“Doctor, I was in the emergency room last night. I thought I was dying. Just as I was sitting at the table in the evening, something inside me rose and stuck in my throat. I was drowning. I couldn't breathe. My heart was beating so fast. I said I was definitely having a heart attack. They put him in a car and took him to the emergency room. They gave me an injection and after an hour I calmed down a little."
"I had nothing. I was going home by minibus last evening. Suddenly it felt like boiling water was poured over my head. A fear came over me, I wanted to throw myself out of the minibus as soon as possible. I was dizzy, I was sweating, I thought I was losing my mind. I had to stop the minibus and get off halfway. What happened to me, doctor?"
"2 days ago, while walking around a shopping mall, I suddenly felt bored. It felt like people were coming at me. A pain, a pressure in my chest... I took my pulse, it was very fast. I felt like I had experienced those moments before. I got goosebumps. My hands and arms became cold and numb. I was about to fall to the ground, I barely managed to get myself out. A similar thing happened in the marketplace a week ago. I'm afraid to go out alone anymore.”
“A few months ago, I was going to visit my neighbors who moved to a distant neighborhood. While walking on the road, I suddenly felt sick. My knees buckled. I got dizzy. I couldn't breathe, I was choked. I was going to collapse there. I said, "If I fall here now, there is no one to know or help me, I will die alone." Was my blood sugar low? I made a little effort, bought a bagel from the nearby bagel shop, ate a few bites, and regained my senses a little. Since then, I have not been able to go out without taking a piece of dry bread or sugar with me.”
“Last night I woke up with palpitations, I was drenched in sweat. Now I was waiting for my breath to stop. The fear of death filled me. I checked my blood pressure with the device at home and it was high. I thought I was probably going to have a brain hemorrhage.”
Yes, the people in these examples had panic attacks. Now, your psychiatrist will first investigate whether the panic attacks are caused by a physical illness. If it is suspicious or detects such a reason, it will direct you to the relevant department. If there is no physical cause, this time your attacks may occur along with other psychiatric disorders. He will investigate whether it works or not. If you do not have another psychiatric disorder, if you experience panic attacks that may vary in frequency and severity, and if you have the fear and expectation of "my panic attack will come" even when panic attacks do not occur, you can now be diagnosed with panic disorder.
Now it is time for treatment. As in depression, in the treatment of panic disorder, your doctor will choose a suitable antidepressant and, if necessary, an appropriate anti-anxiety drug initially. Additionally, if necessary, behavioral therapy methods such as breathing exercises and attack recall exercises will be added to your treatment. Panic disorder treatment should also be specific to the patient. A treatment method appropriate to each patient's condition should be determined.
I will give a brief example to explain this situation. Imagine walking alone on a dark and deserted street at night. If someone comes and puts a gun to your head and says: "Your money or your life", your knees will shake, your heart will start beating fast, your breath will be shortened, and you will be filled with the fear of death. Although there are exceptions, most people experience similar reactions, and as you have noticed, these reactions are similar to the symptoms seen during a panic attack. In this case, there is a threat from the outside world. Panic attacks can occur even at the most enjoyable moments when you least expect it. During panic attacks, there is no threat from the outside world. So, where and what kind of threat does our body perceive, causing panic attack symptoms? That threat comes from our inner world, from internal conflicts and anxieties that we are not aware of.
If your situation is appropriate and your physician is equipped in this regard, you can include in your treatment an in-depth therapy method focused on investigating this internal threat, identifying internal conflicts, and if possible, showing them to you and solving them. will be able to add. If everyone's internal conflicts and deep concerns are different, therapy and treatment methods will be different and personalized.
I wish you happy, carefree days.
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