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Treatment For Panic and Anxiety Attacks Treatment for anxiety and panic attacks includes psychotherapy, medications and lifestyle changes. Doctors can help patients manage their symptoms by determining the root reason behind the attack. They can prescribe benzodiazepines like diazepam (Valium) and alprazolam or beta-blockers, such as propranolol (Inderal), which slows the speed of a heartbeat. Psychotherapy is a way to help you cope with anxiety by speaking with a therapist. Psychotherapy A psychiatrist or psychologist may diagnose anxiety and provide counseling (psychotherapy). Many people who suffer from panic attacks often visit their primary care provider who will check for any an underlying medical issue. Based on the root of the panic, the PCP might refer the patient to a mental health specialist. The therapist could suggest cognitive behavioral therapy to lessen anxiety. Cognitive behavioral therapy can help people identify the actions and patterns of thinking that contribute to an episode anxiety. This includes catastrophizing, or believing the worst is about to happen. This type of thinking is believed to be a result of chemical imbalances in the amygdala, and brain circuitry that are involved in processing anxiety and fear. The therapist may teach the client to challenge these thoughts, which should decrease the likelihood of an attack. Another technique is to learn how to manage the physical manifestations of panic attacks. This includes sweating and a pulse that is pounding. The therapist can guide the client through controlled breathing, a technique known as mindfulness meditation that promotes relaxation. In addition the therapist is able to guide the client to develop an effective sleep routine and strategies to reduce stress. Some therapists also use exposure therapy to help people overcome the avoidance behaviors that cause anxiety. For someone who suffers from agoraphobia for instance, could be encouraged to confront their fears — such as crowds, or using public transportation — one by one until they feel more comfortable. Treatments such as anti-anxiety or anti-panic medications, or benzodiazepines can be helpful in reducing the severity of panic attacks. They are not effective in treating the underlying causes. Long-term use of these drugs can lead to addiction and dependence. This makes it more difficult to stop the cycle. Many therapists don't prescribe medication as part of treatment for panic disorder. Behavioral therapy can be expensive However, some providers offer sliding scale fees or free services for those with low incomes. If you have insurance, check with their provider to inquire about what options are available. Some therapists provide online sessions which can be beneficial for those who are unable to travel in person. Medications In addition to therapy, doctors often prescribe medication for panic attacks. Certain antidepressants as well as anti-anxiety medicines have proven effective in decreasing the intensity, frequency and duration of symptoms. These medications work by stabilizing the levels of chemical messengers, also known as neurotransmitters within your brain. Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed drugs for panic attacks. These antidepressants boost serotonin levels in the brain, a chemical that affects mood. These SSRIs include sertraline (Zoloft) and the escitalopram (Lexapro) and paroxetine (Paxil). Serotonin-norepinephrine reuptake inhibitors, another type of antidepressant, can also decrease anxiety symptoms by increasing the amount of norepinephrine in your brain. This is a class of antidepressants which includes venlafaxine, (Effexor) and duloxetine (Cymbalta). Beta blockers, typically prescribed to control high blood pressure or heart conditions they can also ease anxiety symptoms, such as a rapid heart rate, sweating, trembling voice, and shaking hands. Health care professionals don't typically prescribe these medications for panic disorder, but they could be prescribed in the event that a stressful event triggers panic attacks. Benzodiazepines can be used to relieve anxiety symptoms quickly. They can be addictive, and withdrawal symptoms can be experienced if you suddenly stop taking them. They can also be dangerous when you mix them with alcohol or other depressants. Health care providers may only recommend them for short-term use. If you're suffering from frequent panic attacks, your doctor will conduct a physical exam and ask questions about your family history, lifestyle, and other mental health issues. They will determine whether your attacks are caused by an illness, like thyroid disorders, and will also look for other factors like negative memories from childhood or other stressors, that may contribute to the symptoms. The most important thing to consider when managing panic attacks is understanding that they aren't harmful and figuring out how to manage them. If you are surrounded by the support of loved ones, they can also help by implementing relaxation techniques and staying away from caffeine and other stimulants that could cause them to occur. Lifestyle changes It is essential to seek out professional help if you are experiencing extreme anxiety or panic attacks. Psychotherapy and medication are typically effective treatments for anxiety disorders. Talk therapy is another term for psychotherapy. It is a broad range of psychological treatment methods. Cognitive behavioral therapy is a typical kind of treatment that helps you to recognize and alter negative thoughts and emotions that trigger panic attacks. By altering your reactions and behaviors you can lessen or completely eliminate panic attacks. Anti-anxiety medication can also be beneficial in managing anxiety and pandemonium. These medications, sometimes called tranquilizers, slow down the nervous system and provide an sedative effect that makes you feel calmer. Iam Psychiatry prescribed anti-anxiety medication is benzodiazepines such as alprazolam (Xanax®) and lorazepam (Ativan®). A healthy lifestyle can also help in reducing anxiety symptoms. Regular exercise can reduce anxiety, release positive hormones and boost your mood. Avoiding alcohol, caffeine smoking, and drinking alcohol can increase anxiety symptoms. A healthy lifestyle involves getting enough sleep. Getting at least eight hours of rest each night can help reduce anxiety symptoms and improve cognition. Spending time with family and friends and taking part in social activities can alleviate anxiety. Being part of a group who share similar concerns can help you figure out that your concerns aren't unique. Additionally, a broad selection of CAM (complementary and alternative medicine) practices, like yoga, meditation and acupuncture, show some promising results in improving anxiety symptoms. Further clinical trials are needed to confirm these results. In the interim, you can try to moderately exercise throughout the week and consume a healthy diet that is packed with fruits, vegetables and lean proteins. Avoid foods that contain processed sugar, caffeine and alcohol as they can cause anxiety. Avoid taking herbal supplements before consulting your doctor. Counseling When a person has panic attacks is experiencing panic attacks, they can experience different symptoms, such as a pounding heart tightness in the chest and shaking, hyperventilation, chills and dizziness. They may also believe that they are experiencing an attack on their heart, or that they are dying. The attacks usually peak in minutes, and then disappear. People who experience them often might be diagnosed with panic disorder. To determine if you are suffering from panic attacks, your doctor will conduct a thorough medical history and conduct an examination. They will also ask you to describe the symptoms and how often they occur. They will also search for symptoms of other health conditions that could cause similar symptoms, such as the thyroid condition or heart disease. The most effective treatment for panic and anxiety attacks is psychotherapy, or talk therapy, with an expert in mental health. It is recommended that you work with psychiatrists or psychologists. They can help you identify triggers and help you learn to manage. They might prescribe antidepressants to help ease symptoms and avoid recurrence. Medications such as SSRIs (selective serotonin reuptake inhibitors) or SNRIs (serotonin-norepinephrine reuptake inhibitors), can decrease the frequency of your panic and anxiety attacks, but they won't make them completely go away. If the medication you're taking doesn't work your doctor might alter the dosage or switch to a different type. A therapist or counselor can help you to manage your emotions, and you might do some cognitive behavioral therapy to address negative thoughts and beliefs. This can be a challenging process, but it could give you the tools you require to manage your anxiety and avoid anxiety attacks in the future. Family and friends can also be a source of support as you learn how to manage your symptoms. In fact there are increasing numbers of health professionals are recommending that spouses and partners join in the treatment process to offer emotional and physical assistance. They can do relaxation exercises with you and be a calming presence when your panic or anxiety attacks flare up.