Marriage and Family Therapist
Julie Cohen is a licensed Marriage and Family Therapist MFT and a Child Mental Health Specialist with a private practice in Los Angeles Her areas of focus include depression anxiety panic post-traumatic stress bipolar…
What are the Symptoms of a Panic Attack?
Posted in Anxiety by Julie Cohen on Jul 21, 2009

 

As stated in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), a panic attack occurs when the following criteria have been met:

A discrete period of intense fear or discomfort, in which four (or more) of the following symptoms developed abruptly and reached a peak within 10 minutes:

1) palpitations, pounding heart, or accelerated heart rate:  Typically this is what then generates intense fear as many people believe they are having a heart attack.  This intense fear then exacerbates other symptoms.

2) sweating:  During a panic attack, the body releases little bursts of adrenaline at inappropriate times.  Some of the symptoms of a panic attack can feel similar to the sensations you experience during exercise, such as sweating. 

3) trembling or shaking

4) sensations of shortness of breath or smothering:  Symptoms 1, 4, 5, 6, 8  all exacerbate a panic attack as most people feel as if they are going to have a heart attack and die. 

5) feeling of choking

6) chest pain or discomfort

7) nausea or abdominal distress

8) feeling dizzy, unsteady, lightheaded, or faint

9) derealization (feelings of unreality) or depersonalization (being detached from oneself)

10) fear of losing control or going crazy

11) fear of dying:  Most people experience a strong sense of impending doom.

12) paresthesias (numbness or tingling sensations)

13) chills or hot flushes:  Sometimes the "hot flush" is actually an indicator that the panic attack is ending.  During an attack the body is thrown into a "flight or fight" mode as it prepares for a crisis.  The blood rushes from the head and other parts of the body to the extremities where it is needed (hands and feet).  Once the brain registers that there is nothing to panic about and the attack begins to wane, the blood begins to flow back into the chest and face.  That is what causes the heat or flushed feeling.   

These symptoms are generally what people experience during a panic attack.  However, I find that panic attacks are personal to each person and I am often surprised to hear people's unique symptoms.  If you experience any of these symptoms, please see a doctor right away to rule out other physical conditions.  Once ruled out, work with a therapist who specializes in cognitive behavioral work or panic and anxiety. 


CATEGORIES: News
CONDITIONS AND COMMUNITIES: Anxiety  •  Bipolar Disorder  •  College Stress  •  Depression  •  Depression - Teen  •  Panic Attacks  •  Phobia
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Displaying comments 34-15 of 34
34
anxiety was the cause of my panic attacks. Cognitive behavioral therapy thought me techniques to overcome my anxiety and stop a panic attack
By LA5  Nov 12, 2009
33
I get the hot flashes at the START of my attacks.
By Holly89  Oct 02, 2009
32
The best treatment I had for my panic attacks were realizing what they were and knowing that in spite of how I felt, I was not going to die. Going to a friend's house and just sitting quietly and absorbing the normalcy of it, helped me alot.
By klar  Aug 28, 2009
31
the last "therapist" i talked to gave me the 2 most powerfill antipsychotic drugs on the market on the first visit. On the second visit he asked me about the last time i had violent thoughts after witch came a TERA soft call to the police.........im not violent never have been except in the army i still have no police record how do i find a good one in northern CA?
By robertcalif  Aug 27, 2009
30
Wow, been reading some of the comments and its lile I wrote most of them .!! Nothing like a good panick attack and a litre or two of sweat eh?. I'm an ex addict , and ahve had panick attacks as far as I can remember , Ativans really help, at first I was taking 6 a day now I'm down to 2 . I cut down on the coffee and it seems to help. So nice to read these , I don't feel so alone now . Thank you Guys!!!
By littledrummerboy  Aug 05, 2009
29
1,6,7,8.9.10.11 are all the ones i feel. i dont have any help though... and no therapy. or anything.

and i dont have anyone in my life to help me either..
By C455IDY  Jul 31, 2009
28
This is a wonderful list. I'm going to show it to the people who still don't understand. My heart goes out to everyone on the board. You just can't understand Panic disorder, unless you experience it.

This list will be helpful to my family, who think I just get "nervous" and am "hyper" all the time.

This is a real disorder, and its happening to more and more people. Thank you for putting some light on a frustrating subject.

I've had symptom 1- 13 off and on for 5 years now. You described it perfect.
By Christisone  Jul 29, 2009
27
While i believe the intentions of the DSM are good i believe that most mental disorders are dynamic and as such they are experienced differently by each person. I hope the moment of both psychology and psychiatry is towards a collaborative effort. I truly believe that will be the biggest movement in the treatment of the mental disorders that will aim to help the individual.
By JustinB  Jul 28, 2009
26
You are still using the DSMIV, there is a revision, DSMIV-R, DSM-V out in 2012
By ParagonOpus1  Jul 28, 2009
25
I've had friends in the past deal with recurring panic attacks. Here a few ways they've learned to cope with them:

Realize that you have gone through a panic attack before and you are still alive. The current panic attack is no different. Laugh out loud at it and do a little reverse psychology on it. When you lapse, immediately get involved in something to keep your mind instantly busy to take your mind off the thoughts that triggered the attack.

Force yourself to watch a funny/stupid show on TV or YouTube. If you can’t sit still stand up and watch it and pace around until your mind eases. Take a few deep breaths.

Start drinking a bunch of water telling yourself in your mind that it cools you down and makes you feel better. Drinking water Is like water to a fire. It works & it's healthy!

Take a stupid facebook quiz and laugh at the outrageous answers.

Hope this helps a few people!!

Jason Monroe
JRS Medical Supplies
By medicaljourney  Jul 28, 2009
24
I have had depression almost my entire life. My first panic attack was a result of MediCal not paying for my refill of Effexor ER. I was on the highest dose. I ended up in the Modesto Mental Health Facility for 5 days. I was afraid I would take all of my pain meds and kill myself to get rid of the scariest feelings I have ever had. Thank goodness I am doing well now. Panic attacks kept trying to come back for about 2 years, but finally have gone away totally.
By mysteryqueen  Jul 28, 2009
23
typo, if people can't see my illness..........sorry about that.
By djel  Jul 26, 2009
22
i have suffered from panic attacks and depression for 40+ years. i found when i accepted it as a disease, just like any other illness, it helped me feel better. paxil and klonopin or ativan is a great relief. gives me somewhat of a life. what erks me the most is if people can't my illness they assume i am fine and can't imagine me on disability. i have been job to job most of my life and could not figure out what was wrong with me, why an intelligent, outgoing woman couldn't stay in the mainstream. i was diagnosed and medicated succesfully in 1989, i am 51 now. have been on disability since 1996. alot of people just think i am taking the system for granted. sometimes i travel, or do things out of the house and actually have fun, but it's not consistant. i paid into the ss system and the money i get is from that. so it's not a hand out. boy, do i feel guilty today or what? just had a call from someone who couldn't believe i would need a service dog or be on disability. a new relationship, he doesn't understand the illness at all. not his fault. i tried to explain. oh well, my fingers are tired. any input out there?
By djel  Jul 26, 2009
21
I am 57 and have been having panic/anxiety attacks for over 30 years. Take 2 1/2 mg of valium to calm down my heartbeat etc - was worse when I was in my 30's - was able to stay off the valium for the last 4 out of 5 years - started getting panic/anxiety attacks again when I quit smoking. Go figure???

But how true - the first time I had a panic attack I did go to the hospital - thinking I was having a heart attack - may of been 26 years old at the time.

Have a good day and thanks for explaining panic attacks.
By Julie2009  Jul 26, 2009
20
thanks for the info
By tkengle  Jul 26, 2009
19
I have started having panic attacks again after going off paxil and cymbalta. Wellbutrin is not helping with the depression either. I've been using kava kava and valarian until I can get in to see my doc and talk to him about it. It is giving me some relief. I take the kava and valarian 3x a day and sip kava tea a couple of times a day in between. Anybody else found relief with these herbs?
By LindaCD  Jul 25, 2009
18
Thank you for writting out these symptoms. I think a lot of people are too afraid to realize that they may have issues with anxiety and panic attacks. I have recently had a few bouts with them, but it does make it a little better to realize that I am not the only one out there! :) Thanks again Julie
By luvinmomhood  Jul 24, 2009
17
With me having C.O.P.D, I get all of the above
By bbeckner112  Jul 24, 2009
16
I have experienced panic attacks. Of course I didn't know what the first one was and I did think I was dying. After I found out what it was and got medical attention and educated myself on the subject they didn't go away, but it sure was a lot easier to deal with. Knowing what it was made a difference. I also had Xanax to take if I needed it. I tried to take Paxil, but it didn't agree with me so I had to stop it. One med not mentioned here that may have helped was Propranolol which is Inderal which is a heart med. I was told to take it when I felt an attack coming. The deep slow breathing also helped. They don't come as often as they used to and the last two or three I feel I was actually able to stop them from being full fledged attacks.
By bayourain  Jul 24, 2009
15
I sincerely thank you for the information you had given. Things are a little tense at home because of different situations and it causes panic attacks, and also I find that the person who suffers with panic attacks have constant worrying, the thoughts of "what ifs", loosing sleep and loosing your appetite.

wep
By wep  Jul 24, 2009

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