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Panic Attacks
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tp3686 posted:
I was diagnosed with Generalized Anxiety Disorder about 6 years ago. I was having panic attacks nearly every night for about the first 2 years. Slowly, after staying on my medication (Lexapro) the panic attacks become less and less frequest. Well, last night I woke up in the middle of the night having a full blown panic attack. This is the first really severe one I've had in about 1 1/2 years. I thought they were pretty much gone from my life, but I guess not. Has anyone ever had panic attacks come back after going away for a long period of time? The only thing that I can think is that my job has been stressing me out a lot the past month or so.
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resttheweary responded:
hI. i'VE had depression, anxiety for most of my life, but they didn't know what it was back then. I'm in the middle of an "episode", as i call it, and i thought i was home free, too. It's been 8 yrs, and all of a sudden everything came back for me, too. So sorry to hear about yourself as well. I'm staying on meds, not an antidepressant, but an antipsychotic, and it only seems to help me sleep. Lexapro worked well for me, quickly to. I came off of it from rage, but i might consider going back on since so many other anti's haven't done anything but make me worse.
 
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Patricia Farrell, PhD responded:
Stress can certainly build up to the point that it can counteract the effect of your medication or, on the other hand, your medication may no longer be working well for you. I am not an M.D., but I do know that psychiatrists refer to this as the "poop out factor." It's not unknown and can mean that a switch of medications might be a consideration.


However, since you indicate that your job is causing so much stress over the past month or so, this is a logical place to look for the resolution of these newly returned panic attacks. You are obviously going through a difficult time and it is beginning to take hold and manifests in the form of panic. So what can you do?


One thing that you will need to consider is lifestyle changes and by that I mean that you need to get adequate sleep, some regular, mild exercise (see our Tips column for simple exercises), eat a well-balanced diet and get out for some fun with family and friends or engage in some activity or hobby that you enjoy. All of this is necessary to keep balance in your life to counteract the stress. You may not be able to do much about the stress at work, but if you can that needs to be considered too, but there are things that you can do away from work that will bolster your ability to ward off panic.


I would also suggest that you begin to use relaxation breathing and you can find a video tutorial on this also in our Tips column. Do it on a daily, several times per day basis and do not wait until you are feeling stressed to do it. Just do it on a regular basis in order to keep stress in check. Remember, stress builds up and when it reaches the tipping point you begin to get these symptoms. Some people not only experience panic but they note a skipped pulse beat which can be quite shocking to anyone. It's a signal to you that your body is giving you in order to help you make some changes.


You might also consider working with a cognitive psychologist on these work related stress issues. I do hope that what I have suggested may be helpful to you and that you feel better very soon. I also have a page on Stress at my website. The link to my website is my name below.


Dr. Farrell
 
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An_244842 responded:
Yes , Yes you are not alone! Stress can bring it back or many things . Talk with you doctor right away . And good luck friend . You are not alone . Read my blog it may help you.


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