Panic Anxiety and Panic attack - A Devastating Condition

Panic Anxiety and Panic attack - A Devastating Condition

Panic anxiety is a devastating condition with a higher prevalence in female patients and young adults. Panic anxiety is frequently associated with major depression, agoraphobia, substance abuse, suicide attempts, and impaired quality of life. Only one half of the subjects with panic anxiety seek care for their attacks, and those who do seek care tend to present to primary care and emergency department settings. If treated correctly, panic anxiety has a favorable prognosis.

To a person who has never experienced a panic attack, it is hard to understand its psychologically devastating nature. An objective explanation of its symptomatology cannot confinement of the disturbance it causes.

Panic attacks have a distinguishing group of symptoms, beginning impulsively and quickly peaking in strength. The early symptoms have a propensity to be cardiopulmonary, with dyspnea time and again reported. Fear of death, becoming mad, or losing control, which may be a learned reaction, happens late in the attack. Even though there is significant symptomatic unpredictability both in and between subjects with panic, panic attacks have a tendency to be a consistent phenomenon. Because isolated panic attacks may occur in otherwise normal patients who are under extreme duress, the occurrence of panic attacks is not uniquely diagnostic of panic anxiety.

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:

• Palpitation, pounding heart, or accelerated heart rate
• Sweating
• Trembling or shaking
• Sensations of shortness of breath or smothering
• Feeling of choking
• Chest pain or discomfort
• Nausea or abdominal distress
• Feeling dizzy, unsteady, lightheaded, or faint
• Derealization or depersonalization
• Fear of losing control or going crazy
• Fear of dying
• Numbness or tingling sensations
• Chills or hot flushes

Panic anxiety is defined by recurrent panic attacks with a minimum one month of panic-induced behavior change or persistent concern about the attacks or their consequences

To meet the criteria for panic anxiety, the attacks cannot be the direct result of a general medical condition or of substance abuse. In addition, since panic attacks are seen in a variety of mental anxieties, they are not indicative of panic anxiety if they are better explained on the basis of a mental anxiety other than panic anxiety.

The onset of panic anxiety tends to occur in young adulthood (ages 20 to 40). Panic anxiety is heredity in nature, and its onset usually occurs during times of stress, hormonal instability, or cocaine use.

Recent evidence suggests that both panic anxiety and infrequent panic may be linked to childhood sexual abuse, increasing the possibility that panic anxiety may represent a form of posttraumatic stress anxiety.

Panic anxiety is a prevalent condition resulting in frequent use of the health care system. Without diagnosis and treatment, panic anxiety is a chronically disabling anxiety associated with significant comorbidity and decreased quality of life. Treatment is highly successful and can bring back patients to usual functioning.


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