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Can anxiety cause panic attacks?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At January 28, 2020
Reviewed AtJanuary 30, 2020

Patient's Query

Hello doctor,

I suffered from a horrible panic attack this morning which lasted over 5 hours and along with it I got painful cramps in my stomach similar to contraction pains and really bad chest pains, it felt like someone has physically squeezed my heart and I have seen my doctor about this previously although my anxiety has not been this bad before but I am not sure what to do. I have tried so many different medications and none have helped except Valium and Oxazipam but my doctor does not want to prescribe it because it is addictive and I do not know what to do because as I said my anxiety is debilitating now and I am a young mother of two I need to be able to look after them. This morning I had to get my mother over here to look after them because of how bad my anxiety was, worst part is I do not know why I had a panic attack in the first place.

Hello,

Welcome to icliniq.com.

I understand that high levels of anxiety and panic attacks can be debilitating and needs to be properly managed. Your doctor is correct in informing you that Valium and Oxazepam are not appropriate in this situation as they will make the situation worse. If anxiety is persistent, discuss with your doctor about trying SSRIs or SNRIs type of medication. You have mentioned about trying different medication before. There are different options like Fluoxetine, Sertraline, Escitalopram, etc. Based on your assessment and tolerability your doctor can prescribe appropriate medication and dosage.

Try Jacobson's progressive muscle relaxation exercise atleast once daily to help to manage stress levels. Avoid caffeinated drinks, alcohol and other drugs which can worsen panic symptoms. Finally, consider having CBT therapy/counselling which is known to be effective in managing anxiety and panic attacks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Suresh Kumar G D
Dr. Suresh Kumar G D

Pediatrics

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