside they can be highly addictive and therefore are not best suited to long term use (although they are prescribed long term sometimes). They also can effect concentration and alertness so hinder the consumer’s ability to drive for example.

Lots of people want a drug-free approach and find a method like PanicAway works well. It’s like visiting a professional except you follow a program and achieve everything yourself. it’s highly effective and more cost-effective than private CBT.

On the CBT front, over ten or twelve sessions a trained therapist will help you see panic attacks for what they are (harmless natural responses which appear nasty), will show you how to rationalize out the faulty and extreme negative thinking which causes panic attacks, and show you some physical techniques to calm your breathing and relax your mind and body.

Some people argue that CBT doesn’t really get to the heart of the problem, that you need some kind of psychotherapy to do that. Others argue psychotherapy is a pointless and long-winded waste of money.

Often a combination of therapy and drugs work best.

There are other potential treatments for panic attacks involving herbs and supplements like 5-htp which many people swear by. It should be noted that the effects of long term use of these other therapies has not bee fully studied.

September 21, 2009

Physical Symptoms of Anxiety







Filed under: anxiety, attack, panic, physical symptoms, symptoms — Tags: , , — admin @ 11:48 pm

Physical symptoms of anxiety can be mild or severe and for some people are worse than the mental symptoms. The physical symptom which worries people most is a racing heart or palpitations. Often with anxiety the heart can race to similar pulse rates as if you were running, and for many people this is the beginning of a panic attack.

As anyone who works in an Emergency Room or an Accident and Emergency department will tell you, it is very common for people to be admitted who are convinced they are having a heart attack. In fact this racing heart is just the bodies way of preparing for danger, the fight or flight response. Like all physical  symptoms of anxiety, it is harmless.

The second most common symptom of anxiety is often described as tightness in the chest. This tends to be a combination of two things: a slight narrowing of the airway caused by the increased blood flow through the veins in the neck and hyperventilation. The combined effect is a feeling that we can’t breath, but this is just a feeling. In fact our breathing is working fine, again the fight or flight response is preparing us for action. The problem is that as we feel we can’t breath so we try to breath more and end up gasping for breaths we don’t need, when in fact we want to be slowing down our breathing, and taking calming belly breaths instead of fast shallow chest breaths.

Other physical symptoms of anxiety include tingling in the limbs, which is caused by blood being diverted to the core of the body,  and a feeling of weakness which comes about for the same reason.

How do I stop the physical symptoms of anxiety?

The best way to stop anxiety symptoms is to start off the Parasympathetic Relaxation Response. This natural nervous system response to the fight or flight response is designed to calm us down after the danger has passed. As there is no real danger from an anxiety attack or a panic attack we can calm ourselves down immediately quite safely.

How do we set the relaxation response in motion? Well, there are several ways. Meditation is one and I recommend Mindfulness Meditation, which will also help you become aware of your breathing and recognize when you are hyperventilating unnecessarily. Learning to meditate takes time and commitment but will be worth it.

In the meantime, you can elicit the relaxation response by re-breathing carbon dioxide by breathing into a paper bag, or my concentrating on things at the periphery of your vision.

Remember though one important thing. the physical symptoms of anxiety are harmless!

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