Situational Panic Attacks

What’s it like getting panic attacks. If you’re in a social situation, others might think you’re a little weird (or worse, that you’re dying). The worst symptom that I get is the “not being able to breathe.” And yes, it does feel like you’re going to die. It is especially hard to deal with when you are out in public. They don’t understand the feeling of fear if they have never had one. You literately think “this is it, I’m going to die!” And when you come out of it, you pray to God for Him to let it be the last one. It’s kind of in the sense of being on the brink of death and someone pulling you back saying “not your time yet!” Therefore, you go through this, time and time again, when the attacks are really bad.

During a panic attack, the body’s natural “fight or flight” response is triggered, leading to a range of physical and psychological symptoms. One theory is that they are related to abnormalities in the amygdala, a small almond-shaped structure in the brain that plays a key role in processing emotions and regulating the “fight or flight” response. When the amygdala is activated, it can trigger a cascade of physiological changes that prepare the body to respond to a perceived threat, such as increased heart rate, rapid breathing, and muscle tension.

Panic attacks may also be related to imbalances in neurotransmitters, which are chemical messengers in the brain that help to regulate mood and other aspects of mental functioning. Some research also suggests that changes in activity in the prefrontal cortex, a region of the brain that is involved in decision-making, planning, and emotional regulation, may play a role in panic attacks. Changes in activity in this region of the brain may contribute to the catastrophic thinking and feelings of dread that often accompany the attacks.

One psychological factor that may contribute to panic disorder is a heightened sensitivity to physical sensations and bodily changes. Individuals with panic disorder may be more likely to interpret normal bodily sensations, such as a rapid heartbeat or sweating, as signs of impending danger or a panic attack. This can lead to a cycle of fear and anxiety, as the individual becomes increasingly worried about when the next one may occur.

While hot flashes and panic attacks are not directly related, some research suggests that they may share common underlying factors, such as changes in hormone levels or alterations in the body’s stress response system. This can lead to similar physical symptoms, even though the underlying causes may be different. In reality, I can sometimes predict when I’m going to experience an anxiety attack because I start to have a hot flash. I can mentally prepare for one (within seconds), with my favorite techniques to squash it in its tracks. Mind you, it doesn’t always work, but at least I can say I tried!

While acid reflux and anxiety attacks are not directly related, some research suggests that anxiety and stress can exacerbate symptoms of acid reflux, leading to a cycle of increased anxiety and physical discomfort. In addition, some medications used to treat acid reflux, such as proton pump inhibitors (PPIs), have been linked to an increased risk of anxiety and depression. I have acid reflux. If I wasn’t taking medicine for it, I would have that constant feeling of wanting to vomit (and the burning feeling). A few times, I have run out of my med for the stomach and I could feel the other meds going down my throat and burning on the way down. Then, the heartburn sets in. Promise me you will not run out of any of your meds because you’ll just run into problems later on. I have the tendency to forget when I’m low on my meds because of Parkinson’s.

Once, I had an extremely difficult panic attack during a job interview. How did I deal with it at the time? I remembered certain ideas that my therapist had taught me. Actually I tried several tactics because the first couple didn’t work for me. And all of this happened within a matter of seconds. What finally brought me out of it? I paid attention to my surroundings with paying close attention to the five senses (sight, hearing, taste, smell, and finally touch). It brought me back down to earth and out of that horrific feeling of dying. Sometimes, you just have to keep trying to find the best technique that works for you (never give up).

It is possible for panic attacks to occur at the same time every day, but not everyone with panic disorder experiences this pattern. The anxiety attacks are sudden and intense episodes of fear and anxiety that can come on quickly and unpredictably. They can occur for no apparent reason, or they may be triggered by specific situations or stimuli.

Circadian rhythm: The body’s natural sleep-wake cycle, known as the circadian rhythm, can affect hormone levels and other biological processes that might contribute to the onset of panic attacks.

Environmental triggers: Certain environmental factors, such as sounds, smells, or activities that occur at the same time each day, can trigger the attacks in some individuals.

Psychological factors: Stress, anxiety, and other psychological factors can affect the frequency and intensity of panic attacks and may contribute to a pattern of the attacks occurring at the same time each day.

Medication and substance use: Certain medications and substances, such as caffeine or stimulants, can affect the body’s stress response system and trigger panic attacks.

  • Genetics: Anxiety disorders, including panic disorder, often run in families, suggesting a genetic component.
  • Stress: Chronic or acute stress can influence the body’s stress response system and increase the risk of panic attacks.
  • Changes in brain chemistry: Disturbances in the balance of certain neurotransmitters, such as serotonin and norepinephrine, can contribute to the onset of panic attacks.

The frequency and severity of panic attacks can vary from person to person and may occur in clusters or intermittently throughout the day.

Sensitization: Repeated exposure to anxiety-provoking situations can sensitize the body’s stress response system, making it more reactive to perceived threats and increasing the frequency of panic attacks.

Triggers: Certain situations or experiences, such as social situations or traumatic events, can trigger panic attacks, and may occur multiple times throughout the day.

Stress: High levels of stress or anxiety can increase the likelihood and frequency of panic attacks, especially if the person is unable to manage these emotions effectively.

Physiological factors: Medical conditions, medications, and substance use can affect the body’s stress response system and trigger panic attacks.

Vitamin D: Low levels of vitamin D have been linked to increased rates of depression and anxiety, both of which can contribute to panic attacks.

Magnesium: Magnesium is a mineral that plays a role in regulating the body’s stress response system. Low magnesium levels have been linked to increased anxiety and panic attacks.

Vitamin B: Several studies have suggested that low levels of vitamin B6, B12, and folate may be associated with an increased risk of anxiety and panic disorders.

There are several factors that contribute to situational panic attacks. Hence, certain triggers (such as situations or experiences), stress or physiological factors help steer the course of a panic attack. If you give in to them, every time it’s going to be the “worst attack you’ve ever had” (until the next one). Don’t feed (or fuel) that attack by giving into the anxiety. Altogether, If you give into it, you’re going to have them constantly. Like I have said in other posts about anxiety attacks, sometimes “I can talk the talk, but not walk the walk.” Meaning I don’t always follow my own advice. Contradictory…right? Hey, I make mistakes, I’m human. Being that, do you know how long it took to except that (thanks to my best friend, Bryan). I can sit here and come up with strategies to combat panic attacks, but I NEED to follow that advice, otherwise I’m a two-faced (you put in what you want). At any rate, I hope you received some interesting info on situational panic attacks, until next time…

https://www.cchwyo.org/news/2022/june/13-ways-to-stop-a-panic-attack/

https://www.anxiety.org/do-donts-panic-attacks

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About Me

Hi, I’m Cindee, the creator and author behind one voice in the vastness of emotions. I’ve been dealing with depression and schizophrenia for three decades. I’ve been combating anxiety for ten years. Mental illnesses have such a stigma behind them that it gets frustrating. People believe that’s all you are, but you’re so much more. You can strive to be anything you want without limitations. So, be kind.

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