Step 1: Check out all physical symptoms
Physical disorders with panic-like symptoms
-Physical
disorders with paniclike symptoms
-Rapid
or irregular heart rate
-Chest
pain
-Difficulty
breathing
-Dizziness
and vertigo
-Multiple
symptoms
-Side
effects of medications
Everyone experiences the symptoms of anxiety from time to time, caused
by any number of things -- changes in our lifestyle, undue stress,
tension. These symptoms often reflect a normal response to problems
arising in our daily lives. In some cases, however, they may be
the symptoms of a psychological or physical illness. The diagnosis
of a serious medical problem is not always a simple process.
Because these symptoms are so difficult to assess, both patients and
professionals can misdiagnose significant physical or emotional
problems. Studies in recent years reveal that a number of physical
disorders coexist in patients who have a psychological disorder,
and some physical problem may cause 5 to 40 percent of psychological
illnesses. In the majority of these cases the health professional
fails to make the physical diagnosis.
Nowhere is this confusion more evident and diagnosis more difficult
than with panic attacks. If the symptoms of panic are present, there
are three possible diagnoses:
1. A physiological disorder is the sole cause of all the symptoms
associated with panic. Treatment of the physical problem removes
the symptoms.
2. A minor physical problem produces a few symptoms. The individual
then becomes introspective and oversensitive to these physical
sensations and uses them as a cue to become anxious. His heightened
awareness and unnecessary concern will produce an increase in
symptoms. If this continues, he can turn an insignificant physical
problem into a major psychological distress.
3. There is no physical basis for the symptoms. Some combination
of the following will help: education about the problem, reassurance,
psychological treatment and medication treatment.
Through a comprehensive evaluation, your physician can determine
which, if any, of these physical problems is associated with your
symptoms. In most cases, curing the physical illness or adjusting
medication will eliminate the symptoms. In some disorders, the symptoms
remain as part of a minor disturbance, and you must learn to cope
with them.
When a person suffers from anxiety attacks, one of the greatest
obstacles to recovery can be the fear that these attacks are the
indication of a major physical illness. And in some rare cases that
is true. But predominantly, when a person continually worries about
physical illness, that kind of worry intensifies or even produces
panic attacks. In other words, the less you worry, the healthier
you will become. For that reason, I strongly recommend that you
adopt the following guidelines if you are experiencing anxiety attacks:
1. Find a physician whom you trust.
2. Explain your symptoms and your worries to him or her.
3. Let your physician conduct any evaluations or examinations
necessary to determine the cause of your symptoms.
4. If your primary physician recommends that another medical
specialist evaluate your problem, be certain to follow that advice. Make
sure that your primary physician receives a report from the specialist.
5. If a physical problem is diagnosed, follow your physician's
treatment advice.
6. If your doctor finds no physical cause for your anxiety attacks,
use the methods presented in the
Panic
Attack Self-Help Program to take control of your symptoms.
If your symptoms persist, ask your physician or some other source for
a referral to a licensed mental health professional who specializes in
these disorders.
The most destructive thing you can do when faced with panic attacks
is to steadfastly believe that your symptoms mean that you have
a serious physical illness, despite continued professional reassurance
to the contrary. That is why it is essential that you work with
a physician whom you can trust until he or she reaches a diagnosis.
No matter how many consultations with other professionals you need,
allow one professional to have primary charge of your case and receive
all reports. Do not continually jump from doctor to doctor. If you
remain fearfully convinced that you have a physical ailment, even
when there is a consensus to the contrary among the professionals
who have evaluated you, then you can be certain of one thing: your
fear is directly contributing to your panic episodes. In Part II
you will learn how to control that fear and thereby take control
of your symptoms.
Many physiological disorders produce panic-like symptoms. You
will find them listed below.
|
Physiological Disorders
with Panic-like Symptoms
|
Cardiovascular
- Angina pectoris
- Myocardial infarction (recovery from)
- Arrhythmia
- Postural orthostatic hypotension
- Coronary artery disease
- Pulmonary edema
- Heart attack
- Pulmonary embolism
- Heart failure
- Stroke
- Hypertension
- Tachycardia
- Mitral valve prolapse
- Transient ischemic attack
- Mitral stenosis
Respiratory
- Asthma
- Emphysema
- Bronchitis Hypoxia
- Collagen disease Pulmonary fibrosis
Endocrine/hormonal
- Carcinoid tumor
- Pheochromocytoma
- Hyperthyroidism
- Premenstrual syndrome
- Hypoglycemia
- Pregnancy
Neurological/muscular
- Compression neuropathies
- Myasthenia gravis
- GuillainBarr syndrome
- Temporal lobe epilepsy
Aural
- Benign positional vertigo
- Meniere's disease
- Labyrinthitis
- Otitis media
- Mastoiditis
Hematic
- Anemia
- Iron deficiency anemia
- B12 anemia
- Sickle cell anemia
- Folic acid anemia
Drug related
- Alcohol use or withdrawal
- Side effects of many medications
- Illicit drug use
- Stimulant use
- Medication withdrawal
Miscellaneous
|
top |
next
home
| about me |
panic
attacks | fear of flying |
ocd |
gad
self-help store |
social anxieties-phobias |
simple
phobias | ptsd
meds |
self-help tips board | email
me | send
this page
|