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Panic disorder is grouped in a group of disorders known as anxiety disorders. The first point
I want to make is to differentiate a panic attack from a panic disorder. A panic attack
is a discrete period of anxiety that comes on out the blue that lasts for about 30 or
40 minutes and generally will resolve on its own accord. The attack is characterised by
thoughts such as the thought that one is going crazy one is going to lose their mind or that
one is going to die and accompanied by certain physical sensations palpitations ,clammy skin,
queasiness in the stomach and these together comprise a panic attack and panic disorder
is the presence of panic attacks coupled with the fear of having another panic attack and
behaviour and effort put in to try to avoid having a panic attack but because panic attacks
come on out of the blue its actually pretty much impossible for these individuals to be
able to predict and therefore control when they are going to have a panic attack. As
a result the best treatment for panic disorder is to be evaluated by a psychiatrist and started
on medication which can effectively prevent and control panic attacks and then over time
as the individual learns that the panic attacks can be prevented it will eventually lead them
to a state where their fear of having a panic attack is greatly reduced because they know
that they can be prevented and they can be prevented using medications to take on a daily
basis to help avoid having panic attacks altogether. They can also be managed with medication that
can be taken once a panic attack has started and in that way the individual gains control
over their panic attacks and over time just knowing that they have the medication with
them helps them avoid having panic attacks and they don't need to take the medication.
I have patients who have carried around the same pill of their medication for years because
just knowing that they have it is enough to help them control the disorder. If you or
someone you know has symptoms that may be panic disorder I would strongly recommend
you get evaluated by a psychiatrist because there are definitely treatments available
that can help you control these symptoms.