Panic Disorder Treatment In Patna [How to Stop a Panic Attack in Public]

11 Jan Panic Disorder Treatment In Patna [How to Stop a Panic Attack in Public]

Looking for best Panic Disorder Treatment in Patna, Bihar?

Consult Dr. Vivek Pratap Singh, the best psychiatrist doctor in patna bihar… He do provides the best Panic Disorder Treatment in Patna, Bihar.

Panic Disorder is actually a condition in which person suffers from episodes or series of intense fear or anxiety, which occur suddenly (often without warning).

This basically meant… experiencing recurring unexpected panic attacks.

Many people consider terms Panic Attacks and Panic Disorders the same… Nonetheless, that’s not true…

Panic Attack is something which we stated earlier… Sudden episode of intense fear.. triggering various physical reactions, when in actual there is no danger or apparent cause.

These panic attacks comes and goes away on their own.

As per stats,

Some people have panic attacks once or twice in their lives. They usually stop when the stressful situation ends. However, if someone keeps having these attacks and fears another one for a long time, it is called panic disorder.

Now though these panic attacks are not life-threatening… but can be frightening.

About these attacks, it would absolutely not be wrong to say that… they do effect the quality of life.

Nonetheless, there is no need to worry… as the treatment is possible to these panic attacks and panic disorders.

What Is the Panic Disorder?

Panic disorder is considered an anxiety disorder where intense and sudden episodes of fear happen repeatedly.

During these attacks, individuals may experience a range of physical and emotional symptoms, including:

• Rapid heartbeat
• Shortness of breath
• Chest pain
• Dizziness or lightheadedness
• Sweating
• Trembling or shaking
• Feelings of choking
• Nausea or abdominal distress
• Chills or hot flashes
• Numbness or tingling sensations
• Fear of losing control or “going crazy”
• Fear of dying

The attack makes patients feel scared even when there is no real danger. It causes them to avoid certain activities or places to escape panic attacks.

If not treated, panic disorder can affect work, relationships, and everyday life.

Now, we have noticed people sort of confused between Panic Attack & Anxiety Attack.

Many times both these appear similar, nonetheless, that’s not completely true…!!

So, here’s for you…

Panic Attack vs Anxiety Attack

As mentioned above, majority of the people consider Panic Attacks and Anxiety Attacks similar… However, that’s not true…!!

Though they might look similar but actually are different from each other.

Panic attacks emerges suddenly and do involve intense and often overwhelming fear.

These attacks are accompanied by frightening physical symptoms, like shortness of breath, racing heartbeat, or nausea.

Nonetheless, anxiety attacks are not like this…

Anxiety is basically a feature of a number of common psychiatric disorders.

Anxiety symptoms include: distress, worry and fear.

It usually associates with the anticipation of a stressful situation, event or experience. It might emerge gradually.

How Long Do Panic Disorder Usually Last?

Panic disorder is a long-term issue. It can last for months or years without treatment.

Panic attacks are short, but they happen again and again. Some people have attacks daily.

Others have them now and then. The number of attacks varies from person to person.

Panic attacks typically last between 5 to 20 minutes, although some can extend up to an hour.

The most intense symptoms usually peak within the first 10 minutes, including rapid heartbeat, shortness of breath, and overwhelming fear.

After this peak, the intensity of symptoms often decreases, but some residual feelings of anxiety may linger.

While the acute phase is brief, individuals may experience heightened sensitivity or unease afterward.

Understanding the duration and nature of panic attacks can help individuals manage their experiences and seek appropriate support when needed.

Panic Disorder Symptoms

Symptoms of Panic Disorder appears in teens and young adults under the age of 25.

If one do encounter four or more panic attacks… or do live in fear of having another panic  attack after encountering one… he/she might be having panic disorder.

Symptoms Associated with Panic Disorder Include:

Physical Symptoms:

• Heartbeats or palpitations are rapid-an unknown thrill of the heart racing or hammering function.
• Breathing problems like choking or shortness of breath can lead to fast breathing, which can make you feel dizzy or faint.
• Shaking or trembling happens when you are very scared. You may also sweat suddenly, even when it is cool outside.
• Pain in the chest or tight pressure in the chest imitates the heart attack.
• Nausea or stomach disorder-feeling ill sometimes leads to both vomiting and diarrhea.

Emotional and Psychological symptoms:

• Feeling detached from reality (derealization) – a sensation of being disconnected from the environment.
• Fear about losing control or going crazy-terrifying belief in one’s head that one is losing grip on reality.
• A strong sense about something life-threatening or terrifyingly threatening, while a real medical assurance cannot rule it out.
• Fear about dying.

Behavioral Symptoms

Avoidance Behavior: Individuals may start to avoid situations or places where they fear a panic attack might occur, leading to significant lifestyle changes and limitations.

These panic attack symptoms are not proportionate to the danger level existing in the environment.

This is mainly because these attacks can’t be predicted and can significantly affect the body’s functioning.

If you or someone you know is experiencing these symptoms, it is important to seek help from a mental health professional for proper diagnosis and treatment.

What Does Panic Attack Feels Like?

Panic disorder feels like an overwhelming surge of fear or anxiety that strikes suddenly, often without warning.

During a panic attack, individuals may experience intense physical symptoms, such as a racing heart, shortness of breath, chest pain, and dizziness.

Emotionally, there may be feelings of impending doom, fear of losing control, or even a sense of detachment from reality.

These episodes can be so distressing that individuals may start to avoid situations where they fear an attack might occur, leading to significant lifestyle changes.

Overall, panic disorder can profoundly impact daily life and well-being. Seeking help is crucial for management.

What Triggers Panic Attacks in Public?

For those with panic disorder, public places can be overwhelming.

These factors can initiate a panic attack:

The result comprises overcrowded environments, such as going to the mall, a concert, or public transport, which can make suffocation feel real and fuel fear and anxiety.

Social places are public speaking, job interviews, or social gatherings; fear or nervousness will trigger the panic attack.

Feeling trapped: small or enclosed spaces such as elevators, airplanes, or packed rooms trigger confined sensations in individuals causing the panic.

Daily stress and anxiety such as work pressure, personal responsibilities, or financial issues add more stress levels and make panic-associated attacks more likely.

Physical sensations such as wise dehydration, excessive heat, or not sleeping well impersonate other symptoms of a panic attack heightening the anxiety and discomfort levels.

Past experiences: the brain associates particular locations with fear and will summon future panic attacks if a person has experienced a prior panic attack in that location.

Who Is at Risk for Having Panic Disorder?

Several risk factors predispose to panic disorder. However, not everybody is at risk.

Person to person they may occur, but they are more prevalent in some over the others due to:

• Family History: Any previous history of concern for panic disorder or anxiety disorder will increase the risk dramatically.
• Increase in Stress Level: With chronic stress, exposure to traumatic experiences can set the stage for the internalized panic disorder.
• Personality: More often than not, people very sensitive to stress or inclined toward negative emotions or perfectionists may be equally more vulnerable.
• Drug use: Caffeine, alcohol, or recreational drug abuse lead to severe anxiety symptoms which could directly contribute to the onset of a panic attack.
• Other mental issues: There is a high chance that people diagnosed with conditions like depression, generalized anxiety disorder, or phobias would also develop panic disorder.

What Causes Panic Disorder?

Panic Disorder happens when a person has repeated and unexpected panic attacks, which are sudden times of strong fear or discomfort.

To understand why someone might have panic disorder, we need to look at different reasons related to their body, mind, and surroundings.

Here are the main causes and risk factors linked to panic disorder.

1. Genetic Factors

Family History: Panic disorder can run in families, meaning it may be inherited.

People with family members who have anxiety disorders might be more likely to get panic disorder too.

2. Brain Factors

The Brain Chemistry: Unbalanced brain chemicals, like serotonin and GABA, can cause anxiety and panic.

Brain Structure: Problems in parts of the brain that control fear, like the amygdala and prefrontal cortex, may lead to panic disorder.

3. Psychological Factors

Thinking Patterns: People who think in certain ways, like expecting the worst or being very aware of their body, might be more likely to have panic attacks.

Stress and Personality: Being very sensitive to anxiety, wanting everything to be perfect, or often thinking negatively can make someone more vulnerable.

4. Environmental Factors

Traumatic Events: Going through tough experiences, like losing a loved one or being in a serious accident, can start panic disorder.

Stressful Changes: Big life changes or stressful situations (like losing a job or going through a divorce) can lead to panic attacks.

5. Situational Triggers

Certain Situations: For some people, panic attacks can happen in specific places, like crowded areas or on airplanes.

Substance Use: Using things like caffeine, alcohol, or drugs can make anxiety worse and trigger panic attacks.

6. Medical Conditions

Other Disorders: Panic disorder often occurs with other mental health issues, like general anxiety, depression, and agoraphobia.

Health Problems: Some medical issues, like hyperthyroidism or heart problems, can look like or cause panic symptoms.

Panic attacks usually emerges suddenly and without warning at first… Nonetheless, overtime… they get triggered via certain situations.

While panic disorder can manifest without a clear cause, it is often the result of a combination of genetic, biological, psychological, and environmental factors.

Panic Disorder Risk Factors

As mentioned earlier, symptoms of panic disorder usually starts in the late teens or early adulthood and do affect more women than men.

Factors that might increase the risk of developing panic attacks or panic disorder include:

• Family history of panic attacks or panic disorder
• Major changes in life… like divorce or the addition of a baby
• Any traumatic event… like sexual assault or a serious accident
• Smoking or excessive caffeine intake
• History of sexual abuse

How is Panic Disorder Diagnosed?

If one is experiencing symptoms of a panic attack… its become important for him/her to seek emergency medical care.

Usually, people experiencing a panic attack for the first time believe that they are having a heart attack. Nonetheless, that’s not true.

At the emergency department, several tests are carried out, to check if his/her symptoms are caused due to heart attack.

Blood test may be done to figure out other conditions which causes similar symptoms… or an electrocardiogram (ECG) can be carried out to check heart function.

Moreover, in case when emergency is found, the person is referred back to the primary care provider.

Now the primary care provider may perform a mental health examination… In this, the patient may be asked about his/her symptoms.

Further, all other medical disorders are carried out before primary care provider makes diagnosis of panic disorder.

How to Stop a Panic Attack in Public?

A panic attack in public can make the most difficult part even more difficult.

You can try different ways to help yourself feel more in control and not worry about what others think.

1. Concentrate on your breathing.

Now take deep breaths while inhaling about four seconds, with a hold at about the same length of time and exhaling also at four seconds.

Controlled breathing prevents hyperventilation and results in decreased dizziness.

Breathing techniques calm the nervous system and slow the heart rate.

2. Grounding Techniques

Do the “5-4-3-2-1” approach: five things you see, four things you touch, three things you hear, two you smell, and one you taste.

It pulls the attention away from panic into the physical surroundings.

Sensory awareness would help anchor the mind and body to the present moment.

3. Reiterate Affirmation

“That’ll pass; I’m safe” can be self-reassured phrases.

All this would remind someone that it is going to be here for the short term, thus using the encouraging words to replace some of those fearful thoughts with only a sense of calm.

4. Move Somewhere Quieter

If possible, step away from the crowded or noisy front area.

A very stimulating area makes it a bit harder to ward off overwhelming sensations.

Simply walking outside or around the corner can help you feel more in control again.

5. Relax Your Muscles

Progressive muscle relaxation (PMR) is where you tense and release different muscle groups of the body from the toes to the head.

Physical tension reduction indicates to the brain that the body is safe.

Muscle relaxation techniques can clear some of these symptoms like trembling or tightness in the chest.

6. Distract Your Mind

• Listen to music, hum a tune, or count backward from 100.
• Engage in light physical activity like stretching or tapping fingers rhythmically.
• Keeping the brain occupied shifts focus away from anxious thoughts.

Long-Term Strategies for Managing Panic Disorder

In the end, treatment of panic disorder demands constant management and possible long-term solutions.

Here are the effective permanent remedies:

1. Cognitive Behavioral Therapy (CBT) for Panic Disorder

Cognitive Behavioral Therapy (CBT) is not only widely used but the most effective therapy for panic disorder.

CBT targets one’s change from negative thought and behavior patterns leading to anxiety and panic attacks.

• Identifies and actively challenges irrational fears: CBT enables the person to identify distorted thinking and to replace it with more balanced and rational thinking.
• Teaches coping mechanisms: People learn how to manage anxiety triggers and develop skills to prevent panic attacks.
• Exposure therapy: It’s a form of CBT. Gradual exposure of individuals to panic-inducing situations under controlled circumstances helps lessen fear of these situations.
• Provides long-term benefits: CBT manages symptoms as opposed to medications that develop coping strategies that the individual learns and carries with him/her for life.

Most people report significant improvement in symptoms of panic disorder after an extensive structured CBT program with a trained therapist.

2. Medications for Panic Disorder

Sometimes, medication is needed to aid individuals suffering from panic disorder, particularly when symptoms are so harsh that they considerably disrupt daily living.

There are numerous medication classes:

a. Selective Serotonin Reuptake Inhibitors (SSRIs)

Commonly employed antidepressants in the treatment of mood and anxiety disorders, SSRIs help to regulate certain chemicals in the brain.

These drugs include fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil).

Most of these drugs are apparently considered safe for prolonged use making them less frequent side effects than other alternatives.

b. Benzodiazepines

Fast-acting drugs induce a state of relaxation in the nervous system to relive short spells of extreme anxiety.

Alprazolam (Xanax), lorazepam (Ativan), and clonazepam (Klonopin) are some of them. It has been useful in the short term.

There is the disadvantage of addiction potential; therefore, they are not usually recommended for long-term use.

c. Beta-blockers

These drugs block and lessen a good portion of the physical manifestations of panic attacks, such as a racing heart, trembling, and sweating.

Examples of beta-blockers are propranolol (Inderal) and atenolol.

They are frequently used among performers who have performance panic with public speaking.

They are definitely prescribed and then monitored by the health professional for safety and effectiveness.

3. Lifestyle Changes That Improve Mental Health

Adopting these positive lifestyle habits will cut the anxiety down tremendously and lessen the chances of panic attacks happening in the first place.

Some of such alterations are listed below:

a. Regular Exercise

Endorphins released from exercise act as a natural mood elevator and stress reliever.

Walking, jogging, yoga, swimming, or something else may help with this aspect of well-being.

Exercise improves sleep quality, which is crucial for effective anxiety management.

b. Healthy Eating Habits

Some foods stabilize moods while some can be anxiety-triggering.

Keep to a balanced diet-fresh fruits, vegetables, whole grains, and lean proteins contribute well towards maintaining mental health.

Let those avoid excess caffeine, alcohol, and processed sugars, which increase one’s heart rate and lead to panic-inducing feelings.

c. Days With Sleep Priority

Increased anxiety and a greater likelihood of panic attacks may be caused by the sleep deficit.

A bedtime routine includes going to bed and getting up at the same hour every day, which will improve sleep quality.

Avoid screens just before bedtime and use relaxation techniques (deep breathing, reading) to achieve peaceful sleep.

d. Mindfulness and Meditative Practices

Mindfulness practices keep you grounded and expectations are lessened when overthinking occurs.

Emotional stabilization can come from meditation, deep breathing exercises, and guided relaxation techniques.

Keeping a journal assists people to know their thoughts better and find out their panic triggers.

4. Reliable and Strong Support System

A built-in support system is, in fact, very vital in coping with panic disorder.

It creates a difference when someone can stay together with or surround himself with individuals he feels understands his situation and would not be judgmental towards him in coping.

a. Talking to Trusted Friends and Family

Saying the concerns and talking with others whose real time of life includes close friends and family brings emotional relief.

Thus it eases the feeling of isolation and motivates the individual who has loving family members.

b. Support Group

Support groups bring people that go through the same experience together.

In being able to talk to someone who’s going through the same thing, you may find comfort in knowing that you’re not alone.

c. Going Professional

Therapists, counselors, and psychiatrists should provide practice and directions geared towards individual needs.

Therapy with a mental health professional can help ensure the patient’s process does not stall in managing panic disorder.

How to Stop Panic Attacks Forever? 

Panic Disorder can be stopped forever via proper treatment.

Now there are two ways to carry panic disorder treatment… Counselling & Medication.

Various types of counselling have been proven highly effective in treating panic attacks and panic disorder. One can ask his/her doctor about the distinct kinds of counselling available.

Often it has been noticed that counselling alone doesn’t work as fast as medicine… However it can still be very effective.

One can rely on these counselling for panic attack treatment without medication.

However, combination of both counselling and medicine is highly effective for the treatment of panic attacks and panic disorder.

Note: Dr. Vivek Pratap Singh, best psychiatrist in Kankarbagh Patna, Bihar, having more than 11 years of experience in the medicine industry provides the best Panic Disorder Treatment in Patna, Bihar.

So, if suffering from this disorder, contact Dr. Vivek Pratap Singh and you will be cured with any much medication and admitting.

So, this was answer to question…Panic Attack What to Do.

Fast Acting Medication For Panic Attacks

As per experts,

Antidepressants are highly effective in treating and preventing anxiety and panic attacks. Usually they completely stop the attacks. One don’t has to be depressed for them to help.

Moreover, side effects of these antidepressants are very mild.

These pills don’t make one lose control or change his/her respective personality. And one can use it as long as required.

Besides from these antidepressants, anti-anxiety medicines are also highly beneficial for panic disorder treatment. As the name implies, these medicines provide relief from anxiety and fear.

Nonetheless, people should use these medications only for a short period of time (say a few weeks to a few months)… unless they can’t function without them.

So, doctors advise not to stop intake of these medicines all of a sudden.

Patients should slowly taper off them over various weeks, under the doctor’s supervision.

Dr. Vivek Pratap Singh – Best for Panic Disorder Treatment in Patna

Dr. Vivek Pratap Singh is the best neuropsychiatrist in Patna, Bihar, with more than 11 years of experience in the medical field.

He is a young and dynamic Neuro & Child psychiatrist cum Daycare Deaddict specialist(without admission to rehab) working at Patna.

Moreover, he studied his MBBS from top ranked WHO list government medical college and completed his postgraduate MD in psychiatry from top ranked university at Pune.

Dr. Vivek Pratap Singh (Best Psychiatrist in Patna) is the only psychiatrist in Eastern India having a degree in Neurology after doing psychiatry.

He worked in past at AIIMS and thereafter he is currently Sr at PMCH, Patna.

Dr. Vivek Pratap Singh is the best to consult when suffering from panic attacks or panic disorders. He do provides the best Panic Disorder Treatment in Patna, Bihar.

OK… so this was all about Panic Attacks, Panic Disorders and its treatment.