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Understanding the Difference Between Anxiety and Panic Disorder

Anxiety Disorder

Panic Disorder is a form of anxiety disorder that is felt whenever a person experiences repeated, sudden, unexpected, and unprovoked panic attacks. It leads to preoccupation and fear of recurring attacks. Panic attacks occur when there is an abrupt physical rush of symptoms that emerge suddenly to peak, usually in a matter of minutes. A panic attack may be felt very differently from one person to another. A combination of the following is typically felt during a panic attack: 

 

  • Palpitations, racing heart, or accelerated heart rate 
  • Sweating/perspiration 
  • Shaking or trembling 
  • Feeling of suffocation or shortness of breath 
  • Feeling choking 
  • Pain or discomfort in the chest 
  • Nausea or stomach pain 
  • Dizziness, instability, light-headedness, or faintness 
  • Chills or too hot 
  • Tingling, numbness 
  • Depersonalization (feeling of unreality) 
  • Derealization feelings (not being oneself) 
  • Fear of “losing control” or “going crazy” 
  • Death or dying fear 

 

What is Agoraphobia? 

 

Agoraphobia comes about due to an individual persistently staying away from areas where they might end up being embarrassed or trapped. This primarily arises from the fear of having a panic attack outside. This can be stated as a fear of going on public transportation (e.g., airplanes, buses, trains), being outdoors (e.g., mall parking lots, malls, or stadiums), being locked in places (e.g., elevators, shops, or vehicles), being in crowds or waiting in line, or being outside the home by oneself. 

 

Agoraphobia can or cannot co-occur with anxiety disorder and panic disorder, but usually, the two disorders occur together. When they do co-occur, agoraphobia usually follows a bad experience e.g., after a panic attack in one of these settings or places in which the person feels trapped, humiliated, or frightened. These situations often trigger intense symptoms of anxiety and panic disorder. With repeated occurrences over time, avoidance of these settings or places augments one’s fear and leads to ongoing avoidance. 

 

How are Panic Disorder and Agoraphobia treated? 

 

Those with Panic Disorder will show up in emergency rooms or the office of their physician due to not enjoying the unpleasant bodily sensations (usually feeling they are experiencing a heart attack). While the physical cause must be ruled out, repeated ER and physician office visits can also be causing the symptoms to continue. Instead, effective mental treatment for Panic Disorder and Agoraphobia must be obtained. 

 

Treatment of Panic Disorder and Agoraphobia usually involves a combination of psychotherapy and medication. Medications most used to treat Panic Disorder and Agoraphobia include selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), beta blockers, and benzodiazepines. SSRIs and SNRIs are a type of antidepressant medication that is effective in the treatment of anxiety disorders such as Panic Disorder and Agoraphobia.

 

Beta blockers can be used to decrease physical symptoms related to panic attacks, such as a racing heart. Benzodiazepines are useful for alleviating acute anxiety disorder symptomatology temporarily. These medications can be very helpful, but they should be used with caution because they are habit-forming. Benzodiazepines can also interfere with habituation or with learning that situations are safe. Only your medical professional can determine whether these medications are well to take, and you should not discontinue any medication without consulting your medical professional. 

 

Cognitive-Behavioral Therapy (CBT) is a research-validated type of psychotherapy, which is helpful in the treatment of panic disorder and Agoraphobia. This therapy enables individuals to change their behavior and way of thinking. Various CBT approaches become helpful in curing these anxiety disorders. Interoceptive exposures involve intentionally inducing unsavory physical feelings (racing heart, shortness of breath, dizziness) to get desensitized to them.

 

This must be tried under the guidance of an experienced mental health professional to ensure that it is properly done. Similarly, systematically avoiding a reduction in situations and places (e.g., driving or going into stores) that are traditionally avoided allows one to relax and become self-assured in these situations. 

 

Breathing and relaxation exercises can help to lower someone’s overall level of anxiety disorder to prevent them from having a panic attack. And finally challenging faulty beliefs, such shifting from thinking “I’m in danger” to “my body is telling me that I’m in danger, but I’m actually safe” can be helpful in lowering related anxiety. Other helpful interventions include biofeedback and mindfulness. Other lifestyle changes such as reducing one’s intake of caffeine, sugar, nicotine, exercise and rest, and observation of checking vital signs can be helpful in alleviating anxiety disorder. 

 

If you or someone you know is experiencing symptoms of panic disorder, anxiety disorder, anxiety, and/or agoraphobia, it’s important to seek the advice of a mental health professional. These conditions can be disabling if left untreated but are manageable and often highly controllable with proper treatment. 

 

What is Anxiety?

 

Anxiety is a feeling of fear, worry, or unease. These intense emotions can be triggered by past experiences or current situations, but more often, they stem from concerns about the future events that may never actually occur.

 

Common anxious thoughts might include:

 

  • What if I lose my job?

  • What will people think of me?

  • Did I forget to turn off the oven?

  • What if I get sick?

  • What if I never get married?

 

While it’s normal to experience occasional anxiety disorder , when these thoughts become overwhelming or persistent, it can start to interfere with daily life. In those moments, it’s important to find healthy ways to manage our thoughts, emotions, and reactions.

 

What causes Anxiety ? 

 

Anxiety is a complex condition that often arises from a combination of factors, making it difficult to pinpoint a single cause. When the source of anxiety is unclear or potentially linked to underlying medical conditions such as hormonal imbalances, medication side effects, or heart disease consulting a mental health professional is recommended.

 

Some common potential causes of anxiety disorder include:

 

  • Stress

  • Social isolation

  • Childhood trauma

  • Hormonal imbalances and thyroid disorders

  • Chronic illness

  • Heart disease and diabetes

  • Genetic predisposition

  • Brain chemistry

  • Mental health disorders

  • Certain medications

  • Recreational drug use

  • Excessive caffeine intake

  • Environmental stressors

  • Grief or loss of a loved one

  • Financial difficulties

 

Understanding the root causes of anxiety disorder is an important step toward finding effective treatment and support.

 

What does Anxiety feel like ? 

 

Almost everyone experiences anxiety at some point in their lives. While anxiety is a normal response to stress, its symptoms can vary widely and may sometimes be mistaken for other health conditions. Here’s a breakdown of the common signs and symptoms associated with anxiety:

 

Physical Symptoms:

 

  • Increased heart rate

  • Chest pain or tightness

  • Rapid or shallow breathing

  • Headaches

  • Nausea or digestive issues (including diarrhea)

  • Sweating

  • Shaking or trembling

  • Trouble sleeping

 

Mental Symptoms:

 

  • Irrational or racing thoughts

  • Difficulty making decisions

  • Trouble coping with challenging situations

 

Emotional Symptoms:

 

  • Nervousness or unease

  • Restlessness

  • Feeling constantly on edge or tense

  • Seeking frequent reassurance

  • Persistent worry

  • A sense of impending doom or dread

  • Depressive feelings

  • Paranoia

 

Recognizing these symptoms is the first step toward understanding and managing anxiety effectively.

 

Things that calm Anxiety : 

 

One of the first steps in reducing anxiety is recognizing it as a signal your mind and body’s way of letting you know it’s time to prioritize self-care. The next important step is acceptance. Denying or ignoring your anxiety disorder can worsen symptoms and increase the risk of developing an anxiety disorder. While anxiety disorders are treatable, they often require more time and effort to manage. Addressing your mental well-being early can prevent anxiety from interfering with your daily life.

 

Here are some effective strategies to help calm anxiety:

 

  • Pause and breathe : Step away from what you’re doing and take a moment to simply pause. Find a quiet space, observe your breath, and allow your body to settle. This helps reset your nervous system.

  • Limit screen time : Excessive screen use especially exposure to blue light and social media can negatively impact mental health. Reducing screen time creates space for more calming, restorative activities.

  • Practice deep breathing : Your breath is directly connected to your emotional state. Slow, intentional breathing can significantly lower anxiety. Explore breathing techniques that work both as immediate relief and as long-term preventative tools.

  • Exercise regularly : Physical movement helps release tension, reduce stress hormones, and improve mood. Even something as simple as a walk in nature can be incredibly grounding.

  • Listen to music and dance : Music has a natural calming effect. Add dancing, and you combine emotional release with physical movement boosting both mood and energy levels.

  • Try yoga : Yoga combines gentle movement, breathwork, and mindfulness, making it an excellent practice for calming both body and mind.

  • Seek physical comfort : Physical touch like hugging or cuddling can reduce cortisol levels and promote a sense of safety and connection.

  • Journal your thoughts :  Writing down what you’re feeling can bring clarity, process emotions, and help identify patterns or triggers contributing to anxiety.

  • Practice meditation : Guided meditations, such as body scans, offer immediate relief, while practices like mantra meditation can help manage anxiety over the long term. Also you can visit our other site :  https://neuroplasticitymd.com/

Types of Anxiety Disorders

Adjustment Disorder 

 

At times, a person is abnormally stressed or anxious about something or some things in their life. Others might describe this as “situational”, and the medical term is an Adjustment Disorder with Anxiety. (It can also be with depression, or other affect/behavioral responses.) An example might be if one would be stressed at the loss of a job. Of course, for the most part, most people would become somewhat anxious about this. However, an adjustment disorder is taken into consideration when the response is not in proportion to what would be expected generally. With this type of anxiety disorder , when the stressor is gone, so will be the anxiety. So, when the same person acquires a new job, he/she/they will improve, plain and simple. 

 

Generalized Anxiety Disorder 

 

Generalized Anxiety Disorder is just what it describes. This is where the individual will have a general feeling of worry, tension, and nervousness most of the days (more than half of their days) regarding an unspecified series of things. To fulfill diagnostic criteria, one needs to have had this form of anxiety disorder for at least six months, needs to struggle to control the worry, and experience at least some of the following additional symptoms: restlessness, difficulty concentrating, irritability, muscle tension, sleep problems, and/or difficulty concentrating. Although every person is unique, in the past, a person with GAD may be prone to excessive worry, worry excessively about a broad range of objects (e.g., money, family members, work, health, world events, etc.), and lie awake at night fretting about them. 

 

Phobias 

 

Specific Phobias constitute a second group of anxiety disorders in which one experiences overwhelming fear and anxiety disorder concerning a particular object (thing or circumstance) and avoids it or endures exposure to it with intense discomfort. In this writer’s experience it is rather rare for that to be a person’s initial reason for coming into treatment, at least in outpatient settings. Perhaps that is because most anxiety-provoking subjects can be fairly simple to avoid. (When was the last time you suddenly found yourself confronted by a snake?) 

 

Social Anxiety Disorder 

 

A holdout for preventable anxiety disorder is Social Phobia, or Social Anxiety Disorder. Social Phobia is when the source of a person’s fear is social or performance situations in which a person may feel they are being judged or observed. Social anxiety is experienced when one is uncomfortable mingling with new people at a party, walking down hallways of (seemingly) glaring eyes at school, or delivering a speech. From an evolutionary perspective alone, if anxiety disorder  acts to keep us away from harmful objects that could jeopardize our survival, being ostracized from one’s social group and forced to fend for oneself in the great outdoors is near the very top of that list. With that being the case, it comes as little surprise that public speaking is the number one fear cited by people. 

Panic Disorder and Attacks

Finally, let us talk about the issue of panic. So, what is a panic attack? Panic Attacks, according to the DSM-5, are when a person experiences an “abrupt surge” of anxiety that reaches a height in just minutes and includes (at least four of) the following symptoms. 

 

  • Symptoms of Panic Disorder and Attacks 
  • Racing/pounding heart 
  • Sweating 
  • Shaking 
  • Shortness of breath 
  • Choking sensations 
  • Chest pain 
  • Nausea 
  • Dizziness or light-headed feeling 
  • Chills or heat feeling 
  • Numbness/tingling 
  • Feeling of unreality or detachment from oneself 
  • Fear of losing control, “going crazy,” or death 

 

When someone develops fear of more panic attacks and exhibits maladaptive behaviors aimed at avoiding or minimizing the chance of occurrence, this is called a panic disorder. Moreover, if the avoidance and fear is of public places outside the home, open or closed places that are crowded from which one would have difficulty escaping in the case of panic-like feelings, that’s called Agoraphobia (which might but is not necessary to co-exist with panic disorder). In addition, in the latest DSM version, panic attacks have ceased to be viewed as a distinct diagnostic category but are instead a characteristic that may arise in the context of a continuum of other mental disorders, substance disorders, and some medical illnesses. 

 

Treatment of Anxiety, including Treatment for Panic Disorder and Attacks 

 

At HWS Center , we understand that when it comes to therapy for anxiety, it is unrealistic to expect to live out one’s final days entirely anxiety-free. Anxiety cannot be “cured” any more than emotions like happiness, sorrow, or rage. These are basic human experiences with meaningful purposes. However, the good news is that anxiety disorder symptoms, whether mild or disabling, can be effectively prevented, treated, and controlled most often through a multi-dimensional treatment approach. 

 

How to Manage Anxiety, including Controlling Panic Disorder and Attacks 

 

Medications often can be a very valuable part of a person’s treatment plan. Antidepressants, such as SSRIs, and some SNRIs, are generally prescribed to treat chronic anxiety symptoms, while benzodiazepines (such as Xanax, Klonopin, Valium, or Ativan) are sometimes used on a short-term or as-needed basis for panic or acute anxiety. (Caution is generally advised with the latter due to their addictive nature.) Some antihistamines, beta-blockers, and anticonvulsants have also been found to be helpful for anxiety. 

 

There are a great number of forms of talk therapy that can be beneficial by establishing a soothing, supportive setting in which someone is able to confront fear and learn to use rational coping thoughts to overcome fear. Therapy will also assist one in learning new behaviors to minimize symptoms of anxiety. Regardless of the form of therapy one employs, there is a common element that is learning to approach, not avoid, that which elicits one’s fear. Avoidance results from fear and anxiety, while courage to face and overcome them puts them into proper perspective (this is normally referred to as “exposure”). 

 

Treating and Managing Panic Disorder and Attacks 

 

With panic attacks, one should first rule out any medical cause for the symptoms that may be presented as other medical illnesses, specifically heart disease. If they are with the person having a panic attack, they can provide reassurance and support and suggest that the person “talk through” it or ask them what they can do to assist. Aside from medication, there are other effective strategies for panic symptoms. 

 

Methods for Managing Panic Disorder and Panic Attacks 

 

  • Relaxation or breathing skills 
  • Exercise 
  • Mindfulness/grounding skills (e.g., a sensory check-in) 

 

Summary:  

 

Anxiety is a natural human response, but debilitating and incapacitating anxiety disorder is typically what prompts people to seek treatment. There are several different types of anxiety. Panic or Panic Attacks are one of the types of anxiety. Learn what panic attacks, symptoms and causes and treatments for panic attacks and other anxiety disorders are.