Doctor insights on:
Dealing With Panic Attacks Without Medication
Panic and treatment: Cognitive behavioral therapy for panic disorder typically involves education about the nature and physiology of the panic response, cognitive therapy techniques designed to modify catastrophic misinterpretations of panic symptoms and their consequences, and graduated exposure to panic-related body sensations and avoided situations. Cbt is start in the right direction opening up treatment options. ...Read moreSee 1 more doctor answer
Panic is a psychological and somatic state of anxiety usually involving extreme fear, characterized by symptoms such as shortness of breath, rapid pounding heartbeat, sometimes dizziness or light-headedness, tunnel vision, a sense of unreality, and a feeling of needing to escape from ...Read more
CBT and Therapy: I would suggest finding a skilled cognitive behavioral therapist who "specializes" in anxiety disorders. This approach would likely be time-limited, collaborative, include homework, and provide tools to combat anxiety, panic, and worry. Again, search someone who's primary foci are anxiety disorders and "cbt, " which is a gold standard, non pharmacological treatment. ...Read more
Not always: depending on the severity of the symptoms- therapy may be all you need. It is best to discuss your specific situation with a doctor. ...Read more
SSRIs: Ssris like sertraline, fluoxetine, and citalopram are preferred, but only in more severe cases such as when the attacks prevent normal activities like school attendance. Other anxiety drugs like benzodiazepines are not recommended because of their potential side effects and other issues such as withdrawal and abuse potential. Behavior therapy is the treatment choice and is generally successful. ...Read moreSee 1 more doctor answer
Panic attacks: create a fear that one may happen at any time, thus the person shrinks more and more from social interaction. The fight flight freeze response gets triggered too easily. Herbert Benson's book "The Relaxation Response" provides a helpful technique to cope w/this. A clinical psychologist can help re-train your hair trigger response. Peace and good health. ...Read moreSee 1 more doctor answer
How can I overcome my panic attacks? I don't want medication, I have read it is bad. Please help.
Panic attacks: The non-medication treatment for panic disorder has to do with a type of therapy whereby one faces their fears head-on and does not avoid situations which cause the anxiety. You need to expose yourself to the thing which makes you the most nervous, and then, do not do anything to respond after the panic attack starts. This is called desensitization or habituation. Face your fears, don't avoid. ...Read moreSee 2 more doctor answers
My anxiety is getting so bad, to the point I'm having panic attacks nearly every day. Is there medication for anxiety?
Yes, quite a few.: Your Dr can assess for mood disorder, anxiety disorder & underlying medical conditions that may be causing symptoms. Talking therapy (Cognitive Behavioral Therapy or insight oriented psychotherapy) is important for lasting change. Psychiatric meds may be indicated. Don't isolate. Spend time w people. Use your support system. Get out. Don’t stagnate at home. Get at least 8 hrs of sleep/ night & ...Read more
I have found that taking occasional anxiety medication caused panic attacks i never had before. I only took it several times a week.
Without knowing: Which medication it was - can't really provide further input. Consider clarifying and re-asking question. ...Read more
I need to go on an anxiety medication, which one do you recommend most as I have frequent panic attacks that are becoming debilitating.?
Case-by-case: I can't recommend a specific medication because i haven't seen you as a patient. So i'd suggest you see your own physician who can review your history and symptoms, examine you, and check any needed labs. Many people with panic attacks and ongoing anxiety respond well to a combination of ssri antidepressants and psychotherapy. A psychiatrist and psychotherapist can help also. ...Read moreSee 2 more doctor answers
My anxiety is getting so bad to the point I'm constantly worrying and having panic attacks nearly everyday. Is there any medication that can help?
Maybe, but: Entering adulthood with a daily psych medication seems to me a sad life sentence possibility. Before you move toward a pharma-solution please consider and try a good course of CBT psychotherapy. You can learn skills to avoid, reduce and manage anxiety and your life in general. It's a great value for a lifetime of quality living. If medication is absolutely needed, they can advise short-term use. ...Read moreSee 1 more doctor answer
No benzos and: as well no medical evidence that chasing anxiety with any psychotropic is ever effective and in fact is counter-productive eg the anxiety will worsen. Scheduled dosing is the preferred way eg once a day, twice per day, etc depending on the med. Ssri's are best med but you may want to start w/regular exercise,meditation, increased antioxidants for instance. See ur pcp for a referral to psychiatrist if necessary. ...Read moreSee 3 more doctor answers
Exposure therapy: There is a lot of validation for treatments that involve gradually increased exposure to the symptoms of panic coupled with relaxation training. Ssri meds are often prescribed for anxiety as well as for depression, but you can also learn how to manage, decrease, & sometimes completely eliminate the problem by working with a therapist who specializes in exposure-based therapy for panic. ...Read moreSee 5 more doctor answers
Yes -- psychotherapy: You can work with a psychotherapist experienced in cognitive behavioral therapy. You will learn the ways your thinking impacts your emotional states, including health concerns when having panic attack symptoms. You will also learn ways of dealing with these when they arise. First step is a complete evaluation, though, because some panic is layered on additional issues which need attending to. ...Read more
What is the best medication for me? I suffer from panic attacks where i'm sick and i also have a phobia of sick.
Must check w MD: There do exist medications that can be very helpful for longstanding anxiety conditions--so called "ssri's" for example. But every person has an individual profile of symptoms; of physiology; of side-effect likelihood. In choosing which medication to try (and whether) these all must be considered by a psychiatrist with psychopharmacological expertise. A treater/primary md can refer. ...Read more
What is the most effective form of medication for depersonalization disorder with panic attacks? Currently on SSRI to no avail.
Depersonalization Di: Depersonalization Disorder is persistent or recurrent experience of feeling detached from, and as if one is outside observer of, one's mental processes or body. During this experience reality testing remains intact. There is no specific medication for this Disorder. psychotherapy can be beneficial. Panic attacks respond well to Medications like Ativan or Xanax (alprazolam). Please see a Psychiatrist . ...Read more
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