Dear ekoostikhookah:
Substance abuse and the withdrawel of the substance being abused can mimic
panic attacks. Alcohol, marijuana, opiates, hallucinogens, cocaine, over-the-counter drugs (nasal sprays and diet tablets), caffeine and benzodiazepines can all be associated with
panic attacks.
Establishing the diagnosis of
Panic Attacks or
Panic Disorder may often be complicated, although a thorough history, physical examination and other tests can usually provide the correct diagnosis.
Panic attacks consist of periods of intense fear or discomfort in which at least some or all of the symptoms below develop suddenly and can last for 15 minutes or longer.
Symptoms include:
shortness of breath or feelings of choking
dizziness, or faintness
palpitations or accelerated heart rate
trembling or shaking
excessive perspiration
nausea or abdominal distress
numbness or tingling sensations
flushes or chills
chest pain
depersonalisation and derealisation
fear of going crazy or doing something uncontrolled
fear of
heart attack or dying.
Because these symptoms can also indicate a physical disorder doctors usually perform multiple tests to rule out physical causes before diagnosing the cause as truly from a "
panic disorder".
Because patients who suffer from
panic attacks often feel helpless, they also tend to develop
depression.
In order to determine whether your symptoms are truly
panic attacks or there is an underlying medical disorder, you need to have a full physical examination. If physical causes are eliminated as the culprit then a good psychological workup is needed to ascertain what conflicts in your life may be causing these attacks.
Panic attacks are a signal from your body or mind that something is wrong and needs correcting. Whether it be physical or mental, the use of controlled substances is only a temporary solution to a permanent problem. Only by correcting what is causing the attacks will you be able to get rid of them.
Kind Regards,
Carolyn
This too, in time, shall pass.