“What Happens When You Have a Panic Attack?”

It's More Than Being Scared: Your body's "fight or flight" response kicks into high gear. It can seem to come from nowhere -- maybe as you walk down the street or do the laundry. It can even wake you out of a sound sleep. There's often no obvious reason for your combination of symptoms. That's part of why it's called an "attack." It can be so sudden and intense that you feel helpless, unable to move or think clearly.

Chest Tightness: A jolt of adrenaline gets your heart racing or pounding -- or both. Your chest might hurt. You could even have trouble breathing.

Choking: Your throat tightens up, and you can't swallow. Or you might think you're going to throw up. These feelings can make it harder to catch your breath.

Terror: We're not talking about the fear you feel in the normal course of life, when you stand on the edge of a cliff, bring up a difficult subject, or start a new job, for example. During a panic attack, you may have an overwhelming sense that something really terrible is about to happen -- or that you're going to die -- despite knowing it's not true.

Dizziness: Sometimes you can get so lightheaded that the whole room starts to spin. Or it seems like you're disconnected from your surroundings.

Sweaty Palms: This classic sign of anxiety can also be a symptom of a panic attack. You may sweat in other places, like under your arms, as well -- sometimes quite a lot. And you could get chills or hot flashes, too.

Trembling and Tingling: Your whole body may start shaking. With blood going to your heart and muscles, your fingers or toes can tingle or go numb.

Headache: One can come on suddenly, and it may be gone just as quickly. Like the other symptoms, this alone doesn't necessarily mean you're having a panic attack.

How Long Does It Last? A panic attack usually hits all at once and builds to a peak in about 10 minutes. Then you'll slowly start to feel better. Attacks rarely last more than an hour, and most are over in 20 or 30 minutes. They aren't always the same.

  

Is It a Heart Attack? The symptoms are similar: Chest pain, breathing problems, dizziness, sweating, even the feeling of losing control. If it's the first time you've felt like this, and you or a close family member have had any heart problems, go to the emergency room -- just to be safe.

When to See a Doctor? You probably don't need to worry if you have just one or two incidents and they go away without other problems. But more often than that, or if you're concerned, you should see your doctor. He can help you figure out what's triggering your attacks and how to manage them. He'll also want to rule out a heart condition call mitral valve prolapse.

Causes: Panic attacks tend to run in families and are often related to stress. Sometimes, there's a physical reason: Your thyroid gland makes too much hormone. You don't have enough sugar in your blood. You drank too much caffeine, or you took a stimulant drug like amphetamines or cocaine. Or you're abusing or withdrawing from drugs or alcohol.

Panic Disorder: If your doctor can't find a physical cause yet you keep getting panic attacks, you may have panic disorder, especially when you can't stop worrying about the next one coming. You may change the way you live day-to-day to avoid them.

What You Can Do? The first step is what you're doing now: understand what's going on. When you realize that it's unlikely to hurt you, only lasts a few minutes, and happens to other people, too, you may be less worried about it. Simply knowing that there are ways to treat them, including therapy and medication, can be a relief.

Connect With People: Anxiety thrives when you feel alone. It's best to see family and friends in person, but by phone or computer is better than nothing. If you don't have people to turn to, consider joining social groups, like a book club or sports league, to meet folks with common interests and start building relationships.

Get Enough Sleep: Aim for 7-9 hours a night. If you have trouble going to sleep, keep your room cool, dark, and quiet. Don't watch TV or use the computer or your smartphone right before bed. It also helps to go to sleep and wake up at the same time every day, even weekends.

Exercise: Get 30 minutes on most days -- even if it's 10 minutes at a time -- and you're less likely to be stressed. That can lower your odds of having a panic attack. Any exercise helps, but it's better if you do activities that move both your arms and legs in rhythm: walk, run, swim, dance.

Avoid Cigarettes, Caffeine, and Alcohol: They can cause panic attacks or make one worse, if you get them regularly. Lots of medications -- including allergy pills, diet pills, and cold medicines -- have drugs in them that could have a similar effect. Talk to your doctor if you need help cutting these things out of your life.

Practice Relaxation: Techniques like meditation and yoga can help you release tension and train yourself to be at peace and centered. Deep, controlled breathing is a great way to calm yourself down when you feel on edge with attack symptoms coming on.

Reviewed by: Smitha Bhandari, MD on July 25, 2017

Sources:

Helpguide.org: "Panic Attacks and Panic Disorder."
Cleveland Clinic: "Panic Disorder."
Harvard Health Publications: "Understanding the stress response."
Mayo Clinic: "Panic attacks and panic disorder: Symptoms."
Anxiety and Depression Association of America: "Am I having a panic attack or a heart attack?" "Sleep Disorders."
Medical Clinics of North America: "Mitral valve prolapse, panic disorder, and chest pain."

Much Love, Dr.Shermaine #InformativeRead #PleaseShare #HealthyBodySoulAndSpirit #IWantYou2LiveWell

The Goal is to Always Make You Aware of What Concerns Your Body, Soul and Spirit, So You Can Have Open, Honest and Frequent Discussions With Your Physicians and Counselors. You Can’t Treat or Cure What You Don’t Know is Sick.

"It's Not Selfish to Love Yourself, Take Care of Yourself and to Make Your Happiness a Priority. It's a Necessity." (Mandy Hale)

"Self-Care is Not Selfish. You Cannot Serve From an Empty Vessel." (Eleanor Brown)

The contents of the WebMD and Self-Care With Dr. Shermaine Sites, such as text, graphics, images, and other material contained on the WebMD and Self-Care With Dr. Shermaine Sites ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the WebMD and Self-Care With Dr. Shermaine Sites!

If you think you may have a medical emergency, call your doctor or 911 immediately. WebMD and Self-Care With Dr. Shermaine does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Sites. Reliance on any information provided by WebMD, WebMD employees, others appearing on the Site at the invitation of WebMD, and Self-Care With Dr. Shermaine or other visitors to the Sites is solely at your own risk. 

“Top Concentration Killers!”

Culprit [Social Media]: Whether you're living with ADHD or just have trouble focusing from time to time, today's world is full of concentration killers. Psychologist Lucy Jo Palladino, PhD offers a few tips to manage distractions, starting with social media. It's easy to connect with friends -- and disconnect from work -- many times an hour. Every status update zaps your train of thought, forcing you to backtrack when you resume your work.

Social Media Fix: Avoid logging in to social media sites while you're working. If you feel compelled to check in every now and then, do it during breaks, when the steady stream of posts won't interrupt your concentration. If you can't resist logging in more frequently, take your laptop someplace where you won't have Internet access for a few hours.

Culprit [Email Overload]: There's something about an email -- it shoots into your inbox and itches to be answered immediately. Although many emails are work-related, they still count as distractions from your current project. You won't make much progress if you constantly stop what you're doing to reply to every message.

Email Overload Fix: Instead of checking email continuously, set aside specific times for that purpose. During the rest of the day, you can actually shut down your email program. This allows you to carve out blocks of time when you can work uninterrupted.

Culprit [Your Cell Phone]: Perhaps even more disruptive than the ping of an email is the ringtone on your cell phone. It's a sound few of us can ignore. But taking a call not only costs you the time you spend talking -- it can also cut off your momentum on the task at hand.

Cell Phone Fix: Put caller ID to good use. If you suspect the call is not urgent, let it go to voicemail. If you're working on a particularly intense project, consider silencing your phone so you're not tempted to answer. Choose specific times to check voicemail. Listening to all your messages at once can be less disruptive than taking every call as it comes in.

Culprit [Multitasking]: If you've mastered the art of multitasking, you probably feel you're getting more done in less time. Think again, experts say. Research suggests you lose time whenever you shift your attention from one task to another. The end result is that doing three projects simultaneously usually takes longer than doing them one after the other.

Multitasking Fix: Whenever possible, devote your attention to one project at a time, particularly if you're working on an intense or high-priority task. Save your multitasking skills for chores that are not urgent or demanding -- it probably won't hurt to tidy up your desk while talking on the phone.

Culprit [Boredom]: Some of the tasks we have to do each day are more interesting than others. The boring ones may burn through your attention span in minutes, making you extremely vulnerable to distractions. Your phone, the Internet, even the prospect of dusting your workspace can seem tempting if you're bored.

Boredom Fix: Make a deal with yourself: If you stay on task for a certain period of time, you earn a 10-minute break. Reward yourself with coffee, a favorite snack, or a walk outside. Boring tasks are easier to accomplish when you have something to look forward to. This is also one case where multitasking may work well. Listening to the radio while filing receipts could help you stay put long enough to finish the job.

Culprit [Nagging Thoughts]: It's hard to focus on the work in front of you if you're worrying about errands you need to run or housework to be done. Or perhaps you're hung up on a conversation you had yesterday, and you keep replaying it in your mind. Nagging thoughts of any sort can be a powerful distraction.

Nagging Thoughts Fix: One way to keep nagging thoughts from buzzing around in your brain is to write them down. Make a list of errands, housework, or other tasks you plan to complete later. Vent frustrations over an unpleasant confrontation in your journal. Once these thoughts are on paper, you may be able to let them go for a while.

Culprit [Stress]: When you feel like you have too much on your plate, it can be hard to focus on individual tasks. To make matters worse, stress takes a noticeable toll on the body. You may develop tight shoulders, headaches, or a racing heart, all of which can chip away at your ability to concentrate.

Stress Fix: Learn stress reduction techniques, such as meditation. This can help you rein in stressful thoughts, so they don't demand so much of your attention. In one study, researchers found that people who took an eight-week meditation course improved their ability to focus. If you can't find a meditation class locally, look for one online.

Culprit [Fatigue]: Fatigue can make it tough to concentrate, even when you have few distractions. Studies suggest too little sleep can sap your attention span and short-term memory. 

Fatigue Fix: Most adults need 7-9 hours of sleep per night. Instead of burning the midnight oil, make sleep a priority. This will help you get more done during your waking hours. Also, pay attention to which times of day you feel most alert. Then you'll know when to schedule your most intense tasks.

Culprit [Hunger]: The brain can't focus without fuel, so skipping meals -- especially breakfast --  is a top concentration killer. Research indicates short-term memory and attention suffer when you rise and shine but do not dine.

Hunger Fix: Keep hunger at bay and give your brain a steady source of fuel with these habits:

• Always eat breakfast.
• Eat high-protein snacks (cheese, nuts)
• Skip simple carbs (sweets, white pasta)
• Choose complex carbs (whole grains)

Culprit [Depression]: Most people tend to think of sadness as the hallmark of depression. But the National Institute of Mental Health says difficulty concentrating is one of the most common symptoms. If you're having trouble focusing, and you also feel empty, hopeless, or indifferent, you may be experiencing depression.

Depression Fix: If you think you might be depressed, the first step is to talk with a doctor or counselor. Depression is highly treatable. Many studies have shown the effectiveness of antidepressant medications and certain types of talk therapy.

Culprit [Medication]: Unfortunately, some of the medications used to treat depression can interfere with concentration. The same is true of many other drugs. Talk to your doctor or pharmacist to check if a medication or supplement you are taking may be affecting your concentration.

Medication Fix: If you suspect your meds are clouding your concentration, don't assume there are no other options. Talk to your doctor about adjusting your dosage or switching to a different class of medication. Do not stop taking your medicine unless your doctor tells you to.

Culprit [ADHD]: Attention deficit hyperactivity disorder (ADHD) is not just a problem for children. More than half of kids with ADHD continue to experience symptoms as adults. The classic signs are a short attention span and trouble focusing on tasks.

ADHD Fix: If you have consistent trouble focusing, and you had attention problems as a child, ask a doctor or counselor about ADHD. There are ways to manage the condition, including behavioral therapy and medications.

Reviewed by: Sabrina Felson, MD on June 24, 2018

REFERENCES: 

American Academy of Family Physicians.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR, American Psychiatric Pub, 2000.
American Psychological Association.
Centers for Disease Control and Prevention.
Daniel Kegan, PhD, JD, organizational psychologist, attorney, and president of Elan Associates.
Feingold Association of the United States.
Gordon Logan, PhD, professor of psychology, Vanderbilt University.
Jha, A. Cognitive, Affective, and Behavioral Neuroscience, June 2007.
McCann, D. Lancet, Nov. 3, 2007.
Michael J. Baime, MD, clinical associate professor of medicine, University of Pennsylvania School of Medicine; director, Penn Program for Mindfulness, University of Pennsylvania Health System.
National Institute of Mental Health.
National Women's Health Information Center.
Palladino, L. Find Your Focus Zone: An Effective New Plan to Defeat Distraction and Overload, Free Press, 2007.
Rubinstein, J. Journal of Experimental Psychology: Human Perception and Performance, August 2001.
Schonwald, A. AAP Grand Rounds, February 2008.

Much Love, Dr.Shermaine #InformativeRead #PleaseShare #HealthyBodySoulAndSpirit #IWantYou2LiveWell

The Goal is to Always Make You Aware of What Concerns Your Body, Soul and Spirit, So You Can Have Open, Honest and Frequent Discussions With Your Physicians and Counselors. You Can’t Treat or Cure What You Don’t Know is Sick.

"It's Not Selfish to Love Yourself, Take Care of Yourself and to Make Your Happiness a Priority. It's a Necessity." (Mandy Hale)

"Self-Care is Not Selfish. You Cannot Serve From an Empty Vessel." (Eleanor Brown)

The contents of the WebMD and Self-Care With Dr. Shermaine Sites, such as text, graphics, images, and other material contained on the WebMD and Self-Care With Dr. Shermaine Sites ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the WebMD and Self-Care With Dr. Shermaine Sites!

If you think you may have a medical emergency, call your doctor or 911 immediately. WebMD and Self-Care With Dr. Shermaine does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Sites. Reliance on any information provided by WebMD, WebMD employees, others appearing on the Site at the invitation of WebMD, and Self-Care With Dr. Shermaine or other visitors to the Sites is solely at your own risk. 

 

“Concentrate all your thoughts upon the work at hand. The sun’s rays do not burn until brought to a focus” (Alexander Graham Bell)

“The degree of freedom from unwanted thoughts and the degree of concentration on a single thought are the measures to gauge spiritual progress” (Ramana Maharshi)

“Concentration is the ability to think about absolutely nothing when it is absolutely necessary” (Ray Knight)

“To turn your dreams into reality, all your resources, efforts and concentration should be aligned in the same direction” (Roopleen)

“Concentration is the secret of strength” (Ralph Waldo Emerson)