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Panic Attack: Symptoms, Treatment, Dif

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A panic attack is a sudden and inexplicable attack of strong all-encompassing fear or anxiety with characteristic vegetative and mental symptoms. This pathology is the subject of the study of psychology, neurology and psychiatry, as well as endocrinology, cardiology, pulmonology and gastroenterology. The most susceptible to panic attacks women, especially with PMS.

When panic attack occurs

The mechanism of panic paroxysm is based primarily on the psychological factor, and the vegetative - is considered as secondary. During an attack, an increase in the negative emotional background within 10–15 minutes is noted, followed by a gradual decline. Three factors serve as a triggering trigger, jointly or one by one:

  • psychogenic - conflicts and personal tragedies, as well as abstract factors of an informational nature,
  • physiogenic - taking certain pharmacological drugs, steroids, alcohol, drugs, weather changes, overstrain, prolonged exposure to the sun, acclimatization),
  • biological - fluctuations in hormones due to pregnancy, menstruation, abortion, childbirth, menopause, sexual activity, contraceptive use.

The diagnosis is made under the condition of at least two repetitions of the attack in the presence of several signs.

Of vegetative symptoms are noted:

  • sweating
  • feeling of coma in the throat,
  • a sharp rise in blood pressure
  • heartbeat
  • dry mouth
  • heat,
  • chills,
  • nausea,
  • diarrhea.

  • thoughts of approaching death, fear of dying,
  • derealization,
  • feeling losing my own self
  • dizziness, etc.

Panic attacks before menstruation

Violation is common mainly among residents of megalopolises aged 25 to 45 years. Panic attacks in front of menstruation have a more pronounced manifestation and occur with greater frequency. During this period, the woman is experiencing a strong emotional stress, prone to impulsive actions. The occurrence of seizures on this background is considered by medicine as a result of hormonal fluctuations.

The patient may search for the reason for the recurrence of attacks for a rather long time. At the same time, the analyzes are normal, there are no serious pathologies, but each time the “red days of the calendar” approach, the seizures recur. And if panic usually becomes the result of stressful situations, then before menstruation it arises without an obvious reason. A woman may be covered by a wave of baseless fear, even when she is at work, among familiar people, performing usual duties. And at a young age it is especially difficult to cope with this condition, since girls have not yet developed a full-fledged adaptation in the living space.

Important! The cunning of panic disorder when menstruation approaches is also the fear of recurrence. Against the background of the ICP, a panic attack waiting syndrome is formed. Anxious recollection of the emotional state increases as you approach the beginning of menstruation and naturally causes a repetition of an attack of fear. The connection between the seizure and menstruation becomes inseparable, and the woman's concerns about health increase.

PA before menstruation: what to do

This condition is not life threatening, but it is very poisonous to existence. You can cope with the first signs of growing panic in logical ways.

First of all, feeling that panic overshadows the mind, it is necessary to take control of the breath and calm the heartbeat. Taking a deep breath, hold your breath and slowly exhale. You can also breathe in folded palms or a pack, you need to breathe with a stomach. This technique aims to saturate the blood with carbon dioxide, which suppresses the release of the hormone cortisol, which is responsible for sudden stress. Sometimes these actions are enough to capture the onset of an attack, block panic and prevent it from developing.

Panic attacks during PMS develop against the background of emotional instability caused by hormonal changes. You can cope with this condition by switching the brain to perform any actions. Recall, for example, the multiplication table, read the words on the contrary, perform other actions in the mind. After a few minutes, you will see that the world around does not collapse and nothing terrible happens.

Buy a rubber bracelet or weave it yourself from colored rubber bands and put it on your wrist. At the first sign of panic, pull off the gum and release. A click on the wrist will help you to come to your senses and recover a little.

A week before the start of the month, stop eating meat and include soothing herbal teas in the diet. This will reduce the production of cortisol by the endocrine system.

Do yoga. This ancient technique is not only aimed at achieving beauty of the body, but also clarity of mind. Combine yoga with meditative practice. Soon you will notice that panic attacks with PMS are becoming less common and weaker.

In the video below you can get acquainted with other ways to get rid of attacks:

Panic attacks in menopause: symptoms and treatment

The characteristic signs of hormone deficiency in menopause may resemble manifestations of a panic attack: a woman is caught up in fever, then chills, palpitations become more frequent, flashes of irritability appear, and headache. One can distinguish one from the other only by the feeling of a strong all-encompassing fear or causeless anxiety.

In general, every sixth woman suffers from panic attacks during menopause. The following factors can provoke an attack:

  • smoking and liquor,
  • constant stress and emotional overload,
  • lack of sleep
  • physical exercise,
  • inability to throw out emotions.

The number and intensity of panic attacks in menopause may be exacerbated in the presence of such disorders as:

  • obsessive compulsive disorder,
  • post-traumatic disorders,
  • cardiovascular pathologies,
  • emphysema,
  • migraine,
  • thyroid disease,
  • malfunctions of the adrenal glands,
  • allergies of any origin.

Treatment of panic attacks in the background of menopause includes hormone therapy under the supervision of a doctor, the above recommendations on blocking the first signs of panic will also be helpful.

Important! Self-prescribing hormonal drugs can not be - the consequences can be unpredictable.

Psychologist help

Bring the nervous system in order, you can contact for psychological help. Having understood with a specialist what mechanism for launching panic attacks during PMS is leading in your case, you will learn how to manage your emotional state and defeat panic forever. You can turn to psychologist Nikita Valerievich Baturin through the social network Vkontakte.

Statistical data

Panic attacks are a common condition. At least once in every life, she was tolerated by every fifth, and no more than 1% of people suffer from frequent disorders that last longer than a year. Women are sick 5 times more often, and the peak of the incidence is between 25-35 years old. But an attack can occur in a child over 3 years old, and in a teenager, and in people over 60 years old.

In 70% of cases, panic attacks are causes of depression and suicide attempts. And every fifth suffering person “struggles” with panic by alcohol or medicines, acquiring dependence on them.

It is possible to completely get rid of panic disorder if you put more effort into it than remembering to take pills.

Catecholamine hypothesis

Here catecholamines - hormones of the adrenal medulla: adrenaline, norepinephrine, dopamine - are put at the forefront. The main one is adrenaline. It mobilizes the nervous system during stress: it speeds up the heartbeat, so that every organ has enough blood, it increases pressure for the same purpose, it changes the breathing rate, so that all the organs have enough oxygen, it stimulates the brain. Such a reaction is included if you have to fight or run.

During vegetative crises, the level of catecholamines increases not only in the blood and urine, but also directly in the nervous tissue. And if you enter adrenaline intravenously (this confirms the hypothesis), then a typical panic attack will develop. That is, catecholamines can be called correlators of this condition, and who has more of them in the body is more inclined to develop crises.

Genetic hypothesis

If one identical twin suffers with panic attacks, there is a 50% chance that the second will develop the same condition. Close relatives note a similar ailment in 15-20% of cases. On this basis, it is considered that the disease is encoded by certain regions of the genes, and is predetermined from the very beginning. It manifests itself in a favorable situation, against the background of stress, hormonal changes, serious illness, and so on.

What happens during an attack

Although the symptoms of panic attacks appear almost simultaneously, the reactions causing them occur in a cascade:

  1. stress activates adrenaline rush,
  2. adrenaline constricts blood vessels, increases heartbeat and quickens breathing,
  3. vasoconstriction leads to an increase in blood pressure,
  4. increased breathing leads to the elimination of carbon dioxide, which is why anxiety increases even more
  5. removal of excess carbon dioxide changes the pH of the blood, which leads to dizziness and numbness in the limbs,
  6. vasospasm occurs only in peripheral tissues (skin, fatty tissue, muscles), which impairs local blood circulation and their nourishment (all blood is mobilized to the center: the brain, the heart, in order to survive, as the body considers). As a result, lactic acid accumulates in malnourished tissues; it is absorbed into the bloodstream and increases its own concentration in the blood. Lactic acid, according to the latest data, is an enhancer of panic attack symptoms.

Causes of Panic Attacks

The condition can be triggered by any disease, fear or operation, because of which a person was experiencing. Most often, the attack develops against the background of mental pathologies, but it can also be caused by:

  • myocardial infarction,
  • coronary heart disease,
  • mitral valve prolapse,
  • childbirth,
  • pregnancy
  • the onset of sexual activity
  • menopause
  • pheochromocytoma (adrenal tumor, which produces too much adrenaline),
  • thyrotoxic crisis,
  • taking drugs cholecystokinin, hormone-glucocorticoids, anabolic steroids.

Panic attacks can be symptoms of these mental illnesses:

  • phobias,
  • depressions
  • schizophrenia and schizotypal disorders,
  • post-traumatic disorders (after traffic accidents, burns, natural disasters)
  • obsessive-compulsive disorder - a state where there is always some kind of fear (getting sick, burning), which leads to obsessive actions (checking electrical appliances, frequent hand washing, and so on).

Panic attacks can be caused by an accelerated rhythm of life, constant stress, caused by work in an unpleasant team or unloved work. In children with panic attacks, enuresis and encopresis can develop.

Risk factors for panic attacks

People who have one or several of the following factors are more at risk of “earning” a panic attack:

  • Sedentary lifestyle in the absence of physical exertion, especially in adolescence. Sport and physical activity contribute to the discharge of negative emotions, bringing unbalanced emotional background in order. Without this, restlessness, impulsiveness, razvinchinnost appear. Behind them appear and panic attacks.
  • Caffeine abuse. It leads to exhaustion of the nervous system.
  • Smoking, changing the structure of human blood vessels, weakens the body's stress resistance.
  • Holding emotions "in yourself."
  • Lack of full sleep. At the same time, an additional amount of adrenaline and other hormones, leading to the development of a panic state, is released into the blood.

Mental symptoms

These symptoms predominate over the rest due to their severity. It:

  • feeling of danger,
  • fear of death: it is usually present only during the first 2-3 crises, after it transforms into fear of getting sick, fear of getting a heart attack or stroke, and so on,
  • fear of going crazy
  • feeling of coma in the throat,
  • derealization: the world fades into the background, there may be a distortion of sounds and objects, it may seem that there is a slow-motion shot,
  • depersonalization can be observed: one’s own actions are viewed as “from the side”, it seems that a person cannot control them,
  • there may be a "pre-unconscious state" or "nausea in the head."

At the same time, a person can attempt to hide and run, but it can also paralyze him.

Mental symptoms are not necessarily the same every time. Sometimes, the same person can develop panic attacks with both pronounced (before affect) phobias and crises completely without emotional coloring. Only in rare people only crises with developed symptoms always develop. Usually their frequency is from several times a week to a single appearance in a few months. The development of poor symptoms of attack can be observed up to several times a day.

Physical symptoms of an attack

  • Increased palpitations with the feeling “the heart jumps out of the chest” (the latter is due to an increase in the force of contractions of the heart muscle). This is due to the release of adrenaline and its predecessor dopamine into the blood. In this way they mobilize the body for protection or escape from a danger that does not exist.
  • Feeling hot or cold. This leads to a change in the tone of the vessels of the skin and subcutaneous tissue with a tendency to their narrowing (so that the internal organs do not experience a lack of blood and oxygen), despite the fact that the body tries to supply the muscles with the maximum “normal”.
  • Increased breathing: so adrenaline and other catecholamines maintain the level of oxygen in those tissues where the vessels are narrowed.
  • Increased sweating: so the body is cooled with the help of the vegetative system to save energy, which would be spent on warming the body.
  • Dry mouth. The cause of this symptom is the stimulation of the autonomic nervous system.
  • Diarrhea or, on the contrary, constipation "owes" its appearance to a deterioration in the blood supply to the intestine (it is not the most important organ for survival, here the vessels narrow).
  • Pain in the left side of the chest.
  • Cold feet and hands.
  • Signs of the gastrointestinal tract: nausea, belching, discomfort in the upper half of the abdomen, vomiting, loose stools.
  • Chill with severe tremor.
  • Weakness.
  • Dizziness.
  • The feeling of "blurring", "unreality" of what is happening.

The last three signs are due to changes in the pH of the blood and cerebrospinal fluid, which leads to a lack of carbon dioxide (it is all "exhaled" with frequent breathing).

A similar condition lasts 10-30 minutes. The attack ends with abundant urination or vomiting (more often this reaction is observed in children), which is also provided by the vegetative nervous system. After it remains a feeling of depression, weakness, a certain unpleasant aftertaste.

Such symptoms are observed in some diseases, such as stroke, bleeding, prolonged attack of bronchial asthma. But their difference from a panic attack is that in diseases these symptoms last longer than half an hour, accompanied by other signs, some of which remain after the attack (for example, asymmetry of the face or difficulty breathing). In more detail the difference between panic attacks and other pathologies, we consider next.

Atypical attacks

It happens that the symptoms of a panic attack are not at all similar to the fact that a person had a panic attack. There is no terrible animal fear, maybe a little emotional stress. The physical symptoms described above are virtually absent. Instead, there is a temporary dysfunction of one of the senses, which then passes. So maybe:

  • lack of voice
  • vision is lost,
  • inability to utter a word,
  • gait disturbance,
  • feeling of twisting hands.

Such attacks most often develop in a crowded room, but do not appear when a person is left alone. They are also called hysterical neurosis.

How can an attack begin

Debuting panic attack can in the form of one of three options.

  1. The attack begins against the background of full health, but - after stress, small surgeries, physical overstrain or alcoholic excesses. In this case, the person cannot understand the cause of the condition, but can clearly indicate the date of the attack.
  2. Against the background of existing astheno-depressive or anxiety disorders, there are crises with physical symptoms, but without much emotional coloring. If at this moment the person suffers stress, surgery or a serious illness, a panic attack occurs.
  3. Against a background of depressive or anxiety disorders, a bright panic attack develops suddenly.

When an attack is worse

A more pronounced attack is felt by people with such personality traits:

  • fearfulness
  • anxiety,
  • drama
  • artistry,
  • unstable thinking.

It turned out to be important, as the person explained to himself the first attack of a panic attack. If he considered him a heart attack, a micro-stroke or the onset of some disease, the likelihood that the attacks will repeat and become the beginning of the formation of phobias is much higher.

There is also a relationship between the emotional and mental symptoms of the crisis and the formation of a further interictal period: the more pronounced the fear, the greater the chances of anxious waiting for a new attack in the future.

Night crises

Nightly panic attacks bother more than half of people. It has been noticed that such attacks often develop in volitional and responsible people who, during the day, completely “control themselves”.

Prevents a night attack usually prolonged inability to calm down and fall asleep. A man lies for a long time, anxiety overpowers him, but against which panic attack develops. It may also happen that the attack wakes a person up, then he wakes up in a state of wild fear, trying to find salvation or escape, not yet knowing where.

Most often, an attack develops from midnight to morning, with the advent of natural light, it passes on its own. Some people point out that it becomes easier if you wake up all households and turn on the lights (or just the last action). Moreover, this trend continues during all attacks, and not just the first one.

The symptoms of night attacks are the same: fear, severe chills, nausea, rapid heartbeat. Often they are more intense than their daily option. The duration of panic attack may be different. Most often, their appearance is associated with a nightmare that a person does not remember, so a person does not go to the doctor, but continues to experience seizure by seizure. And to treat the night panic attack you need:

  • As a result of the crisis that has arisen, the person does not get enough sleep, and over the next day he feels sleepy, tired, apathetic. Because of this, he may make mistakes in work, put himself or other people at risk. He can even be fired.
  • A vicious circle begins to form, when a person is afraid to go to bed due to the fear of an attack, because of this, his daytime is overwhelmed by drowsiness, and he is doing his job worse and worse. Dissatisfaction with oneself and drowsiness lead to a new attack.
  • Due to the lack of proper rest, chronic somatic diseases may become exacerbated, and mental disorders such as neurosis, depression, and neurasthenia may develop.

Nightly panic crises are especially dangerous for such categories of people who are worse at dealing with them. These are pregnant women, elderly, small children.

Climax and panic attacks

After 40-45 years (less often - earlier), women have the right to appear the first symptoms of premenopause. These symptoms during menopause are very similar to the signs of panic attacks. It:

  • attacks of heat in the upper half of the body, which may be accompanied by reddening of the face, chest and neck,
  • sweating, especially during hot flashes,
  • chills,
  • headache,
  • heart palpitations
  • insomnia at night, sleepiness during the day,
  • irritability.

  • these signs are not accompanied by a fit of strong fear, anxiety, shutting off all other thoughts,
  • while the woman notices changes occurring with her menstrual cycle,
  • symptoms are significantly reduced by taking hormones prescribed by a gynecologist to reduce discomfort during menopause,

then the above manifestations are symptoms of menopause, and they will soon pass away.

Actual panic attacks are observed in approximately every sixth menopausal woman. The chance that they will develop increases if the lady suffers:

  • migraines,
  • diseases of the heart or blood vessels
  • emphysema,
  • allergic pathologies,
  • thyrotoxicosis
  • she had previously observed panic attacks.

To provoke panic attacks in women with a changed ratio of sex hormones can:

  • stresses
  • alcohol abuse,
  • lack of sleep
  • significant exercise.

In the period of menopause, as well as before menstruation, it is easier for provoking factors to cause panic attacks than in other periods.

Vegetative dystonia

IRR and panic attacks - things are often inseparable, so local doctors can diagnose "Vegetative dystonia with panic attacks," although there were no signs of VSD before the onset of panic attacks.

Vegetative-vascular dystonia is an imbalance between the two divisions of the autonomic nervous system: the sympathetic and the parasympathetic. This disease can be “earned” at any age, and it can be caused by stresses, surgeries, strong worries, injuries, infectious diseases, genetic predisposition, and blood loss.

The disease is characterized by a set of symptoms from different organs. Chest pain and heart rhythm disturbance, excessive sweating, breathing attacks, neurosis or irritability, elevation, lowering of arterial pressure or its fluctuations may be predominant. At the same time, when examining the signs of violation of the structure of internal organs are not found. Read more about the symptoms and treatment of vegetative-vascular dystonia.

Against this background, and develop panic attacks. They are characterized by pronounced vegetative symptoms: trembling, panic animal fear, cold sweat, sweating, hot flushes, numbness of the extremities. Fear can be framed as a fear of a stroke or heart attack, sudden death.

The diagnosis of VSD with panic attacks is made after an examination that shows the absence of organic damage to internal organs (heart, thyroid, brain). The treatment of such panic attacks and the disease itself is the same as will be described below.

Symptoms between crises

If a person develops a panic disorder, after a panic attack, he may experience one or more of the following symptoms. They can be practically not expressed (a person considers himself healthy), or manifest itself so strongly that it becomes difficult to understand where the attack was, and where is the intercrisis period. These attributes are as follows:

  • anxious mood or forebodings ("sluggish, lingering anxiety"),
  • fear of the place or situation when or where the first attack occurred. Gradually, this fear may cover more and more places / situations,
  • social maladjustment can develop when, because of fear, a person cannot walk on his own / stay on his own / ride in any transport,
  • the appearance of phobias: fears of open space, madness, serious illness, death, swallowing, driving, and so on,
  • astheno-depressive syndrome: weakness, fatigue, rapid exhaustion, decreased concentration and concentration, increased tearfulness, bad mood,
  • depression: depressed mood with limited social contacts, interests. A person thinks only of the disease and focuses on it,
  • hysterical disorders. These are not intentionally occurring seizures with loss of consciousness, temporary disturbance of movements of the limbs, temporary inability to speak or hear,
  • constant concern for the future
  • obsessive thoughts,
  • fussiness.

In diseases that may be accompanied by panic attacks (thyrotoxicosis, miscarriage, stroke, etc.), there will be no similar symptoms after a panic attack. Each of these diseases has its own symptoms.

If the crisis has occurred against the background of vegetative-vascular dystonia, the intercritical period is supplemented with periodic ones:

  • feelings of lack of air,
  • chest pains
  • dry mouth
  • unexplained and transient nausea, abdominal pain, diarrhea, rumbling in the abdomen,
  • by raising the temperature to small numbers without signs of a cold or any other disease,
  • dizziness
  • recurrent chills
  • sweating: local or generalized.

Algorithm of actions in the development of a panic attack

What to do if panic attack developed? Here is the algorithm used by people who are not far from medicine, when they show signs of fear rolling in:

  1. Measuring blood pressure, temperature, respiration rate and pulse at the height of the attack is not informative for diagnostics: everywhere the indicators will be far from the norm, and this will not allow distinguishing the prodrome of a serious illness from the panic attack itself. But you still need to do this: a panic attack can be accompanied by a sympathoadrenal crisis, when the pressure is increased, the pulse is accelerated, and a pancreatic crisis (the predominance of the parasympathetic system) can also cause panic, when a decrease in the pulse is observed. The algorithm of actions in these cases is different.
  2. Think about taking medications - could the state have developed after taking or, on the contrary, abrupt withdrawal of some drugs. Especially heart and neurological drugs can contribute to this. In case of cancellation, take the usual dose of your medication. If you drank a new drug for the first or second time (if you drink it for a month - it’s not guilty), drink Activated Carbon, Atoxil, Smektu or a similar drug, find in the instructions which side effects and signs of overdose this medicine what to do in this case.
  3. If you feel heart palpitations or interruptions in heart function, start coughing. In this case, the lungs will help the heart to regain a normal rhythm.
  4. If a panic attack is accompanied by chest pain, localized closer to the left hand, do not wait for the end of the attack. Here you need to drink 1-2 tablets of "Aspirin" ("Aspekard", "Aspeter") in the total dosage of 150-320 mg and call "Ambulance".
  5. "Ambulance" should be called in such cases:
    • if the condition has worsened after several hours with one / several of the following symptoms: malaise, sore throat, body aches, fever. Prior to arrival, follow all the following recommendations for complacency,
    • panic appeared in a person suffering from asthma. Before “Ambulance” you need to use a familiar inhaler once, after which you should concentrate on breathing with an extended exhalation (described below),
    • accompanied by the appearance of asymmetry of the face, movement disorders in the arms or legs, goosebumps,
    • accompanied by abdominal pain (in any department), the appearance of blood in the feces or on the lining (out of menstruation in women),
    • before the panic there was a feeling of unreality, “haze”, “fog” or hallucinations - visual or auditory. So can manifest and migraine - not dangerous for life disease. Similar symptoms can be observed with temporal epilepsy, which requires urgent treatment,
    • if the panic does not pass within 30 minutes.
  6. Anaprilin - if the pressure is increased, and the pulse is more than 65 beats per minute, and you do not suffer from bronchial asthma, it helps if you put an Anaprilin tablet at a dose of 10 mg under your tongue. This drug will reduce the oxygen consumption of the heart muscle, the latter will be easier to work. In addition, the pressure will decrease and the pulse will become less frequent. Such stimulation will help the body calm its sympathetic system.
  7. Turn your left hand with your thumb up, lift it up. At its base, a fossa is formed, composed of three tendons (it is called an "anatomical snuffbox"). Lower the thumb of the left hand and hold the snuffing area with the index and middle fingers of the right hand. There you should feel the pulse. Holding this zone, calmly count to 60 in the pace of the second hand. This will help if your panic attack was caused by a heart rhythm disorder such as paroxysmal tachycardia, this should stop her attack. In case you clearly feel an uneven pulse, call an ambulance. In doing so, try to focus on breathing.
  8. Forcibly pull a smile on your face: facial muscles have a connection with the brain, and if you force it to depict positive emotions, they will soon come.
  9. Breathe deeply, focusing your attention on the breathing process. In this case, the inhalation should be longer than the exhalation. Start with a rhythm: 1 second (at the expense of “one”) - inhale, 2 second - exhale. Gradually deepen inhale and exhale: “one-two” - inhale, “one-two” - pause, “one-two-three-four” - exhale. At the same time, try to breathe with your stomach, at the same time imagining how the air fills the lungs, penetrates into each structural part of them.
  10. Do not let your disturbing thoughts take hold of you. Focus on breathing. You can look out the window, counting items on the street that have a certain color (for example, red cars).
  11. Be sure that everything is good and it will end soon - on the surface of the subconscious mind there should be a thought that the panic attack itself is not lethal and not dangerous, that the human body is smart and strong, it is designed for emergency situations, and even if it happened to him, he must endure and recover.

There is also a recommendation from traditional Chinese medicine that applies to people who have a mind overshadowed by the fear of developing a stroke. In this case, the house should have syringes with sterile needles. With the development of panic, Chinese healers advise you to make a puncture of the skin (so that blood comes out) of each of the fingers on both hands. Thus, they say, you can save a life with a stroke.

We strongly recommend also to make sure that this is a panic attack, being examined by doctors after the crisis has passed.

Diagnosis of panic attacks

Looking at a person during a panic attack, even an experienced doctor cannot immediately tell if there is a panic here, or he sees a prodrome of some serious illness. To say this, it is necessary to examine the skin, determine various reflexes, remove the electrocardiogram, feel the stomach for internal bleeding, listen to the lungs and heart, measure the pulse and the level of oxygen in the blood (oxygen saturation). Only when receiving normal results of the survey can we assume that it is a panic attack.

A similar diagnosis, even after the attack has passed, and the health has fully recovered, is made after the exclusion of such diseases as:

  • heart rhythm disturbance: sometimes it is not enough to fix 1 ECG film, you may need a 1-2-day wearing device that registers heart rhythm,
  • myocardial ischemia: an ECG is needed, shot not only at rest, but also during physical exertion (on a special exercise bike or treadmill), and also an ultrasound of the heart,
  • stroke: to exclude this diagnosis, perform computer or magnetic resonance imaging,
  • brain tumor: examination is similar to the previous one,
  • bronchial asthma: for this you need to conduct special respiratory tests and perform skin allergy tests,
  • internal bleeding: it is easy to detect using ultrasound of the abdominal cavity and small pelvis,
  • mental illness: they are put on the basis of an examination by a psychiatrist.

The diagnosis of “panic attack” is made if these diseases are excluded, and there are at least 1 of the following symptoms:

  1. the attack peaks within 10 minutes
  2. accompanied by emotions from deep fear to discomfort,
  3. There are 4 or more symptoms:
    • heart palpitations
    • "lump in the throat,
    • rapid breathing
    • suffocation,
    • dry mouth (without dehydration),
    • dizziness,
    • abdominal discomfort,
    • feeling of unreality of own body,
    • fear of death,
    • fainting,
    • tides of cold / heat
    • fear of going crazy
    • "formication,
    • chills,
    • numbness of the body
    • chest pain
    • sweating

The diagnosis is established in the case of atypical attacks, if there are symptoms such as temporary disturbance of gait, movement, hearing, vision, cramps in the limbs.

If this condition has developed 1 time, it is not considered a sign of the disease.

Panic attacks: causes, symptoms and treatment of this disorder

Panic attacks: causes, symptoms and treatment of this disorder

Panic attacks (vegetative or sympathoadrenal crisis, vegetative dystonia with crisis, cardioneurosis) is a psychopathological condition that occurs without visible (objective) causes, characterized by a sharp onset of a strong feeling of anxiety, panic and accompanied by somatic and psychological manifestations.

According to researchers, approximately 3-5% of the entire population of the globe are subject to panic attacks, and they develop mainly in people under 30 years of age without severe mental and somatic disorders.

Panic attacks can occur sporadically (from several times a day to once a year), as a manifestation of panic disorder or to be a manifestation of strong emotional stress, physical illness, other disorders and manifest 1-2 times in a person’s entire life.

Until now, consensus among scientists and doctors about why there are and what panic attacks are - no. Official medicine refers them to the group of neuroses or anxious-phobic states, which manifest themselves not only neurological, but also somatic symptoms.

Panic attack is the strongest emotional reaction of the body, the patient is literally overwhelmed with a sense of fear, anxiety, panic, he may experience shortness of breath, tachycardia, weakness and other symptoms of somatic diseases.

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In this state, a person can harm himself and others, he does not control his behavior, randomly rushes about, tries to escape, hide, does not realize real dangers, for example, rushes to the roadway and often becomes the cause of panic.

It is important to understand that panic attacks are a psychopathological disorder during which the patient cannot control himself.

Those who have experienced this state at least once are very afraid of repeating an attack, and people who have them regularly, often lead a low-active lifestyle, limit their social circle, trying to reduce the risk of an attack.

Lack of treatment can lead to a worsening of the situation and the development of a more severe mental disorder, so it is very important to start both drug and psychotherapeutic therapy in a timely manner. Qualified help of doctors in 90% of cases helps patients completely get rid of attacks or learn to control their behavior during attacks.

What are panic attacks:

  1. Spontaneous - arise for no apparent reason, suddenly, the patient cannot warn or understand what they are caused by. They are considered the most dangerous type of attack.
  2. Situational - their occurrence is caused by a certain stressful situation or its expectation. Usually, patients know what causes can cause an attack and try to avoid them or take preventive measures in advance.
  3. Conditionally situational - panic attacks provoke some kind of change in the patient's body. This may be a somatic illness, taking alcohol or drugs, hormonal changes in the body.

The exact causes of the development of panic attacks, as well as other mental disorders, have not yet been established. Most researchers believe that pathology occurs when a certain predisposition of the nervous system and exposure to risk factors.

The reasons for the development of attacks include:

Symptoms and manifestations of a panic attack are explained by changes in the body:

  • increased release of stress hormones into the blood vessels,
  • narrowing of the blood vessels
  • acceleration of heartbeat,
  • increased breathing
  • reducing the concentration of carbon dioxide in the blood,
  • accumulation of lactic acid in the muscles.

A sharp release of stress hormones causes increased heartbeat, shortness of breath, a feeling of lack of air, which even more frightens the patient and provokes a repeated release of adrenaline and other catechroamines, which, in turn, cause a repetition of reactions. This leads to the emergence of a vicious circle of the mechanism for the development of panic attacks and weights the general condition of the patient.

Panic attacks are manifested by the following symptoms:

Most people suffering from panic attacks are not so much interested in the causes and mechanisms of their occurrence, but in ways to prevent attacks and methods to combat their occurrence. Let's find out how to deal with panic attacks? There are several methods of treatment and several simple methods that help to cope with the pathological condition.

Treatment must necessarily be carried out by a specialist - a psychiatrist or psychotherapist, since panic disorder is one of the types of psychopathology requiring mandatory medical intervention.

Recommended for admission:

Only medical treatment to completely get rid of panic attacks, of course, is not enough. Drugs help to "remove" the symptoms of the disease, reduce the somatic manifestations of the disease, but do not affect the cause of the occurrence of such a disorder.

Psychotherapy, in combination with taking medication, allows to achieve pronounced results in the treatment of panic disorder. It is important to begin treatment at the first signs of the disease and not to stop it for several months.

The use of all the above methods requires a fairly long individual patient work with a doctor. If the patient does not have the time or desire for regular long-term treatment, use group psychotherapy, breathing exercises or other sedative practices.

All patients with panic attacks must be taught ways to cope with panic attacks on their own, this is necessary to prevent the development of panic attacks and preserve the health and life of the patient.

There are many techniques to help cope with a panic attack. Their main principle is to learn to control their state, “switch” or divert consciousness to something else. More complex techniques help control heartbeat, respiration, and other somatic reactions, but for their mastery, most often, specialist help is needed.

Independently, to cope with the attack, you can apply the following techniques:

  • breath control - slow breaths and exhalations, no more than 4-5 times per minute, deep breaths and slow (at the expense of 5-10) exhalation,
  • cold water - during a panic attack, you can drink a glass of cold water, wash yourself with cold water or take a contrast shower,
  • muscle relaxation through tension - alternating strong tension of different muscle groups helps to regain control over the body and thoughts, for which you can begin to perform any physical exercise or simply alternately strain the muscles of the arms and legs,
  • ways of distracting attention - it can be a mental account, the repetition of any poems, songs, and so on, with strong panic attacks - pinches, injections with a sharp object, and so on.

During pregnancy, the woman's body is particularly vulnerable to any disease. Women suffering from or suffering from panic attacks in the past often fear pregnancy, not knowing how their condition will affect the health of the future baby. Numerous studies prove that such attacks do not affect the conception process and are not an obstacle to pregnancy. Women suffering from such a disease have about the same chances of conceiving and bearing a healthy child as those who have not encountered such problems.

It is important to understand, but not exaggerate the danger of your condition during pregnancy and take the necessary measures in advance: minimize the impact of risk factors, start treatment before or immediately during pregnancy, learn to control your condition and always be able to immediately receive the necessary medical care.

Because of the vegetative symptoms that occur during attacks and the strong fear experienced by the patients, most of them consider this disease to be very dangerous. But, in fact, the risk of dying during a panic attack is about the same as for any other neurological disease, and with the right treatment, it is almost zero. It is important for any patient to know all the peculiarities of his condition and to be able to help himself in any conditions, even if a panic attack occurred at night or when there is no one near the patient.

The author of the article: psychiatrist Shaimerdenova Dana Serikovna

A source:
Panic attacks: causes, symptoms and treatment of this disorder
What is panic attacks and why they arise. Causes and symptoms of cardioneurosis. Ways to combat this condition. Psychotherapy and drug treatment.
http://depressio.ru/nevrozy/110-panicheskie-ataki.html

Why do panic attacks occur during menstruation and how to get rid of them?

Why do panic attacks occur during menstruation and how to get rid of them?

During premenstrual syndrome, there is sometimes such a common phenomenon as panic attacks. This symptom is a complex of symptoms characterized by an obsessive fear of the development of a condition. There are panic attacks: it becomes anxious for his own life, a headache occurs, sometimes the behavior becomes inadequate, etc. Often the disease is masked by other ailments - vegetative-vascular dystonia, neurosis, etc. Manifest panic attacks during menstruation, most often on the eve of them. Why do such conditions develop and how to deal with them?

Read in this article.

Subjects to the development of this condition are more women than men. This is associated with increased emotionality and susceptibility of the fair sex to stress, influence, excessive impressionability.

Almost every person is familiar with the manifestations of panic attacks. So, at least once in life it has happened to fall into unusually stressful or dangerous situations, when “the hands are trembling and you just want to run away from the cause”. At this moment, the signals entering the central nervous system - the brain, start up the work of the sympatho-adrenal system. As a result, a huge amount of stress hormones are secreted into the blood. First of all, it is adrenaline, norepinephrine and others. As a result, the pupils dilate, blood pressure rises, a tremor appears, sometimes convulsions, the person does not know what to do, and at that moment he may commit unexplained actions that he would not have done in his normal state. In this situation, it may be everyone.

Panic attacks differ from similar states in that they occur on a “level ground”, i.e. for no apparent reason. Often they border on the state of affect or usual irritability.

There are several types of pathology:

The first arises suddenly against the background of complete well-being. Suddenly, a woman has a feeling of anxiety and fear, heartache, increased pressure, etc.

Situational panic attack manifests itself when a person, once having experienced severe stress in a situation, begins to fear repetition with even a slight coincidence of conditions. For example, after a car accident, many can not very long time behind the wheel of a car.

A conditional situation occurs while taking any stimulants of the nervous system - alcohol, caffeine, narcotic drugs, etc. In women, panic attacks during menstruation are mostly due to hormonal changes.

Often, such behavioral disorders occur on the background of somatic pathology, for example, in diseases of the cardiovascular, endocrine system, in the presence of malignant tumors, after myocardial infarction, in developmental malformations, angina, etc.

Almost everyone is familiar with the situation when a woman, still young and active, suddenly begins to feel bad in some situation, unmotivated pains behind the sternum and in the heart appear, pressure drops or rises, there is a feeling of lack of air. Suddenly, someone from the crowd brings carvalol or something like a couple drops, but they also do not help. Gradually, the attack passes on its own. It usually lasts no more than a few minutes, at least 20-30. In severe situations, attacks can occur several times a day. This is in most cases a panic attack. On its own, it does not lead to any other, more serious pathologies, but constant attacks can make the life of a practically healthy woman unbearable. Often formed the syndrome of waiting for a panic attack.

Attacks can occur in women of all ages. It is noticed that panic attacks before menstruation are more pronounced and occur more often. For a long time, with this pathology, the representatives of the fair sex "uphill" the thresholds of doctors, perform many different studies, sometimes even go through diagnostic surgery, but all is unsuccessful. The test results are within the age norm, no serious pathologies are detected, and the prescribed treatment practically does not help. A woman becomes desperate until she turns to a psychologist, psychiatrist, or other specialist who is familiar with similar clinical cases.

In the event of anxiety, suspiciousness, irritability, especially if they begin to disrupt normal functioning, you should not be shy and afraid, but go directly to a specialist. Panic attacks are not a mental illness, but a disruption of the nervous system in people with a “subtle” psyche.

We recommend reading an article on PMS symptoms. From it you will learn about the causes of premenstrual syndrome, physiological manifestations of the condition and emotional signs, as well as possible pregnancy.

In any case, you can also try to cope with the illness yourself. For this there are various practices and techniques, including meditation.

It is recommended in a calm situation in a convenient location to remember all your existing fears. It is advisable to write them on a piece of paper and next to determine what is the likelihood that this may happen again. If the percentage is high, then you just need to play it safe and take measures to protect it.

In the case when a panic attack on the eyes begins to occur with a close or familiar person, you should keep calm mood. Self-confidence will help ensure that everything is resolved, there is nothing terrible and dangerous. It is advisable to take a panic at the moment of an attack or embrace, in a calm, even voice, talk to him on a pleasant and relaxing topic.

Psychologists recommend that women who are prone to panic attacks constantly wear a rubber bracelet. Today it is not difficult to find such an accessory that will only complement the wardrobe of even the most sophisticated fashionista. As soon as the girl realizes that she is starting to “storm,” you should tighten the gum of the bracelet so that it hits the skin of the wrist. The click that she hears at this moment will be like a signal to switch to real reality. This technique helps to concentrate on what is happening, and not on some unpleasant situation from the past.

At the first sign of a panic attack, you need to “pull yourself together” and try to concentrate on something else — passing a passing vehicle, start counting in the reverse order, repeat a poem, talk to someone on an abstract topic. As soon as the brain is redirected, a panic attack will pass.

In most cases, it is difficult for a woman to breathe during the onset of an attack. If you learn to cope with this, then the panic will be easy to win. It is important to master the technique of smooth calm breathing.

Many women cope with not very frequent attacks helps regular consumption of sedatives at night. As a rule, this is some kind of tea. Popular drinks based on decoction of chamomile or old-bloom. A cup of hot tea in a calm and cozy atmosphere will bring a sense of calm and security.

It has long been observed that a person reacts to sounds in different ways. It is used in medicine - music therapy. The generally accepted relaxing melodies are the sounds of nature: the sound of rain, sea, forest or birds singing. Also positively for women subject to panic attacks, influenced by the music of Vivaldi and Beethoven. Psychologists recommend listening to pleasant notes at least twice a day, with a mandatory evening session.

Panic attacks are a fairly common pathology. The high exposure of women to this ailment is due to many factors: social workload, impressionability, exposure to influence. It is known that panic attacks occur most frequently during menstruation, the reasons for this being explained by the variable hormonal background these days. Self-study of various relaxing techniques, music therapy and some other ways will help to learn how to cope with such situations. But for reliability it is better to seek help from a specialist.

Who is most at risk of becoming a victim of panic during menstruation?

  1. Labile or sensitive ladies, or having an accentuation of character on the hysterical-demonstrative type.
  2. Women who have ever been diagnosed with manic-depressive psychosis, recurrent depression, generalized anxiety disorder, and other types of neuroses (psychoses).
  3. Young and mothers of many children.
  4. Persons of pre-menopausal age.
  5. Business women, entrepreneurs, representatives of power structures, teachers and teachers of higher education and other responsible workaholics (that is, all those whose life is full of tense situations).
  6. Those who for various reasons do not pay enough attention to health: do not play sports, walk a little, limit themselves to the use of vitamins and foods rich in calcium, potassium, zinc, phosphorus, iron and other substances beneficial to the female body.
  7. Carriers of bad habits: smokers, ladies who are not indifferent to alcohol, lovers of black strong coffee in large quantities.
  8. Women who have or have various gynecological diseases, or those whose relatives suffered from similar diseases (they always suspect that they have exacerbated ailment or the manifestation of these disorders - and will definitely “find”).
  9. Early, but very young girls (11-13 years old), who, due to their childhood, have not yet brought in reliable form (not from the Internet or domestic girlfriends) information about their periods.
  10. Women, in reality, who do not love themselves and (or) reject the feminine in themselves (that is, those for whom the period is a curse, not a gift from God).
  11. All other women - at least once or twice in life.

How to help a woman with panic attacks during menstruation?

The help of a psychotherapist is absolutely indispensable in this case. Компетентный специалист не только сумеет обнаружить связь между паникой и месячными, но и выяснит, почему эта связь присутствует. Он также подскажет ряд методов самостоятельного купирования и преодоления панических приступов.In order to jump out of the wheel of panic, you need to feel good about your body, understand its needs and be aware of the causes of discomfort. As a treatment for panic attacks during menstruation, existentially-humanistic therapy is perfect. With it, you can combine relaxation techniques and methods of self-regulation, applying them at home - every day, for prophylaxis, as well as in those places where an attack occurs.

If you need to work on your condition in the group (this may be necessary if the attacks have already become protracted and chronic), gestalt-therapy and body-oriented therapy will provide effective assistance.

Appealing to a psychotherapist for such a delicate reason is not easy for everyone. It is important to remember that mental health is worth the cost, both temporal and moral, and take care of it so that the panic attacks disappear forever from your life.

Symptoms of a panic attack

They arise because of hormonal changes. Stress leads to development in the body adrenaline and cortisol. Their increase provokes specific symptoms. As a result of vasoconstriction dyspnea and palpitations. On this basis, the anxiety of a woman increases.

The following symptoms appear:

  • numbness of the limbs
  • dizziness,
  • pressure increase
  • chills,
  • increased heart rate
  • increased sweating
  • headache,
  • suffocation.

When panic attacks women behave differently. In some cases, there is full constraint of action. The reverse situation may also develop - a woman becomes overly emotional, seeks to focus on his phobia. The intensity of the symptoms depends on the strength of hormonal surges.

Causes of pathology

In a woman of reproductive age, estrogens reach their peak in the first phase of the cycle. They contribute to the maturation of the egg. In the luteal phase, the body directs forces to preserve a possible pregnancy. During this period, progesterone is dominant. Reduced estrogen leads to increased emotional sensitivity.

During menopause, their number decreases due to natural causes. The ovaries, pituitary, and adrenal glands gradually stop producing hormones. This causes emotional outbursts. Factors that increase the likelihood of panic attacks include:

  • drinking alcohol and smoking,
  • lack of sleep
  • plenty of stressful situations
  • restraining emotions
  • physical abuse.

With monthly

During critical days somatic, vascular and psychoemotional diseases are exacerbated. The characteristic symptoms of this period are irritability and deterioration of well-being. Often, women are observed digestive problems, blood pressure rises and dizzy. All this in aggregate provokes nervous tension. Panic attacks worsen physical health, aggravating symptoms. As a rule, after the end of the monthly emotional state returns to normal.

With menopause

In menopause, every sixth woman suffers from nervous disorders. The physiological processes occurring in the body are aggravated. fear of old age and death. With the development of menopause, a woman painfully tolerates the appearance of wrinkles, deterioration of metabolism and other signs of aging. She begins to focus on even the most minor health problems, which leads to obsession. The characteristic features of the restructuring of the body include the following symptoms:

  • dry mouth
  • tides
  • feeling of a lump in the throat,
  • blurry perception of reality,
  • causeless shivering or chills.

Panic attacks are treated according to the intensity of the symptoms. When menopause occurs, practice hormonal drugs. Also prescribed psychotropic drugsaimed at eliminating symptoms. To normalize the emotional state also apply homeopathic remedies. The most effective phytohormones include Estrovel, Klimatsiklin, Menoforse and "Chi-Klim".

To cope with the manifestations of the premenstrual period help herbal complexes with a calming effect. Doctors also advise adjust power mode and do moderate exercise or yoga. If a woman does not plan a pregnancy, she is prescribed taking oral contraceptives to bring hormones back to normal and reduce the symptoms of the premenstrual period.

Conclusion

Panic attacks require mandatory treatment. Appearing once, they continue to remind of themselves from time to time. Adrenaline rush can lead to unforeseen consequences. These include emotional breakdowns on loved ones, fainting, the development of hypertension, etc. With the right approach, the symptoms of nervous disorders disappear within a few months.

What are panic attacks

On the eve of the onset of menstruation, a woman may experience a great deal of emotional stress. It is accompanied by mood swings, irritability, tearfulness, distraction, increased hunger and headache. For some of these inconveniences, anxiety is added.

A panic attack is when a person is overcome by inexplicable feelings of panic and fear that something terrible might happen. Covers anxiety and anxiety. Being in the grip of such negative emotions seems endless.

Since such feelings overtake normal women, it also adds fear for your sanity. And such experiences are pertinent, because the clouding of the mind does occur. The reality seems vague.

The woman's heart rate increases, sweat comes out, the skin turns pale, pressure rises, chills are felt. Accompanied by panic attacks during menstruation may be intestinal upset, nausea and shortness of breath.

Girls, being in such a state, sometimes faint.

There are such symptoms in the form of attacks. Feelings of hopeless anxiety visit the patient in spurts. This may occur several times a day, and may appear 1-2 times before starting.

menses.

If a female representative encounters such feelings for the first time, it is scary. She may regard such a condition as a new disease. Because of this, panic fear turns into an obsessive thought about a terrible disease. A girl can draw pictures of herself in her mind and suggest her own diseases. At the same time, she can start visiting in turn all the doctors.

How to deal with panic attacks

The fight against panic attacks is better to start with simple tools. It may be medicinal herbs. Perfectly soothe teas from mint, motherwort, chamomile, oregano, valerian. There are drugs that have a pronounced sedative effect and are available without a doctor's prescription. These include: Persen, Afobazol, Normoksan.

May require more intensive treatment. The doctor may prescribe tranquilizers, antidepressants, antipsychotics. If drug therapy is correctly chosen by a specialist, then the patient's condition usually improves markedly.

While taking the medication is important to comply with the dosage. Otherwise, such treatment can only aggravate the problem. It is strictly forbidden to take alcohol and drugs. The course of treatment should be under strict medical supervision.

What doctors to contact

Establishing the correct diagnosis, 50% free from health problems. Such a statement often justifies itself. In order to fight a panic attack, you need to eliminate other diseases. Similar symptoms may occur if the woman has

There are diseases such as bronchial asthma, hypertension, cardiomyopathy, and thyroid disease. It is necessary to pass a full examination. To confirm such a mysterious phenomenon as panic attacks during menstruation, it would be good to consult with several specialists: a therapist, a gynecologist, a psychotherapist and a neurologist.

The therapist, the doctor to whom it is customary to apply first. After a conversation with the patient and a general examination, he makes a preliminary diagnosis and builds up a plan for further actions. The therapist prescribes urine and blood tests. Then sends to doctors of a highly specialized profile.

The gynecologist finds out what condition the hormones are in and can appoint to be tested for certain hormones. The doctor observes how the woman’s menstrual cycle proceeds and what difficulties the patient faces during her period. This can include panic attacks.

A neurologist deals with diseases that are associated with the nervous system, central and peripheral. He may order an examination of the brain (electroencephalography). Often, neurological diseases are associated with mental illnesses. Therefore, a neurologist and a psychotherapist consult each other.

It is the responsibility of the psychotherapist to consult a patient and establish a diagnosis. He is engaged in the treatment of panic attacks of light and medium gravity. When prescribing medication, the doctor prescribes antidepressants and sedative medications. If a specialist sees that the disease becomes more severe, it gives direction to a psychiatrist.

Self-treatment can lead to disastrous consequences. Psychological illnesses themselves do not go away.

Therefore, the help of a professional is needed.

Some drugs that experts can prescribe:

  • Phenibut. Tranquilizer moderate action. Increases the performance of the brain and concentration, improves memory and blood circulation in the central nervous system. Helps in the fight against anxiety, anxiety, fear, and normalizes sleep.
  • Anaprilin. The drug lowers blood pressure and restores the heart rhythm. It is used for the prevention of migraine. For the treatment of panic attacks is used in combination with other medications. It is a good sedative for intense agitation.

Anxiety disorder in women - how to cope with hormonal storms?

As you know, women are more prone to anxiety disorders than men, due to the greater lability of the nervous system.

For many, anxiety before menstruation is common. Sex hormones have a profound effect on a woman’s psyche, and natural mood swings during a cycle are the norm. Elevated mood in the first phase of the cycle, reaching a peak in ovulation, is replaced by a decrease in the emotional background before menstruation.

One thing is a slight mood swings, and another is when the ICP turns into a little “hell”. In this case, the situation requires the intervention of a doctor.

If at the end of the cycle low mood and anxiety are due to physiological decrease in the number of sex hormones, alternating with the growth from the beginning of a new cycle, then during menopause a decrease in the level of female hormones is persistent. And anxiety in women during menopause, respectively, is also persistent and can significantly reduce the quality of life in this already difficult period.

Why do some women have periods of hormonal decline smoothly, while others have an anxiety disorder?

There are several reasons for the development of anxiety:

  • violation of hormonal levels with its sharp fluctuations,
  • emotional imbalance
  • overwork, stressful situations,
  • expectation of pregnancy, fear of infertility,
  • for women of climacteric age - the fear of old age, the fear of losing attractiveness and femininity.

How can a woman get rid of anxiety disorder?

Anxiety in menopause and before menstruation darkens the life of a woman. Many are embarrassed to consult a doctor and are going through the crisis alone, trying to silence anxiety with soothing ones. No need to try to cope with the problem yourself, you need to seek help from a doctor.

If the gynecologist-endocrinologist has to control the question of hormonal interruptions, then the psychotherapist will help improve the mental state and overcome the anxiety.

Having identified with the doctor the root cause of anxiety disorder and having worked it, you will forever get rid of this problem and will feel calm and confident, whatever hormonal storms disturb your body.

Our Center employs doctors specializing in helping women suffering from anxiety disorder. A delicate approach, identifying the cause of anxiety, psychotherapy in combination with rehabilitation procedures and relaxation sessions help a woman to get rid of anxiety without taking sedatives, to gain self-confidence and live a harmonious life.

Subjects to the development of this condition are more women than men. This is associated with increased emotionality and susceptibility of the fair sex to stress, influence, excessive impressionability.

The first arises suddenly against the background of complete well-being. Suddenly, a woman has a feeling of anxiety and fear, heartache, increased pressure, etc.

Often, such behavioral disorders occur on the background of somatic pathology, for example, in diseases of the cardiovascular, endocrine system, in the presence of malignant tumors, after myocardial infarction, in developmental malformations, angina, etc.

Who to contact to solve the problem

Attacks can occur in women of all ages. It is noticed that panic attacks before menstruation are more pronounced and occur more often. For a long time, with this pathology, the representatives of the fair sex "uphill" the thresholds of doctors, perform many different studies, sometimes even go through diagnostic surgery, but all is unsuccessful. The test results are within the age norm, no serious pathologies are detected, and the prescribed treatment practically does not help. A woman becomes desperate until she turns to a psychologist, psychiatrist, or other specialist who is familiar with similar clinical cases.

We recommend reading an article on PMS symptoms. From it you will learn about the causes of premenstrual syndrome, physiological manifestations of the condition and emotional signs, as well as possible pregnancy.

In the case when a panic attack on the eyes begins to occur with a close or familiar person, you should keep calm mood. Self-confidence will help ensure that everything is resolved, there is nothing terrible and dangerous. It is advisable to take a panic at the moment of an attack or embrace, in a calm, even voice, talk to him on a pleasant and relaxing topic.

In most cases, it is difficult for a woman to breathe during the onset of an attack. If you learn to cope with this, then the panic will be easy to win. It is important to master the technique of smooth calm breathing.

Know the "enemy" in the face

It is recommended in a calm situation in a convenient location to remember all your existing fears. It is advisable to write them on a piece of paper and next to determine what is the likelihood that this may happen again. If the percentage is high, then you just need to play it safe and take measures to protect it.

Psychologists recommend that women who are prone to panic attacks constantly wear a rubber bracelet. Today it is not difficult to find such an accessory that will only complement the wardrobe of even the most sophisticated fashionista. As soon as the girl realizes that she is starting to “storm,” you should tighten the gum of the bracelet so that it hits the skin of the wrist. The click that she hears at this moment will be like a signal to switch to real reality. This technique helps to concentrate on what is happening, and not on some unpleasant situation from the past.

Switching technique

At the first sign of a panic attack, you need to “pull yourself together” and try to concentrate on something else — passing a passing vehicle, start counting in the reverse order, repeat a poem, talk to someone on an abstract topic. As soon as the brain is redirected, a panic attack will pass.

Relaxing tea

Many women cope with not very frequent attacks helps regular consumption of sedatives at night. As a rule, this is some kind of tea. Popular drinks based on decoction of chamomile or old-bloom. A cup of hot tea in a calm and cozy atmosphere will bring a sense of calm and security.

It has long been observed that a person reacts to sounds in different ways. It is used in medicine - music therapy. The generally accepted relaxing melodies are the sounds of nature: the sound of rain, sea, forest or birds singing. Also positively for women subject to panic attacks, influenced by the music of Vivaldi and Beethoven. Psychologists recommend listening to pleasant notes at least twice a day, with a mandatory evening session.

Panic attacks are a fairly common pathology. The high exposure of women to this ailment is due to many factors: social workload, impressionability, exposure to influence. It is known that panic attacks occur most frequently during menstruation, the reasons for this being explained by the variable hormonal background these days.Self-study of various relaxing techniques, music therapy and some other ways will help to learn how to cope with such situations. But for reliability it is better to seek help from a specialist.

During premenstrual syndrome, there is sometimes such a common phenomenon as panic attacks. This symptom is a complex of symptoms characterized by an obsessive fear of the development of a condition. There are panic attacks: it becomes anxious for his own life, a headache occurs, sometimes the behavior becomes inadequate, etc. Often the disease is masked by other ailments - vegetative-vascular dystonia, neurosis, etc. Manifest panic attacks during menstruation, most often on the eve of them. Why do such conditions develop and how to deal with them?

Read in this article.

General information

If suddenly you find yourself eagerly wanting a sandwich with butter, or burst into tears of emotion at the sight of a small child, or you painfully wanted to buy a pair of earrings that you are unlikely to wear, stop for a while and ask yourself if you will soon start . If soon, then your unusual behavior may be caused by premenstrual syndrome or premenstrual tension syndrome (PMS). This is a specific condition that precedes menstruation and is more or less characteristic of most women. When PMS comes, try to just calm down and control your actions. When your period starts, you will return to your normal state.

Premenstrual tension syndrome is associated with regular fluctuations in the level of hormones in the blood.

Previously, premenstrual syndrome was considered as a psychological disease, while researchers did not prove that this condition has an organic nature, due to changes in the level of hormones in the body.

For example, a decrease in estrogen and progesterone levels may:

- to increase the production of aldosterone, which causes a lot of changes in the body,
- to increase the level of monoamine oxidase (a substance released in the brain tissue and that can cause depression),
- reduce the level of serotonin (a substance released in the brain tissue and affecting the level of activity and mood).

Some women have PMS calmly, others are very violent, but the time of symptoms is always predictable. This is what makes it possible to distinguish premenstrual tension syndrome from other diseases. Changes in the emotional and physical state appear 7-10 days before the menstruation, and take place almost immediately after the beginning of the menstrual period. These terms can be established if you keep a diary of menstruation for several months, noting all the symptoms and the dates of the beginning and end of the menstrual period.
If symptoms persist throughout the entire menstrual cycle, PMS may not be the cause. In this case, you should consult a psychiatrist.

Causes of premenstrual syndrome

The appearance of premenstrual tension syndrome in some women and the lack of it in others is primarily due to fluctuations in hormonal levels during the menstrual cycle and individual reactions to them of the whole organism. Recently, however, scientists have begun to investigate other possible causes of this condition (there is no definitive evidence yet):

- monthly cyclical fluctuations in the amount of certain substances (neurotransmitters) in the brain, which include endorphins that affect mood,
- Inadequate nutrition: such symptoms of premenstrual syndrome as mood swings, fluid retention, breast sensitivity, fatigue are associated with vitamin B6 deficiency, while headaches, dizziness, heart palpitations and cravings for chocolate are caused by magnesium deficiency,
- hereditary factor. It is proved that identical twins are much more likely to suffer from PMS together than fraternal. Perhaps there is a genetic predisposition to PMS.

Symptoms of premenstrual syndrome

- increased sensitivity or even breast tenderness,
- breast augmentation,
- fluid retention in the body, leading to swelling of the legs and arms and to an increase in weight of about 2 kg,
- headaches, especially migraines,
- nausea, vomiting and dizziness,
- pain in the muscles and joints and specific back pain,
- in some cases constipation, diarrhea,
- strong thirst and frequent urination,
- craving for food, especially salty or sweet, intolerance to alcohol,
- lethargy, fatigue or vice versa, energy,
- heart palpitations and flushing to the face,
- increase the number of acne.

- frequent mood changes,
- depression, spleen, feeling of depression,
- constant tension and irritability,
- insomnia or prolonged sleep,
- absent-mindedness and forgetfulness.
Some women may experience more severe symptoms:
- panic
- thoughts of suicide
- aggressiveness, propensity to violence.

What can you do

- do physical exercises. Studies have shown that regular exercise reduces the onset of PMS symptoms, perhaps? This is due to the release of endorphins or other substances in the brain, which relieve stress and increase mood.

- sleep 8-9 hours a day. Lack of sleep aggravates anxiety and other negative emotions, increases irritability. If you suffer from insomnia, find a way to fight it. Deep breathing and other simple ways to relax before bedtime are in many cases very effective. Take a hot bath before bed and drink a glass of warm milk.

- stick to a low-fat, high-fiber diet. During PMS, try to consume as little as possible products such as coffee, cheese and chocolate. The use of migraines and many other symptoms of PMS, such as anxiety, frequent mood swings and palpitations, are associated with their use.

- do not eat a lot, limit sweet, better take some fruit.

- Maintain a constant level of insulin in the blood. To do this, eat a little about 6 times a day, which is better than eating a large portion once. Try to eat right.

- nutritionists recommend daily in the form of food additives to use vitamin B6 (50-100 mg) and magnesium (250 mg). In addition, doctors prescribe an additional calcium supplement, which, together with magnesium, eliminates the symptoms of PMS and protects against osteoporosis, and iron (to fight anemia).

- Many women say that primrose oil helps them (a substance rich in important fatty acids). Check with your doctor about the dosage for you.

- stay away from crowds, do not need to go outside if there is bad weather, and consume as much vitamin C as possible (antioxidant and immune system stimulant). Women suffering from PMS get sick more often. Scientists believe that this is a consequence of weakening the immune system before the beginning of menstruation, which makes the body vulnerable to viral, bacterial and fungal infections.

What can a doctor do

Since the causes of the disease are not completely clear, the treatment of PMS focuses on alleviating its symptoms:

- In case of anxiety, insomnia and other psychological symptoms, the doctor may prescribe tranquilizers or sedatives. However, long-term use of these drugs is undesirable due to the fact that they are addictive. The newest antidepressants have been shown to be effective with PMS, but they must be taken under the supervision of a physician.

- For migraines associated with PMS, the doctor may prescribe a special therapy aimed at preventing headache attacks. For pain relief, most doctors prescribe nonsteroidal anti-inflammatory drugs, such as ibuprofen.

- for edema or other signs of fluid retention, diuretics are prescribed, which should be started 5-7 days before the onset of menstruation.

- In some cases, the doctor may prescribe progesterones and other hormones for PMS.

The main symptoms

About 2% of people around the globe can experience these symptoms.. The female population suffers from panic attacks almost 3 times more often than the male. The reason is the biological and mental characteristics of the female body. The PA, like an avalanche, covers suddenly and anywhere. Often it is crowded places: train stations, restaurants and cafes, shopping centers. But there are manifestations of the disease in an enclosed space, for example:

  • in the waiting room
  • elevator
  • public transport and so on.

With regard to the symptoms, the patient suffers from anxiety attacks, which can develop into panic fear, pass only after a certain time. At the same time, a person's heart rate rises, weakness appears, chills, sweating begins, mucous membranes dry up. Breathing is difficult, choking attacks may begin. Some patients experience discomfort in the gastrointestinal tract, nausea appears. Dizzy, lost sense of reality. There is a fear of death, loss of consciousness or control.

Being in a state of panic attack, a person often thinks that these are his last moments. There are strange thoughts spinning in my head that now there will be a swoon, and everyone will laugh, he thinks that he is going crazy, he is dying.

Panic disorders do not pose a threat to life; moreover, PAs should not be confused with loss of reason or any mental illness. They do not lead to death, but their frequent manifestations can give a signal about the development of a neurosis that changes a person’s usual life style.

A person who feels the symptoms of panic attacks, often withdraws into himself, trying to minimize visits to crowded places. He does not use public transport, refuses the elevator, tries to avoid those places where he is usually overtaken by panic. Life becomes gray and joyless, and the house - "shelter" from the problem. This kind of disorder can lead to the development of various fears and phobias, for example, there is a fear of confined space, doctors or insects.

Panic attacks during menstruation

Since women are most prone to the development of various psychological problems, they have manifestations of panic attacks before menstruation or during their periods. Why does it happen that provokes such a state?

Doctors believe that the main cause of panic attacks before menstruation are:

  • increased emotionality
  • excessive stress, to which the representatives of the fair half of humanity tend more than men,
  • individual characteristics of the psyche.

“Critical Days” is a special period in the life of every woman.. The body begins to change hormonal background. It is the "game" of hormones that often causes the appearance of premenstrual syndrome. The faithful companions of the latter are vascular, somatic and psycho-emotional disorders. Well-being may deteriorate. First of all, blood pressure “jumps”, dizziness, problems with the stomach and intestines, often a headache. A woman can dramatically change mood, she becomes aggressive, loses her performance. May occur during monthly panic attacks, depression, anxiety. Often a woman knows about all the possible consequences of PMS that she has, lives in anticipation of their manifestation. In this case, auto-suggestion plays a big role, which aggravates the state of mental and physical health.

How to get rid of this kind of problems? Win panic attacks during menstruation? Completely protect yourself from their manifestation is impossible. But a positive mental attitude often helps to successfully eliminate the ICP. It is necessary to realize that the symptoms are temporary, they tend to end. Remember that the PA, mood swings, anxiety all this will soon pass.

A woman can help herself. You should smile more often, look good, keep your emotions under control and not let depressive disorders take precedence over you. Try to look a bit philosophical at all adversities, especially if PMS gets worse. If it is not possible to cope with the problem itself, the doctor will always help, tell you what to do, how to fix the problem.

Panic attacks during menopause. Symptoms and treatment

The manifestation of panic attacks in menopause can be a signal about the beginning of menopause. The changes that a woman’s body experiences during menopause are not limited to internal organs and systems. They change the whole body completely. The symptoms of panic attacks in menopause are different, but any manifestations of this violation should be eliminated. PA, in tandem with the changed internal organs of a woman, can provoke many different problems that only hormone treatment can eliminate.

Climax is a process of physiological changes in the female reproductive organs.. It is known that female hormones can affect not only the functioning of the genital organs, but also the metabolism, the state of muscles and blood vessels, pressure and the state of the nervous system. Consequently, during this period not only menstruation is disturbed, but the mental perception of the surrounding world can change. Another of the causes of panic states is aging. A woman understands that the years go by and her body is not quite as young as she would like.

Treat such attacks should be without delay, as the symptoms of the disease are clearly expressed, strongly affect the normal mode of life of the woman. You can fix the problem with or without medication. As for drugs, they should be prescribed exclusively by a doctor. He will determine the severity of the patient's condition, prescribe the necessary drugs. The doctor can prescribe not only hormonal drugs, but also psychotropic, it all depends on the patient’s general condition. Treatment without medication includes homeopathy, the use of folk remedies, recipes. In addition, herbal preparations are widely used.

Preventing the manifestation of panic attacks is quite unspecific.. It is the proper organization of the regime of the day. Rational nutrition, healthy sleep will help avoid the bright manifestations of the disease. In addition, the morning should begin with a smile and positive, playing sports and protection from stress - an excellent preventive measure.

As for the prognosis for recovery, it is positive. But a prerequisite for favorable treatment is the timely diagnosis and elimination of the problem. Corrected hormones in time, correctly chosen soothing medications are the key to success.

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