Panic attack

Let’s take a look at where the word panic attack comes from. When we look at the origin of the word panic, the syllable “Pan” in the word panic actually refers to a god in Greek mythology in the form of half goat and half human. Yes, pan is actually the name of a god in Greek mythology. Pan suddenly appeared in front of people in the countryside, on the slopes, and frightened people with his appearance (according to some sources, with his voice). And the Greeks coined the word “panikos” by adding the suffix “ikos” to the word pan. In ancient Greek, “panikos” means “fear” suddenly felt in forests and desolate places. Hence, Pan inspired the word panic. When we look at it in French, it corresponds to the word panique, which means great and irrational “fear”.

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Panic attack; characterized by sweating, trembling, shortness of breath, palpitations, feeling of suffocation, chest pain or tightness, nausea, instability, feeling like dying, fear of death, dizziness, fear of going crazy, abdominal pain, anxiety that something bad will happen at any moment, losing control over the body. a process, a disorder, a disease (a psychological illness) that we can It is a disorder that negatively affects the social, family and business life of the individual, upsets his mental balance, and causes volcanoes to erupt in his inner world. In addition to all these, the people around him say to him, “Oh, never mind, don’t worry about this situation, don’t think this way, it is wrong to think that way, anything can happen in life anyway, which one of us is guaranteed, anything can happen at any moment anyway, we will all die one day anyway, why are you worried anyway?” to use sentences; making epithets like a patient with a disease” almost adds salt and pepper to this illness and illness that occurs in the inner world, mind and soul of the individual. Because the person thinks: Everyone is normal, everyone can cope well, why am I like this, why can’t I get better, why is this thought always in my mind, am I going crazy, am I losing my mind, am I abnormal? etc etc. Such thoughts will most likely cause different family problems and different psychological problems in the future.

This panic attack that suddenly appears in the individual; It includes fear, excitement, and the feeling of dying. Attacks quickly reach their peak in 5-10 minutes or in a shorter-longer time (varies from person to person). It usually takes 15-20 minutes. Sometimes it can take 1-2 minutes, sometimes more than 1 hour, and its severity can vary. The individual experiences intense anxiety and worry before the attack. During this attack, the person feels that he will have a heart attack and die. After the increase in physical reactions such as dizziness, increased heart rate, nausea, the person wants to be taken to the emergency room. The doctor goes on a trip to the doctor and tries to find a physical cause for his illness (especially because of the fear of a heart attack) but in vain because there is no physical problem. When they cannot find a person, they begin to despair, helplessness, irritability, anger, and not being able to enjoy anything. At first, he may relax a little with what the doctor says, he may feel a little better, thinking that the medicine given may be good for him, but then the attacks will continue. Some patients, who are worried that the individual will have a panic attack and that the strangers outside will not help him, unfortunately start not to go out. I wonder what will happen if he keeps me on the road, what will I do, he will set up scenarios. For this reason, the person will either not go out or he will feel the need to take someone he trusts with him, and therefore life turns into a prison for the person. And unfortunately, he will not be able to escape from that prison unless he is treated. Therefore, panic attack psychological disease is a disorder that seriously affects the life standard and quality of life of the individual. Some patients may have to leave their social life, profession, business world or leave.

In general, panic attack disorder (disease), which starts at a young age and has been spreading in the society recently, is 2-3 times more common in women than in men. Although the reason for this is not fully explained, I think that depression and anxiety disorders in women are more common in women, women are more exposed to stress, depression, burnout, and they cannot spare time for themselves due to intense work schedule. Discussions about whether panic attack mental illness is genetic or not has continued. Because when the history of some panic attack patients is examined, there may be someone who has had a panic attack in their family, but some patients may not have any history in their family. Therefore, it is difficult to say genetically, we can only say that it is at risk. While we are talking about this issue, let’s explain who is at risk:

  1. Those with a family history of panic attacks

  2. People who cannot express themselves in society, introverted people, those who cannot share their problems and problems with anyone, asocial people

  3. Those who live under constant pressure

  4. People who use addictive substances (cigarettes, alcohol, drugs)

  5. People who worry a lot about their problems, constantly gossip about their problems, and often create negative scenarios in their minds.

  6. Those who cannot express their feelings of anger, stress, sexuality, sadness, anxiety, worry, and those who cannot express

  7. People with a perfectionist personality

  8. People with vitamin deficiency, people who consume a lot of caffeine

  9. People with heart diseases, epilepsy, lung diseases, depression and nervous disorders, excess adrenaline secretion, anemia, irregularities in blood sugar, tumors in the brain, etc., people with problems in the thyroid gland

  10. People who are exposed to the side effects of drugs, people who suddenly quit, stop the addictive substance

  11. People with a traumatic history, people who feel incomprehensible

  12. People who experience situations such as graduating from school, getting married, getting divorced, getting a job, quitting a job, bankruptcy, changing the city that negatively affects their life, being promoted, having a child, being abandoned, and being likely to lose a loved one.

Let’s take a look at the childhood part. Let’s examine the childhood of people with panic attack mental illness:

If the family is a broken family, that is, if the parents have separated, the children generally blame themselves for the incompatibility that causes this. Such a child is more prone to panic attacks. People who were raised by overly controlling parents in childhood are at a slightly higher risk. Because these parents do not accept the mistake and the child grows up in this way, that is, the child takes on a perfectionist personality and attacks develop when they make a mistake at some point in their lives. I can say that people who are detailed, meticulous, afraid of making mistakes, have low self-confidence, do not like stress, and even have no tolerance. Therefore, when they make a mistake, stress develops and this person who cannot cope with the stress develops an attack. His failures in childhood are constantly criticized, and only when success is demonstrated, the beloved child becomes prone to panic attacks in adulthood, almost a candidate. Because this child constantly sees himself as worthless, he experiences the feeling of worthlessness intensely. Therefore, the child will feel obliged to be resourceful, well-intentioned, successful, strong, self-sacrificing, controlled and to make people happy in order to get rid of the feeling of worthlessness and to feel valuable. They are sensitive as individuals. They value friendships. They care more than themselves. They are generous people.

In people with panic attacks, after an emotional state, the brain and adrenal glands begin to overproduce stress-related hormones. Therefore, the severity of the panic attack will increase depending on the amount of hormones. In such a case, the hypothalamus and pituitary gland and adrenal glands in the brain are stimulated. With this stimulation, hormones begin to be secreted. These secreted hormones cause an increase in the number of respirations per minute, cause the metabolism to work quickly, cause an increase in blood pressure, and cause the pupils to dilate. All this causes the heart to work faster, so blood flows more than normal. The rapid flow of blood causes an increase in the work of the muscles. The muscles in the body begin to contract gradually. Contraction of muscles is not a good sign; because as a result of the contraction of the muscles, the temperature of the body will increase, as a result of which sweating occurs. Such changes in an individual’s body are actually an alarm. Just like the alarm going off when a burglar enters the house. When the alarm goes off, the house actually gives us a message. Because a stranger entered the house without permission. Therefore, the body of the individual also gives an alarm and sends a message. The message the body is sending is this: Something entered my mind that I did not want, dislike, dislike or even hate, that I was harmed. We need to read this message well. We need to understand well what the message means. Otherwise, the doctor will visit the doctor, we will not find anything, we will have been shoveling in vain. The individual should not accustom himself, those around him, or his mind to these messages, this state of alarm, these attacks. If the habituation occurs, unfortunately, the person will not take real action to solve this problem, he will not make any effort. The individual may think that the end of the world is coming during each attack. Time has become almost constant for the panic attack patient, there is no sign that the time will pass.

Things to do during a panic attack: First of all, you should be calm. Get yourself to a safe place. If you can’t lie down, you can sit down. Reassure yourself that this is temporary, it’s just an attack, nothing to be afraid of, and wait for the attack to pass. You can breathe into an empty bag or paper bag until the seizure is gone. If not, you can breathe in and out by putting your hands together and bringing them to your mouth. You will have inhaled carbon dioxide. It will calm you down a little more. You should avoid caffeinated drinks, smoking and alcohol use. If you witness someone having a panic attack, you should first take the person to a quiet place that is not crowded. You definitely need to stay calm because someone who has a panic attack already thinks that bad things will happen, and if you panic and act as if something bad is happening, it will make the situation worse. If you do not have a bag or a paper bag with you, you can make the person breathe and breathe with their hands to cover their mouth.

Is panic attack an illness with a cure? Yes, there is a cure. It is definitely treatable. People with panic attack disease (psychological) should not think that this disease is their destiny. It can be well cured with appropriate therapy methods. These panic attacks can be dealt with. Thinking that there is no cure, the number of those who endure this disease for years and continue their lives in this way is quite high. To begin with, we ask the person to get to know this illness and the emotions it creates in their own spirit world. Achieving this will create a serious awareness in the individual. The attack state is of high importance for us, especially in the face of situations, cases, and emotions. Then, in the light of the information we receive from the individual, we apply therapy methods that are personal (because each patient is special, they have their own unique dynamics). Generally, the individual responds positively to therapy. Generally, there is a long-term treatment. But sometimes patients add another length to this length by resisting the treatment. Sometimes, the person gives a very positive answer, does the homework from the psychologist in a good way, in a desired way, and it can take a short time. We cannot underestimate the effect of drugs on reducing attacks, but it is hardly possible to say that it is a definitive solution. One of the therapy approaches is cognitive behavioral therapy. With this therapy method, we first show the client what a problem panic attack is, how it can be controlled, and what kind of coping techniques can be used during attacks. In the following sections, studies are carried out on the cognitive schemas that cause the attacks. We substitute positive schemas for negative schemas. Another therapy approach is dynamic therapies. Traumas, feelings, situations, negative thoughts and negative experiences that cause panic attacks are studied. With these studies, we aim to discharge and relax the individual.

Therefore, when we look at it, can a panic attack be treated, yes it can be treated. Although it takes a little longer, treatment is possible.

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