Panic attacks, are terrible bouts of anxiety soiled with a pump-up of adrenaline and all that follows it. Though, it usually happens in broad daylight, there are these rarest-of-the-rare cases, where you hit them while you’re asleep. The worst part is that when encountering such an anxiety bang, you aren’t wakeful enough to understand what’s going on.

It’s largely taken as a bolt from the blue, and in most cases, it’s mistaken for a heart-attack. The reason behind these attacks cannot be properly explained. It could be the outcome of a stressful period, like coming over to a new neighborhood, losing a loved one, and so on. But there have been cases reported, where the victim had no such basis, and yet the catastrophe struck him. In such cases, it’s completely unexplainable, except the fact that such guys must have had a repressed emotional past, and have lived most of their lives as cagey introverts. But, if we are to deal with it, one thing should be kept in mind- a panic attack is a symptom, not a disease in itself. It’s the bursting of a build-up of stress and edginess.

If the root is destroyed, the branches shall succumb. Behavioral therapies and Psychological counsel can put you at ease over your misgivings. Though, medicating the symptoms, with prescription drugs and tranquilizers, will calm you down, as if a sort of peace has stolen over you, the volcano has to be pushed back to dormancy. It is the core that has to be resolved, and if the solace reaches you inside, the olive branches shall naturally bloom on the outside.

Though many complain, that they experienced their first anxiety attack, during their first pregnancy; it is not always the case. Women with early histories, find these attacks coming out of exile to aggravate matters. And it seems like its more of a psychological phenomenon, the physical being just a result of the former. Something has got to be done, before you freak out, literally.

A Panic attack has some unique symptoms. And they appear as if the body is breaking down, when actually, it’s shielding itself from possible harm. To say it in a word, it’s an adrenaline charge. A rushing heart-rate, chest pain, breathlessness ridden with anxiety, an endlessly perspiring body, nauseating dizziness, and a fear of dying, are quite visible.

Its a loss of tranquility, and whatever promises to bring it back, is a relief.

Tranquilizers could be a beginning, but you bear the risk of damaging the Central nervous system of the fetus. Behavioral therapy could be the next option, but you need some homely peace. Meditation is the mother of serenity. The take-in-a-deep-breath mechanism counters panic attacks like nothing else. All you need is 5 or 10 minutes to relax and lose all your toxins, nervous ones of course. Try this, and you’ll find yourself chuckling in the face of a panic attack. And nothing can be more panicky for it.

Passive people, Drunkards or post-traumatic cases are also amongst the inflicted. There’s also this somewhat less-known fear of open spaces or the marketplace. The victims report to have felt all the openness closing in on them. A dizzying god-forsaken feeling, Agoraphobia is also a substantial trigger to an anxiety attack. It comes from the Greek word Agora, meaning the marketplace. Sadly, there happen to be things that one takes to his grave, unchanged, and uncured; But there’s always a way to minimize its effects and control its more serious manifestations.

A Panic attack has some unique symptoms. And they appear as if the body is breaking down, when actually, it’s shielding itself from possible harm. To say it in a word, it’s an adrenaline charge. A rushing heart-rate, chest pain, breathlessness ridden with anxiety, an endlessly perspiring body, nauseating dizziness, and a fear of dying, are quite visible.

People also panic about having a panic attack- a vicious circle.

The best things in this world are free, they say, and though there is no substitute to medically-approved medication, a chortle helps you to laugh it off. A behavioral therapy works or Cognitive restructuring, brands negativity with a positive tattoo. Laughter combats cortisol (stress-hormone) levels, and so does meditation. The take-in-a-deep-breath mechanism counters panic attacks in a very natural way. So why not bring that fear of yours in the open?

Effective recognition and diagnosis of the symptoms and well equipped treatment of depression and anxiety produces better results. Paying vigilant attention to the development of depression and anxiety reduces the economic burden of the patients. Medical practitioners, doctors and consultants should clearly understand the medical disorders, comorbidity of anxiety and depression in order to treat the patient effectively.
There are various cases of comorbid disorders. They are depression coupled with illness, depression along with heart attack, depression along with diabetes. Doctors should also analysze the impact of depression and anxiety and the increased risk of committing suicides.

Pharmacological and non pharmacological treatments are the effective way to treat comorbid anxiety disorders. Patients with severe symptoms require medical cure.

Non pharmacological therapy consists of CBT-cognitive behavioral therapy.

The general first level of pharmacological treatment for the disorder is the usage of SSRIs. The results show that they are in no way more effective to other anti depressants.
Other effective antidepressants are atypical antipsychotics, anti convulsants, β-adrenergic blocking agents, busprine, benzodiazepines.

SSRI’s are recommended over MAOIs and TCAs in non comorbid and comorbid depression and anxiety taking into consideration side effect and safety of the drugs.

Any treatment should take into consideration the patient’s profile and how he responds to the treatment. Based on the response of the patient to the various drugs, the condition and level anxiety in patient should be monitored.

Generally all the people have some defect or the other physically. But people with this disorder magnify even the minute defects in them. They are severely impacted by these negative obsessions with their inaccurate perceptions. People with BDD often undergo cosmetic surgery and dermatology treatments that are unnecessary and not required for them.

People are affected by these symptoms due to some incidents in their life.
They are depressed, socially isolated, stressed, inferior quality of life and tend to commit suicide. BDD people are at high risk of committing suicides, and when they attempt suicide they generally succeed.

BDD people even though their appeared is quite perfect they tend to perceive they are abnormal. They assume themselves to be abnormal, unattractive, deformed and think that they are some monsters. BDD is seen in adolescents and can even children. This disease affects people in almost all countries.

BDD is extremely difficult to diagnose as people shy away from discussing their problems with anyone due to fear of being trivialized. In most cases this symptom may be under diagnosed as people doesn’t like to consult with many doctors. BDD requires use of diagnostic instruments but with patients not cooperating it is a difficult task. Sometimes it may be misdiagnosed as social phobia or psychotic depression or schizophrenia.

Since treatment for BDD research is still going on, CBT-cognitive behavioral therapy and SRI-serotonin reuptake inhibitors are the most prescribed treatments.
People with BDD should be treated with extreme personal attention so that they will come away from their perceived misconceptions.

So both these conditions should be treated separately. If the symptoms are due to bipolar disorder, then anxiety cures with bipolar disorder. But if both symptoms are not interrelated, anxiety persists even when bipolar disorder is cured.

Anxiety with separate condition requires special attention and treatment. Psychotherapy treatment gives better results in combination with medicines. Social anxiety is most common in people with extreme mood swings. Some people experience confident mood swings. In this type, people will be extremely confident and some times their anxiety increases where they long to meet new people often. This is termed as social phobia. In these circumstances if medication is used then bipolar disorder worsens. One can have behavior therapy. Here people are treated without anti depressants.

If people suffer from anxiety as a symptom of bipolar disorder, then they will be having agitation, pick the nails, can’t sit still, pace up and down. People cannot even think if these symptoms are severe since they will be experiencing extreme energy. They will be even experiencing irritation and other manic symptoms that make them addicted to alcohol. This also results in successful suicide attempts. People experiencing anxiety with depression will have strong urge to commit suicide. Under these circumstances people feel their future is unbearable resulting in suicides. These symptoms are curable and people should consult therapists.

There are different types of conditions in anxiety that results independent of bipolar disorder. They are social phobia, generalized anxiety disorder GAD, post traumatic stress disorder PTSD, obsessive compulsive disorder OCD, specific phobias, panic disorder with or without agoraphobia.

People suffering from these disorders if diagnosed and treated accordingly, will be cured of these diseases.

The risk of facing one is usually inherited, seen twice as more often in women than in men. Apart from some illness-related causes, like hypoglycemia, hyperthyroidism, Obsessive compulsive disorders amongst others, it generally is a result of an unnatural trigger. People whose dealings are fraught with passiveness, who’ve been victims to a trauma, or are drug-addicts and chronic consumers of alcohol, have also been found as sufferers.

Agoraphobia, or fear of open crowded places, can also amount up to it. So how do we recognize a, technically speaking, genuine panic attack, and not confuse it with, lets say a nervous breakdown or maybe a heart attack, the latter being frequently misplaced.

A Panic attack has some unique symptoms. And they appear as if the body is breaking down, when actually, it’s shielding itself from possible harm. To say it in a word, it’s an adrenaline charge. A rushing heart-rate, chest pain, breathlessness ridden with anxiety, an endlessly perspiring body, nauseating dizziness, and a fear of dying, are quite visible. In such a loss of self-possession, where there’s an exact opposite of tranquility, anything that might return it is a valuable measure. And what could be better than a dose of laughter.

The best things in this world are free, they say, and though you won’t find it on a prescription, a chortle is an irreplaceable treatment. A behavioral therapy works on the same thing. Laughter combats cortisol (stress-hormone) levels, and thus, is a wonderful way of relaxing oneself. It brings back a much-needed peace of mind. The old in the Orient, are still found saying, that Laughter is the best medicine. Sounds clichéd doesn’t it? That’s because it’s absolutely true.

Rather than swallowing the granules or tablet with water, they should be allowed to dissolve slowly in your mouth and after the intake of remedy, nothing but water should be ingested for at least fifteen minutes.
Some of the medicines useful in treating the symptoms of anxiety are as follows:

Aconitum Napellus (commonly known as Aconite): It is a kind of sudden panic attack accompanied with a strong fear (often of death). This remedy is effective in case of these symptoms shown: dizziness or faintness upon waking up, intolerable pain often followed by tingling or numbness, painful urination accompanied with anxiety, flushing of the face, shortness of breath and strong palpitations.

Arsenicum Album: This remedy is useful for people who are deeply anxious regarding their health and extremely concerned with security and order. Panic attacks usually occur around midnight or very early hours of morning. The person may be restless-fidgeting and still exhausted, pacing and moving anxiously to different places. These people can suffer from asthma attacks followed by anxiety and digestive problems too. The other symptoms for which this remedy can be prescribed are drowsiness with insomnia, vomiting after eating and drinking with or without diarrhoea, anxiety associated with sneezing and later stages of head-cold, fearing suffocation while lying down and asthma getting worse after midnight.

Gelsemium (Gels): This remedy is given when you experience trembling, weakness, and mental dullness on being paralyzed by fear. It is useful during anxiety about and upcoming event such as interview or public performance, or anxiety before taking a test, visit to dentist or some other stressful events. A fear of falling, fear of crowd or fear of heart getting stopped suddenly is some of the indications for Gelsemium. The symptoms are fatigue and whole body ache, lack of thirst, sore throat, nervousness, head, limbs and eyelids heavy etc.

The other such remedies for short term anxiety attacks are Argentum Nitricum (Arg-n), Lycopodium, Phosphorous, Silicea, Pulsatilla, Ignatia Amara, Kali phosphoricum, Natrum muriaticum which are effective for some specific symptoms.

Various antidepressants are found effective in the treatment of anxiety disorder as well so if your doctor prescribes an antidepressant, you should take it for number of weeks to let the symptoms fade. SSRIs (selective serotonin reuptake inhibitors) are the newest antidepressants acting in the brain on serotonin which is a chemical messenger. Examples of these medications are Paxil, Zoloft, Lexapro and Prozac which have fewer side effects than earlier antidepressants; these medicines are started at lower dose and gradually increased till therapeutic level is reached. Some people reported to have experienced sexual dysfunction at initial intake of these medicines and some also feel slightly jittery or nauseated which disappears gradually with time. These issues are not bothersome as dosage adjustment and switch to other SSRI often corrects these effects.

Other class of antidepressants are tricyclics which are older than SSRIs and are equally effective other than in case of OCD. SSRIs are preferred to tricyclics as these medicines causes dry mouth, drowsiness, dizziness and weight gain. Similarly MAOIs (Monoamine oxidase inhibitors are the oldest class of antidepressants but is not preferred much as those who take these medicines are put on restrictive diets. These medications interact with other medications as well as some food and beverage including red wine and cheese which contains a chemical called tyramine. These interactions between different substances can cause elevated blood pressure and other potentially dangerous reactions.

Among anxiety disorder medications, Benzodiazepines are the high potency medicines that are quick in relieving symptoms and have fewer side effects. Except panic disorder these medicines are prescribed for shorter periods of time and people with alcohol or drug abuse are not good candidate for these medications which can increase their dependence. Azipirones are another class of drugs which has a member called Buspirone (BuSpar) which is the latest anti anxiety medicine used for the treatment of GAD. It should be taken consistently for two weeks to reach anti anxiety effects. There are other medications like beta-blockers (propanolol) which can be prescribed by doctors to stop the development of physical symptoms like heart pounding and hand shaking.

Regular checkups is a good line of defence to prevent yourself from heart attacks; Your physician will be well aware of your health if you go to him regularly and hence even on slight “out of way” health condition will make him determine easily if you are showing any signs of illness and hence you can prevent medical issues in the long run. Heart attacks can occur suddenly to some and can even last longer in some cases. The pain and discomfort can last for hours in some cases whereas in other people it can be very sudden i.e. will come on and go in minutes.

Some signs of heart attack are as follows: if you encounter a pain that comes and goes, a sharp shooting pain or a squeezing feel that makes you uncomfortable and if you feel that someone is standing on your chest so that you are unable to catch your breath and keep feeling heavy in chest, then you can be sure of having a heart attack. Some additional signs of heart attack could be: If you feel discomfort and pain in your legs, arms or chest and your jaw and neck hurt uncontrollably.

One very vital sign of heart attack is shortness of breath: it makes you unable to breathe properly or take a deep breath making you dizzy in turn as if you want to sit down. The symptoms of heart attack may vary according to an individual but an abnormal pain which is not felt usually in combination with tightness in your chest and shortness of breath could be alarming sign that you are about to have a heart attack. You may get these individual signs or may get a combination of these; in either case it is vital to see your doctor soon as ignoring heart attack will cost your precious life.