Defusing myths around agoraphobia and panic attacks

Many people with Panic Disorder assume that their condition is going to transform into serious mental illness like Schizophrenia, Bipolar and other Psychotic Disorders.
agoraphobia

At least 20% of Indians suffer from various anxiety disorders. 2-6% suffer from Panic Disorder. It is found to be most common in young adults between the ages of 20 and 35. Women are 2-3 times more susceptible to anxiety disorders (due to cultural and social factors). What is most alarming is that 7- 20% of children and adolescents suffer from anxiety disorders. Out of this 7-10% have Panic Disorder.

According to a Mental Health Survey conducted in 2015- 2016 by NIMHANS indicate that the prevalence of anxiety disorders in India amounts to 3.1 percent of our total population.

 Dr.Vihan Sanyal, Mental Health Specialist in Mumbai feels that these figures are quite modest and if the survey were to be conducted today, the figures are likely to be much higher than the ones from 2015-2016 study. Dr. Sanyal said  “Every week, I see more than 10 people with anxiety disorders. Many of them have recurrent panic attacks. It is one of the most common disorders for which people seek treatment from a mental health professional”

“According to Dr.Vihan Sanyal”, Panic Disorder, Panic Attacks and Agoraphobia are different from each other. Recurrent panic attacks, Fear of having another panic attack, the fear is of losing control and the symptoms feel similar having a heart attack and the fear of going crazy form symptoms of a Panic Disorder.

A panic attack is a result of intense fear. People usually experience 4 of the following symptoms during a panic attack: Palpitations, Pounding Heart or Accelerated Heart Rate, Sweating, Trembling or Shaking. These are often accompanied by Breathlessness (Hyperventilation), Numbness in hands and feet, Nausea, Irritability, Feeling Dizzy, fear of loss of control or confusion during a panic attack. It is not necessary for each person to have all these symptoms during a panic attack. However, most people have reported having felt the above-mentioned symptoms during a panic episode. (Please define each point)

Agoraphobia is a disorder where the person starts to avoid visiting people’s homes, traveling on local transport, attending meetings, taking the lift. In fear of having a panic attack and being helpless at the time of the attack.

Panic attacks may at times lead to agoraphobia. People become fearful of being in situations where escaping from or getting help may become an issue. Such as crowded places, movies, traveling in a train/flight, etc. a panic attack occurs.

Doctors are unsure about the definite cause of panic disorder or Agoraphobia. Researchers feel that there is a possibility of a genetic component to this disorder. The results remain inconclusive and hence, it’s difficult to state the real cause of these disorders.

Dr. Sanyal said I tell my clients that Even though the symptoms they experience during a panic disorder can be frightening and seem difficult to control; the chest pain and shortness of breath (hyperventilation) caused by anxiety is not life-threatening.”

“There are Marvelous Healing Modalities and therapies available in psychotherapy, like MNLP, which can help reduce the frequency of panic attacks, stop them from occurring and control anxiety.”

Mindfulness Neuro Linguistic Programming (MNLP) is a powerful combination of techniques which have derived from schools of Psychology and Psychiatry. Anxiety is future paced, it’s about worrying about the future. Often a person imagines a situation in their mind of an event in the future in a negative way and starts to worry and panic in the present. Mindfulness teaches us to be in the present moment, thus, keeping the person from worrying about the future events. Mindfulness reminds the person that the event has not taken place yet and encourages them to enjoy the present moment completely. Dr Sanyal said“People experience a panic disorder is usually in a “what If” mode of thinking, what if my car was to break down in the middle of the road; what if I lose my job; what if my boyfriend does not marry me; what if my children don’t look after me when I get old. These are classic thinking patterns of people with a panic disorder. We use MNLP to re-frame their internal language from “what if” thinking to “so what” thinking. Then quickly bring their focus on being in the present with Mindfulness techniques”

NLP has techniques of correcting irrational thoughts and the negative feelings associated with these thoughts. “The base of any anxiety disorder is fear and the phobic cure technique available in MNLP helps to remove fixated fears. The phobic cure technique helps to remove fears associated with insects, fear of closed spaces, fear of flying, etc.

Many people with Panic Disorder assume that their condition is going to transform into serious mental illness like Schizophrenia, Bipolar and other Psychotic Disorders.

Panic disorder, Agoraphobia and panic attacks do not lead to psychotic disorders and other forms of serious mental illness. It is possible for this to occur if the person has an underlying disposition to psychotic disorders, serious mental illness runs in the family of the person and many other such factors. People with a panic disorder, agoraphobia and panic attacks can often suffer from depression or PTSD (Post Traumatic Stress Disorder).”

According to Dr. Vihan Sanyal,” It is always advisable for a person to seek the help of their General Physician and explain to them in detail about their symptoms. The physician is likely to conduct a physical examination and conduct necessary investigations to rule out any organic causes for the condition. If the person is free of organic causes, chances are that it is a psychosomatic concern for which a person must consult a qualified mental health professional (a clinical psychologist, a psychiatrist or a psychotherapist)”.

“People are much aware these days, thanks to technology. However, it should not be a substitute to seeking professional guidance. There is a lot of contradictory information available on the net and it is likely to confuse the person more about their condition. Please be smart and seek professional guidance. Your mental health professional would be the right person to guide you to websites which offer authentic information for their readers.”

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