Goodbye to Panic Attacks

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In Part 1 we noted three different theories as to what what causes anxiety and panic attacks.   We also noted that this uncertainty as the the exact cause or causes has given rise to different theories on how to treat anxiety and panic attacks – which are often influenced by the professional’s own training.

In Part 1 we looked at the theory that anxiety and panic attacks are due to chemical imbalances in the brain. Now we will look at the theories which are at the other end of the continuum

The Anti Chemical Imbalance lobby argues that the underlying cause is not a chemical problem but a psychological problem. Here there are a number of theories. Repressed emotions in the subconscious part of the mind, inherited behaviours, ineffective coping strategies, ineffective thinking patters and behaviours. Personality come into it as does parenting and the environment the person experienced as a child.

What is suggested is that all these different influences impact on a person’s view of the world and their relationship with it.

As children we tend to become programmed by our experiences, our reaction to them and what we learn from others – consciously or unconsciously. All this is filtered through our personality traits as well. In the early years children do not use logic, they absorb their experiences without the sophisticated critical or logical filter of an adult.   What we learn as children often impacts the rest of our lives unless we choose to change that programming.

It is simple to see therefore, that some childhood experiences could impact negatively on our functioning as an adult. The basis of cognitive behavioural therapy is to examine what is going on at a psychological level and to help the person to become aware of issues that may be working against them. Then these behaviours can be modified. Behaviour is preceeded by thought and understanding how we think enables us to see how we can alter those thought patterns

In cognitive behavioural therapy, a person may undergo a number of sessions with a trained therapist with a goal to gain a better understanding of their thoughts and behaviours and also to modify those that are unsuitable. When a person understands the basis of their fears, they are in a position to learn how to deal with those fears. This includes learning how to relax; look at situations in new, less frightening ways; and develop better coping and problem-solving skills. We are what we think and therapy gives us the tools to overcome damaging thoughts which a person may not even be aware of.

Another form of therapy is exposure therapy. In exposure therapy for panic disorder, the person is deliberately exposed to the physical sensations they experience during a panic attack and then they learn better coping strategies. Over time the person learns to tolerate the physical symptoms and thus to feel more in control.

Also under this heading are a whole host of other treatments ranging from acupuncture to breathing and relaxation exercises, yoga, massage and aromatherapy to mention just a few. Lifestyle changes are suggested that can make a difference in anxiety levels. These include regular exercise, enough sleep and a healthy diet. Other treatments for anxiety include participating in support groups, meditation and hypnosis

However, a word of caution. The problem with anxiety and panic attacks is that they have become an open door for every treatment peddler out there. Some are beneficial, others………………???    When choosing a form of treatment, it is worthwhile for someone to be cautious and do their homework first!