Which is better in Panic Attacks, Medications or Psychotherapy
By Mark B
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Most researches promote that a 10-12 session therapy helps as much as medications against panic attacks.
This approach utilizes coaching as anxiety management techniques and usually works better than medications especially in terms or recurrence after final treatment.
Selecting a treatment is a doctors recommendation for the therapy regimen. In severe cases, therapy and medications are combined to get the best results. For infrequent attacks, one can try self-treatment but are usually not proven to work depending on ones capacity and discipline. If after a few internal self therapy sessions, one is still not panic free, then trying another method is usually beneficial.
It is known that most stringer medications give out a faster effect compared to behavioral therapies. The known disadvantages however include side effects and the return of panic attacks after the medication is terminated. In behavioral therapy, panic attacks rarely occur after full treatment and if they do, they are often less than with medication. There is also no risk of side effects. Known disadvantages include slow response to treatment in some individuals. They may also be expensive and time-consuming. Some people also are aware of the stigma attached to therapies especially in social circles.
For some people a CBT or cognitive-behavioral therapy is actually fun as they are allowed to relate with other people suffering from the same condition and are able to recognize the different patterns of a panic attack. Psychologically, the mind does its own effort to overcome a problem when it sees one from another persons point of view. This is more applicable to persons in the beginning stages of panic attack syndromes.
Therapists try very hard to develop confidence in their patience and point out where work is needed. They are also there to aid patients which is ultimately better as psychological assistance is provided. Freely talking about a problem also relieves tension and in a way helps alleviate patterns of disruptions in panic attacks.
For fast relief of panic attacks, some people prefer medications compared to therapies which promotes a longer effect in the treatment of panic attacks. Medication may be prescribed by doctors who, through the lack of other options and knowledge of non-chemical substance treatments believe that panic attacks or anxiety are chemical conditions that a magic pill can alleviate. Sometimes in desperation, and in some cases where anxiety can still be controlled, medications may aid but soon after its effects wear off, the risks of succumbing to another attach is very much anticipated. Other panic attacks brought about by agoraphobia and dependence require more than just plain medications in its treatment.
Studying the patient before prescribing the medications is very important. Knowing the occurrence of attacks, its frequency and its strengths is vital prior to medical prescription. Other psychologists and psychiatrists would require their patients to rely on therapy and use medications for a certain period of time to allow the body and the mind to treat itself after a period of normalcy provided by the meds in the intervals between attacks.
Common medications include antidepressants to treat the panic disorder which is effective and totally eliminates panic with little or no side effects. However, antidepressants are quite slow-acting and cannot be taken in large doses all at once. Sometimes, by the time the antidepressant effects are fully generated in the body, non-invasive therapy through counseling may have already taken effect and decreased panic attacks through the brains own adjustment with little therapy.
Valium group or benzodiazepines are fast-acting within the first hour of the first dose. The side-effect is it potential to promote addiction as the body gets used to the medication. Usually, continuous usage after a period of 2-3 weeks results to drug tolerance.
Some doctors would offer benzodiazepines for a few weeks while you’re trying to find an effective therapist. As soon as they are tapered off, the doctor assumes that one should be no worse when you stop than when you started. Some individuals can take medications for a few months, then stop, and remain free from panic attacks. Ideally, medications are discontinued after a specific goal is attained.
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What is Panic Attack
By Mark B
Here is another article on panic attacks self help that you may find useful
Panic attack is a period of intensive fear that is often abrupt and is often a sign of mental and emotional distress.
In some individuals they appear without apparent cause and most often the distressed individual reports loosing control of oneself. Often they are provoked or triggered by a sense of trying to escape from someone or from the place where the attack started. Although in normal cases, the individual when subjected to a stimulus often resorts to a fight syndrome as a form of protection, in panic attacks, the individual employs the flight syndrome. Often episodes of panic attack come with chest pain and shortness of breath with a tunnel vision even after seeking medical advice or attention.
Panic attack is different from other anxiety disorders because of its sudden intensity and its occurrence in individuals. Often panic attacks are psychological conditions but may not be a sign of a mental disorder. At least in normal individuals, a panic attack may occur in a year particularly in persons with anxiety and phobias. As a result of a triggering factor, they are often short-lived and will subside once the triggering factor is eliminated. In some individuals exposed to a panic attack, one attack may trigger another leading to a nervous breakdown.
Scientific studies point out to the imbalance of serotonin and norepinephrine as the culprits in the incidence of panic attacks where the neurological function is subjected to a chemical imbalance. Often genetics play a role in the disorder and has been found to run in families.
Common symptoms include trembling, palpitations, and shortness of breath, sweating, nausea, dizziness, hyperventilation and tingling sensations. Others develop a sense of being choked or smothered. In repeated and unprovoked panic attacks a sign or manifestation of a panic disorder may ensue. However panic attacks are also associated with other common anxiety disorders like in persons with phobias whose exposure to their feared object or scenario trigger an attack.
Panic attacks are potentially disabling, but it can be controlled. The various symptoms of a panic attack are often mistaken as a cardiac attack or a life-threatening medical illness. This misconception often increases the incidence of future panic attacks. People often submit to the hospital emergency rooms when they are having a panic attack, and extensive medical tests are performed to rule out other conditions, which creates further anxiety.
Treatment for panic attacks includes medications and psychotherapy. Normally the mental health practitioners assisting you in the treatment of panic disorder are psychiatrists, psychologists and social workers. To submit for a medical treatment for panic disorder however, one should visit a psychiatrist. Psychotherapy may be provided by a clinical or counseling psychologist. Medications can also be used to break any psychological connection between a specific phobia and panic attacks.
Common medications prescribed are antidepressants or anti-anxiety drugs in anticipation or during a panic attack.
Some psychologists believe that usual exposure to the phobia trigger with medical assistance can often break the phobia-panic pattern, allowing people to gradually adjust to the stressor without the help of medications. However, minor phobias that develop as a result of a panic attack can be prevented without medication through behavioral therapy or simply by assisted exposure.
Under a combination of therapy and medications, the best results are often seen. For some, a fair improvement may be noticed in a short period of less than 8 weeks. Finding the right pair of medications and mental health professional takes more effort. Appropriate treatment by an experienced professional can often prevent panic attacks or at least reduce its severity and frequency.
Other panic attacks caused by an underlying emotional problem like depression, alcoholism and drug addiction are more frequent in people with panic disorder. The underlying problem needs to be treated before the total panic disorder is completely or at least partially eliminated.
Most less severe and less recurrent attacks submitted to the emergency rooms are advised to breath in paper bags to help boost the carbon dioxide levels in the body.
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November 23rd, 2009
