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I TRY TO LOOK OK DURING A PANIC ATTCK ANY SUGGESTIONS ON WHAT I MIGHT DO TO CALM MYSELF??

By vallovesmusic Saturday, March 15, 2008

My name is Natalie and I am 22years old. I have anxiety and have had for a number of years. I would say sine I was 15 when it started. I didn't know what it was but i buried it. i stuffed it down ignoring it and pressing on. In the past 2 years it has gotten progressivly worse, to panic attacks and GAD as well as social anxiety. Interactions are tough and I always have the sense that people can see my anxiety so I tend to look away and when I do interact try to "look" ok. I try especially hard to "look" ok when I have a "panic attck". I put quotations because I have just been aware within the past 8 mo. that what I was experiencing is in fact anxiety, and I am guessing that what i experience at certain times is a panic attack. yesterday I had one, my head hurt, I had massive anxiety, worry, wanted to run away from the situation, un able to focus, blurred vision. Then on top of that I am hanging out with my boyfriend so i don't want to look like I am having one so I try really really hard to look OK. Which hurts me more. I do nothing to calm myself down, just try to look ok and ignore because it is embarrassing. I know that it is happening and inside I just really want to feel ok within instead of trying so hard to LOOk ok. Any suggestions on what to do when massive anxiety occurs to get it to subside quicker??

 

please I need legit help!

 

p.s.

 

I am taking medication (buspar) 7.5 mg in the morning and 7.5 mg at night. It has lessened the symptoms but at the same time I still have it and need tips on how to cope with this.

Kimberly Tyler, Health Guide
3/16/08 10:16pm

Dear Natalie,

 

Buspar is only one medication in the arsenal of choices to combat anxiety. Further it can take a few weeks of taking it to feel the full effect and/or you may need a higher dosage or another medication to combine with it. For many with social anxiety disorder as well generalized anxiety disorder, combining an anti-anxiety with an antidepressant can also make a big difference. I do not know how long you have been taking the Buspar and if it was prescribed by a psychiatrist or not. If not prescribed by a psychiatrist, I would encourage you to seek council from that type of doctor and tell the doctor that the medication you are taking is not enough (although it has lessened the symptoms) and/or you need a higher dosage and/or a another medication to try.

 

On a personal note, the first ant-anxiety med I was put on was Buspar as well. This med had absolutely no effect on my anxiety at all. What I mean here is that sometimes a person may need to try a few different medications before they find the one that works best.

 

That said, trying to "look" okay is exhausting. A few tips that support me... (and others on this site may have more thoughts to share as everyone responds differently to different coping skills).   

 

When it comes to your boyfriend, have you discussed this diagnosis with him? (Have you received accurate diagnosis yet?). Sharing with your significant other what is occurring for you will be a support to you and there will be less of a need for you to try to hide your symptoms. Social anxiety disorder is a real and serious illness and it affects 15 million Americans. Same goes for panic disorder (6 million) and generalized anxiety disorder (6.8 million). At this point, my close friends are fully aware of my mental health concerns, the symptoms, etc. and are extremely supportive. This felt like a risk to me to tell them (as I thought they may want to not be a friend after I told them the truth) but it actually strengthened our friendships and there are no longer huge misunderstandings if I should experience a panic attack or get triggered with the PTSD.

 

For many, cognitive-behavioral therapy can be a real help as well to help you better understand what triggers off the anxiety and apply coping skills that relate specifically to you. I am not diagnosed with social anxiety disorder (although I do experience several symptoms) but I am diagnosed with generalized anxiety disorder and through this and the PTSD I experience panic attacks. My experience with this type of therapy is I learned how to take a few moments before entering into an environment that may cause an anxious reaction. If I should begin to feel the symptoms of a panic attack coming on, I step out of the room and into somewhere private (even outside if I need to) so that I may breathe deeply, re-orient myself to the present moment, and then go back inside.

 

I realize, however, that with social anxiety disorder, this is not so simple. This is why proper medication and therapy are so important. A lot of people also share that exercise, getting a good night's sleep, eating well, having structure in your daily routine, meditation and yoga also help. There are other things like cutting down on caffeine, drinking herbal tea (chamomile, mint), and adding Omega-3's have an effect as well.

 

Rather than trying to hard to "look" okay, I now actually feel okay most of the time about my illnesses and symptoms. Just this aspect of not trying to "hide" my symptoms has brought the symptoms themselves way down.

 

Further, doing the things mentioned above has helped me to understand anxiety and learn how to practice self care; this in turn lowers my stress levels considerably.  I also needed to relieve myself of the pressure I put myself to think I needed to "take care of this" on my own through self-control.   

 

Please let us know how it goes and what you find works best for you.

 

Best,

Kimberly Tyler

Jerry Kennard, Health Pro
3/18/08 12:41pm

Hi Natalie,

 

I've just looked at Kimberely's considered response and I agree with her views. As a psychologist I have come across your situation countless times. In that time I have seen people recover rapidly and others who manage to cope better than before. In all cases, people seem to do better with some form of intervention than they do without, which is one reason I would recommend CBT.

 

You have an accute awareness of your own situation which is typical. In trying to look normal you are attempting exert some form of cognitive control over your situation which, I suspect, only serves to remind you that all is not well. 

 

Many clients impose a form of cognitive coping. They are invented by the person themselves as a way of coping with situation. For example, I knew one person who used to feel faint and vulnerable when standing or walking. She frequently worried about collapsing in public and so invented a distraction of counting from 1-10 everytime her left foot went down. She did this repeatedly and coupled the counting with what she had learned about relaxation. Every step became a trigger to calming down.

 

I only mention this because it is such a common thing to come across clients who use their own techniques. You may find that your own small techniques can help to overcome the worst moments but I think you would find the structured approach of therapy (CBT) of great benefit.

3/30/08 7:44pm

Jerry,

 

 

I am currently taking 7.5 mg of Buspar 2x per day for anxiety. I personally do not see huge changes in what it has done for me and it obviously does not cure me. So I bought from the SAI a 20 week program that I just started full of comprehensive cognitive behavioral therapy. Should I continue taking the medication while doing the program? I am worried that if I do then I get better...then I get off the meds I will be worse. Or do you think I should stop the meds now and do the program? I am worried about both oprtion what will happen and what is best for people with anxiety. Have you seen people who go through theary with meds and then when they are feeling better get off of them and they are fine?? Who should I ask? I do not have a regular doctor and I think a psyucologist would know more. SO my options are taking meds still....then getting off. Or stopping now. What do you think? I really honestly don't want to be on meds. But what have you seen that works best with the therapy??Big Grin

 

This means alot to me!! Thank you for responding!!

Jerry Kennard, Health Pro
3/31/08 7:33am

If you have been prescribed medication my advice is to stay on it. Psychological interventions frequently go together with medication so you shouldn't think of it as choosing one over the other. If you do feel you want to come off medication you really need to speak to your doctor first.

 

There is some evidence that DIY or online approaches to cognitive therapies can be effective, but I think you need to ensure that you are following an accredited program. Unfortunately psychological therapies do not enjoy the same degree of regulation as medical treatments which means there are some fairly dodgy people making great claims under the umbrella title of psychologist or psychotherapist.

 

The American Psychological Association has a  find a help center to locate a psychologist in your area. Otherwise, I've just seen you have been provided with some fantastic advice in comments made to your posting.

 

 

3/21/08 11:52pm

Hi Natalie,

 

Welcome to Health Central. There are lots of folks here who are experiencing the same thing you are and together we can all work together to support each other.


There is a lot of information online here, and while it should never take the place of the advice of your doctor, reading through the posts here can help you build a list of questions to ask your doctor, so you can best manage your care.

 

I think Kimberly's advice is really good about making sure you speak to your boyfriend about your condition. It can be an embarassing conversation, but I am sure he cares about you and will be more than willing to help you work through the anxiety issues. When you are building your support community, there is a really helpful tool here to document your care securely so that only those folks you invite can monitor your progress. There is also a good section for advocacy and support located here.  

 

You can garner much information here about the available treatments before you talk to your doctor. You can also find out alot about the medicines available here

 

Stress management is also very important because stress can be one of the main triggers for an episode. There is also an anxiety assessment here you can check out. Might find something you didn't think about before. 

 

Lastly, there are some stellar health care professionals and resident experts here online that answer questions and offer advice.

 

Dr Kleiner is a psychiatrist who offers answers to questions and advice. You can read his posts here.  

 

Kimberly Tyler is a public healthcare advocate.  You can read her posts here. She just recently posted a sharepost about Law and Order SVU having an episode about mental illness. I love SVU, lol!! You can read that article here

 

Well I hope you find something here helpful. Make sure you stay in touch and let us know how you are doing!

Take care,


Vicki M

3/30/08 7:47pm
This response was amazing!! Thank you so much for taking the time to first off care enough to point me thais information!! I just made a profile at carecentral.com. That sight is amazing. that way people that I invite can see my progress. I think that I am going to need as many tools as I can get. Personallky have you seen people recover from this? I am determined but I am having a lack of rolemodels to give me certainty that I can overcome this.
3/31/08 8:30pm

Hi Vallovesmusic,

 

I love music too!! I think that music is a healer no matter what you are ailing from.

 

I don't know whether learning to deal with the fears and issues associated with anxiety attacks is a recovery from them. I prefer to look at it in the way we look at learning to walk again when you've had a broken leg. Things were a little weird for a while, but now you are back on your feet and it's all just one step at a time. And breathing. Breathe in, breathe out, and repeat over and over.  You keep doing that, and everything else will fall in line. But if you need help, don't hesitate to reach out. Cause that is what having friends and family means. Having people who love and care about you there for you when you need them. 


We're your friends here. I hope you will stay in touch and let us know how you are doing. If you are having a great day, then tell us about it!! Let us know what is working for you. But if you are having a not so great day, make sure you tell us about that as well. Perhaps someone here has a word or two of encouragement that will help.


Take care and be well!!

Vicki M

4/ 1/08 8:11pm

Seriously thank you for writing to me. Yesterday went well, better than i expected. i was working on stopping my ants. It is extremly frustrating to admit that i have this and to deal with it. But yesterday i interupted my thought patterns about 50 times during my job. I am using the dr. richards social anxiety institude tapes...I am on week one. it helped alot. Today i didn't do it as much and I tend to sweep it under the rug or freak out with talking for a co-worker longer than 3 mins. It's like 2 different people. the Val on the outside and the val on the inside. the inside insn't healing. Do you know if this is worse if it's passed down from generation to generation? because looking back i think my grandma had this.

 

 

P.S.

 

Ahhhhhh it feels nice to vent about this. I never have told anyone in my life since 5 monthes ago. Partly due to me not knowing what was wrong with me. And partly because I thought the part that was wrong with me was soooo screwed up no one would like me.

Anonymous
joan
3/25/08 5:26pm
don't be ashamed of your panic attacks,if you had a disease it would be ok. panic is something you have to,  and it is a disease, an illness so don't let any one make you feel foolish for having them,if only they knew what it felt like,  when you are out and have one try to re focus, take deep breaths and know that you will be ok, i know how hard it is i have had them for years but if you try to breath deep and try to focus in the moment, and keep telling yourself i will be ok this will pass, keep telling yourself that, you may learn how to take them with out letting on something is wrong, it is so hard, but you should just try to relax and also counsoling may help too, yoga will teach you how to relax breath, you can do that at home with a dvd. good luck and i hope you can get rid of this awful thing.
3/31/08 8:52pm
repost for Natalie
4/12/08 2:42am

I was around 20 when I actually saw a doctor. They gave me Paxil first and Klonopin which I have been on since. The Paxil changed my life for a long time. The down side was it made me gain weight and I have always been thin even as a child, and it completely killed my sex drive which effected my relationship with my future husband and now ex husband...

 

I have had problems since and haven't got any kind of miracle answer, but I'm still trying. It will take control of your life if you let it, I do know that.

 

One of the things I began to do was change my way of thinking. I always try to think positive. Think of all of the good things in your life and not the bad. (I know that's hard sometimes.) I have went and got books on social anxiety and they have helped a little. Although I am unemployed right now and keeping a job is my biggest problem, at least I can go out in social situations and be ok. I don't know why. Maybe because I know I can leave if I really needed to? I'm really struggling with the job issue especially at 29!!! Try keeping a notebook and writing down your feelings even if you turn around and throw it away. For some reason that helped me with the things I felt that I just couldn't talk about. Also, make a list of good things about yourself. Set small goals and it won't overwhelm you to achieve them and you will feel like you've accomplished something. That also helps me. It's really important to not feel down about yourself and I know it's way easier said than done because I get there myself. I think for a long time I felt like I was weird and didn't want people to know, but it was so much easier when I actually opened up and said ok, I have this and this is how it makes me feel. It's not your fault that you feel that way and you shouldn't feel like you have to hide it. One other thing that has helped me extremely is when I feel panic I think ok, I'm not going to die from it and that's the worst thing that could happen so I'm going to be ok. I had to tell myself that about some situations that I couldn't just avoid. Right now, I am changing my diet. I am also starting to take supplements. A lot of times when you suffer from stress and anxiety there are certain things your body lacks because it uses it up. Some stuff I have found was Folic acid, Vit B6, Omega-3, and even Vit C can be good. I can tell you that by changing my eating habits and taking supplements I am starting to see an improvement. I am also going to see a new Dr. soon that deals with natural alternatives like supplements. Personally, I have experienced a lot of side effects from the drugs I've been given and I'm trying a different approach. Don't just go off your medications though even if you feel like they aren't helping. Check with someone first. I actually talked to a lady that told me her sister is bipolar (which I have also been diagnosed) and went to this Dr. and has been off meds for quite a while. That gives me hope. She says it was amazing to see the difference and if I get to that point I will tell the world, but for now I'm just going to not get my hopes up too high and see what happens. I hope some of this was helpful.  

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By vallovesmusic— Last Modified: 12/19/10, First Published: 03/15/08