Posts tagged as:

Panic Disorder

Suicide and Anxiety Disorders: What Is the Risk?

by Mike Nichols on October 20, 2008 · 18 comments

Suicidal behavior has not been associated with the Anxiety Disorders alone until recently.

It has long been known that as many as 90 percent of suicides in the United States are associated with mental illness, especially substance abuse disorders, schizophrenia, and mood disorders such as depression. Up to 75 percent of all people with depression, schizophrenia or other mental illnesses who attempt or complete suicide also are diagnosed with one or more of the Anxiety Disorders.

As recently as 1999, the Surgeon General could only say that, ” it is likely that the rate of comorbid [simultaneous] anxiety in suicide is underestimated.” There had been no studies at the time of Anxiety Disorder alone being a risk factor for suicide.

However, since then there have been a number of studies of the risks of Anxiety Disorders alone for suicide. It has been universally found that the suicide risk in patients with Anxiety Disorders is much higher than previously thought. Bob Montgomery and Laurel Morris say,

Patients with anxiety problems, especially but not only panic problems, suffer an unexpectedly high rate of heart disease and suicide. Suicide has long been recognized as a risk associated with depression. But [when] researchers compared a group of anxious with a matched group of depressed patients and found that the suicide rates for anxious patients were equal to or slightly higher than for the depressed patients.

This post summarizes some landmark studies from the past three years that have proven Anxiety Disorders, both alone and in association with other mental illnesses, are a significant risk factor for suicidal ideation, attempts, and completions.

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I’m Dying: What a Panic Attack Feels Like

by Mike Nichols on October 1, 2008 · 180 comments

The term “panic attack” is part of our common language. We hear it all the time.

“When I saw the electricity bill I just had a panic attack!” Or, “I had a panic attack when I woke up and saw I was two hours late for work!” Or, “When I realized I’d just eaten a raw oyster I about had a panic attack!” All these statements are inaccurate uses of the term “panic attack,” and are what are called clinomorphisms, or exaggerated use of a medical term.

Panic attacks are no laughing matter, and people who have the real ones cringe when they hear the term bandied about in everyday speech like it was nothing. They know the feeling that you are about to die, the intense fear, and the sudden onset are far more than what most people think of as a “panic attack.”

So how does it really feel to have a panic attack? Few people, aside from panic attack sufferers themselves, really know. It’s the purpose of this post to give you an insider’s view of what it actually feels like to have a panic attack. 

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Radical Approach to Therapy for Anxiety Disorder

by Mike Nichols on September 24, 2008 · 6 comments

Drugs are commonly used in conjunction with therapy to reduce the effects of Anxiety Disorders.

One of the purposes of psychiatric medications is to relieve a person’s symptoms enough to allow therapy to be effective. This has been a standard approach for years.

A radical new approach to drugs and therapy has been proposed by researchers and published in the June 15, 2008, issue of Biological Psychiatry

Instead of using drugs to relieve symptoms, they propose using certain drugs to enhance learning during therapy sessions, improving the effectiveness of behavioral therapy treatment for Anxiety Disorders.

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Anxiety and Depression: Two Sides of the Same Coin?

by Mike Nichols on September 23, 2008 · 9 comments

Modern psychiatry has long held that Anxiety Disorder and depression are two distinct conditions. 

However, in the real world, many suffer from both. Surveys show that half of Anxiety Disorder sufferers also have symptoms of clinical depression. And 60-70 percent of people with major depression also have an Anxiety Disorder. 

Evidence is growing that they are really two aspects of one disorder. Looking at them that way, some experts say, could speed the development of therapy and medications that better treat both conditions.

David Barlow, director of the Center for Anxiety and Related Disorders at Boston University, states that:

[Anxiety Disorders and depression are] probably two sides of the same coin. The genetics seem to be the same; the neurobiology seems to overlap.

This post explores several similarities between Anxiety Disorders and depression, along with the risks of getting both disorders, the benefits of early treatment, and a summary of how the disorders are treated together.

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Anxiety Disorders: Just What Are They? – Part 2

by Mike Nichols on September 15, 2008 · 1 comment

Many readers of this blog have requested short descriptions of the various Anxiety Disorders.

Detailed descriptions are available under the “Reference and Information” section of the right sidebar, but I realized that I had never provided a synopsis of each Anxiety Disorder.

This is the second in a two-part series briefly describing the major Anxiety Disorders. It covers:

  • Panic attacks
  • Panic Disorder
  • Post Traumatic Stress Disorder (PTSD)
  • Social Anxiety Disorder, also known as Social Phobia (SAD)
  • Specific phobias

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Stress and Its Impact on Your Life

by Mike Nichols on September 10, 2008 · 3 comments

Stress seems to be just another component of the modern life.

It is so common that it is treated as a joke by standup comedians, in tv sitcoms and in the print media. Here’s one for you, brought to you by one of the prominent stress reduction gurus:

  • Picture yourself near a stream.
  • Birds are softly chirping in the crisp, cool, mountain air. 
  • No one knows your secret place. 
  • You are in total seclusion from that hectic place called “the world”. 
  • The soothing sound of a gentle waterfall fills the air with a cascade of serenity. 
  • The water is clear.
  • You can easily make out the face of the person you’re holding under the water…

Can you relate to this joke? It’s funny because you can picture being at the breaking point, with the person causing so much stress leaving the picture permanently.

But stress is no laughing matter. It can ruin your physical and mental health. It can ruin your relationships and make your life a living hell. Following are lists of signs of stress to watch out for, along with information on how stress can affect your body and mind.

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Over and over I see the same things in the comments on the blogs and forums I visit.

People say that they want to reduce or eliminate their dependence on psychiatric drugs. Yet they are not doing anything to do so. 

They complain that they are being enslaved by their reliance on the drugs to keep symptoms under control. But they do not take advantage of the single most effective, proven help that could liberate them.

Americans have been trained for over a century to rely on drugs to cure their ills, from the first marketing of aspirin in 1899 to the latest wonder-drug touted on tv. Have a headache? Take an Advil and it will go away. Depressed? You need Prozac. Bipolar disorder? Abilify for you. 

Madison Avenue has helped the pharmaceutical companies imply instant and permanent relief from your problems just by popping a pill. And we have swallowed this advertising hype whole! It has made us the most drug-taking nation in the world today. 

Pills have become a silver bullet for Americans seeking relief from their woes.  They expect drugs to solve their problems quickly and easily, without any extra effort on their part. 

No wonder there are so many bitter and disappointed people who feel enslaved by their psychiatric drugs!

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8 Tips for Surviving a Party or Gathering

by Mike Nichols on August 30, 2008 · 7 comments

I don’t make it a practice of reposting articles, but I’m doing it this time.

There is a post from July 3, 2008 entitled “8 Tips to Survive Gatherings on the Fourth” that is relevant to gatherings on Labor Day, or Thanksgiving, or Christmas, or any day that you have to go to a gathering or a party. I have updated it and present it here, hoping it will help someone.

It will be especially helpful for people with Social Phobia, Panic Disorder, and those that suffer from panic attacks.

I have to go to a wedding party soon, and you can bet that I will be using those tips myself!

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What if there were a medication that could simply switch off bad memories?

University of California, Irvine (UCI) researchers have identified the brain mechanism that turns off traumatic feelings associated with bad memories. This finding could lead to the development of drugs to treat Post Traumatic Stress Disorder (PTSD), Panic Disorder, and other Anxiety Disorders.

Rainer Reinscheid, pharmacology and pharmaceutical sciences associate professor at UCI, said,

The exciting part of this study is that we have discovered a completely new process that regulates the adverse responses to bad memories. 

These findings can help the development of new drugs to treat conditions in which people are haunted by persistent fears, such as posttraumatic stress disorder or other panic disorders.

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Anxiety is the most common mental disorder experienced by older adults. 

Anxiety Disorders affect over 18 percent of people over the age of 60. As many as 7 percent of this age group have Generalized Anxiety Disorder (GAD), a disorder characterized by uncontrollable worries about everyday things. 

Despite its prevalence, Anxiety Disorders remain one of the most undiagnosed and undertreated conditions in this age group. This is due to the failure of the current model of the primary care physician as gatekeeper model.

Eric J. Lenze, M.D., assistant professor of psychiatry, University of Pittsburgh School of Medicine, says,

Studies have shown that generalized anxiety disorder is more common in the elderly … than depression, which affects about 3 percent of seniors. Surprisingly, there is little research that has been done on this disorder in the elderly.

Due to the lack of evidence, doctors often think that this disorder is rare in the elderly or that it is a normal part of aging, so they don’t diagnose or treat anxiety in their older patients, when, in fact, anxiety is quite common in the elderly and can have a serious impact on quality of life.

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