Panic and Anxiety Attacks - The Downward Spiral

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Approximately one third of initial panic attacks occur in public places, many while being driven or driving in a car, and approximately one third begin at home.

In most cases it is possible to identify a major source of stress shortly before the first panic attack, such as personal conflict, work stress, personal loss or grief, birth or pregnancy. Your immediate interpretation of, and reaction to that first panic attack, depends on the accompanying bodily sensations and crucially, the circumstances of the attack.

A common example is an unexpected attack which features rapid heart beats, shortness of breath, and a sense of great danger. This is commonly interpreted as the start of a heart attack, or other catastrophe, and you may find yourself being taken to the emergency unit of the nearest hospital. When the doctors conclude that your cardiac system is functioning normally, you will immediately feel relieved.

However it leaves unexplained the nature and cause of the discomfort and distress, and the absence of a satisfactory explanation is a breeding ground for further anxiety.

When a second episode occurs and the doctors again confirm the absence of any cardiac or other medical problem, some people begin to doubt their sanity. The episodes of anxiety are distressing and accompanied by intense bodily sensations that are undeniable and uncontrollable. But, so the reasoning goes, 'there is nothing medically wrong with me, yet I certainly am not imagining all this, nor making it up, and it is totally out of control. Am I going crazy?'

You may conclude that you now have a problem with uncontrollable anxiety, a problem as real and distressing as any physical problem. Regrettably, anxiety problems are less well understood, and hence less well tolerated by family, friends, and employers.

Usually after the first panic attack but certainly after subsequent attacks, you will become extremely anxious and apprehensive. Additionally, you may become restless, irritable, and preoccupied with the problem. Once you are persuaded by repeated medical reassurance that there is no danger to you, the panic may then become focused on the thought and fear of another panic attack.

So you develop a fear of fear, and start to engage in avoidance behaviour, where you will not allow yourself to be exposed to any situation you fear may provoke another attack. In many cases of panic attacks the original fear is replaced by the fear of future embarrassment of having another attack.

You must take steps to interrupt this viscous downward spiral of fear and panic. Take the first step now and visit your doctor to have the attacks properly diagnosed.

Bobby Jones (Ba Hons Psychology) has researched panic and anxiety for over 20 years. He has an in depth knowledge of what works and what doesn't. Bobby will provide you with a free report on panic and anxiety attacks, along with a review of methods available for treatment. You can access the report at http://www.panicattacksko.com

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