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Panic Disorder

Clarity Clinc is your haven of healing and support on the journey to conquering panic disorders. Our Panic Disorder treatment is meticulously crafted to provide comprehensive care, compassionate guidance, and a roadmap to overcoming the grip of panic attacks. We understand the profound impact of panic disorder on your life, and our dedicated team is here to guide you towards a life of calm, resilience, and empowerment.
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Panic Disorder Defined

Panic disorder is a type of anxiety disorder. Individuals with panic disorder have sudden and repeated attacks of fear that last for several minutes or longer. These are called panic attacks. A panic attack is an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, during which time four or more of a list of 13 physical and cognitive symptoms occur. The term recurrent literally means more than one unexpected panic attack. The term unexpected refers to a panic attack for which there is no obvious cue or trigger at the time of occurrence-that is, the attack appears to occur from out of the blue, such as when the individual is relaxing or emerging from sleep (nocturnal panic attacks).

The frequency and severity of panic attacks vary widely. In terms of frequency, there may be moderately frequent attacks (e.g., one per week) for months at a time, or short bursts of more frequent attacks (e.g., daily) separated by weeks or months without any attacks or with less frequent attacks (e.g., two per month) over many years.

Panic attacks are characterized by a fear of disaster or of losing control even when there is no real danger. Panic attacks can happen anytime, anywhere, and without warning.

Panic disorder often begins in the late teens or early adulthood. More women than men have panic disorders and about 2-3% of Americans experience panic disorder in a given year. The median age at onset for panic disorder in the United States is 20-24 years. But not everyone who experiences panic attacks will develop panic disorder.

Panic disorder can interfere with daily life, causing people to miss work, go to many doctor visits, and avoid situations where they fear they might experience a panic attack.

Panic Disorder Causes

There is no known direct cause of panic disorders. Panic disorders can sometimes run in families but no one knows for sure why some family members have it while others don’t. Some researchers think that people with panic disorder misinterpret harmless bodily sensations as threats. Sometimes the cause can be because a person is under a lot of stress.

Panic Disorder Symptoms

To be diagnosed with general panic disorder, according to the Diagnostic and Statistical Manual of Mental Disorders, the following criteria must be met:

  • Recurrent unexpected panic attacks.

A panic attack is an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, during which time four (or more) of the following symptoms occur:

  • Palpitations, pounding heart, or accelerate heart rate.
  • Sweating.
  • Trembling or shaking.
  • Sensations of shortness of breath or smothering.
  • Feelings of choking.
  • Chest pain or discomfort.
  • Nausea or abdominal distress.
  • Feeling dizzy, unsteady, light-headed, or faint.
  • Chills or heat sensations.
  • Paresthesias (numbness or tingling sensations).
  • Derealization (feelings of unreality) or depersonalization (being detached from oneself).
  • Fear of losing control or “going crazy.”
  • Fear of dying.

Note: Culture-specific symptoms (e.g., tinnitus, next soreness, headache, uncomfortable screaming, or crying) may be seen. Such symptoms should not count as one of the four required symptoms. 

At least one of the attacks has been followed by 1 month (or more) of one or both of the following:

  • Persistent concern or worry about additional panic attacks or their consequences (e.g., losing control, having a heart attack, “going crazy”).
  • A significant maladaptive change in behavior related to the attacks (e.g., behaviors designed to avoid having panic attacks, such as avoidance of exercise or unfamiliar situations).
  • The disturbance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition (e.g., hyperthyroidism, cardiopulmonary disorder).
  • The disturbance is not better explained by another mental disorder (e.g., the panic attacks do not occur only in response to feared social situations, as in social anxiety disorder, in response to circumscribed phobic objects or situations, as in specific phobia; in response to obsessions, as in obsessive-obsessive-compulsive disorder; in response to reminders of traumatic events, as in post-traumatic stress disorder, or in response to separation from attachment figures, as in separation anxiety disorder.

 

How to Approach a Loved One About Panic Disorder

There is no perfect way to approach a loved one that you assume or know has a panic disorder. People with panic disorder may struggle with completing daily tasks and may feel ashamed or discouraged. Providing support and being aware of how panic disorder impacts their life can be helpful.

Comprehensive Therapies for Panic Disorder Treatment

Treating panic disorder usually includes a combination of medication and therapy. It is important to distinguish the best course of treatment individually. Appropriate psychiatric treatment by an experienced professional can reduce or prevent panic attacks in 70 to 90% of people with panic disorder. Most patients show significant progress after a few weeks of therapy. Relapses may occur, but they can often be effectively treated just like the initial episode. Our panic disorder treatment integrates a range of therapeutic approaches proven to alleviate panic symptoms and promote overall well-being:

Medication Management

Our skilled psychiatrists collaborate with you to determine if medication could be beneficial in managing panic disorder symptoms. The most common forms of medication used to treat panic disorders are antidepressants and anti-anxiety medication. More specifically, Selective Serotonin Reuptake Inhibitors (SSRIs), Benzodiazepines, and Selective Norepinephrine Reuptake Inhibitors (SNRIs). These medications may have side effects and taking them can lead to tolerance, withdrawal symptoms, and dependence, so you must consult with a physician before starting or stopping these medications.

Cognitive Behavioral Therapy (CBT)

CBT is a common form of treatment for panic disorder.CBT helps you identify and reframe negative thought patterns and behaviors that contribute to panic attacks. By gaining insight into the connection between thoughts, feelings, and actions, you can develop healthier coping mechanisms. The attacks can begin to disappear when individuals learn to react differently to the physical sensations of anxiety and fear that occur during panic attacks.

Exposure Therapy

Facing and gradually desensitizing yourself to triggers in a controlled environment can help reduce the intensity of panic attacks over time.

Mindfulness and Relaxation Techniques

Learning to stay present and manage stress through mindfulness and relaxation exercises can be powerful tools in preventing and managing panic attacks.

Embark on Your Journey to Mental Wellness

If you're ready to regain control over your life and overcome panic disorder, Clarity Clinic is here for you. Our dedicated mental health care team is committed to helping you conquer panic attacks, reduce anxiety, and lead a life marked by confidence, resilience, and empowerment.

Panic Disorder Providers

Jessica
Jessica Selk, LPC
Therapy
Rebecca
Rebecca Helm, LSW
Therapy
Kaitlyn
Kaitlyn Ehler, LSW
Therapy
Maggie
Maggie Semprevivo, LSW
Therapy
Zachary
Zachary Delgado, LSW
Therapy
Nicholas
Nicholas Zaris, MA
Therapy
Sarah
Sarah Tarabey, LCPC
Therapist
Michele
Michele Sitorus, PsyD
Licensed Clinical Psychologist
Jaimee
Jaimee Jaucian, LCPC, BC-DMT
Therapy
Sloan
Sloan Kodroff, LCPC
Therapist, Clinical Supervisor
Rahael
Rahael Mathew, LCPC
Therapist
Tonie
Tonie White, LCSW
Therapy
Jason
Jason Brescia, LCPC
Therapy
Virginia
Virginia Harren, LCPC
Clinical Supervisor
Brittney
Brittney Segoviano, LCPC
Therapist
Callie
Callie Perlman, LPC, NCC
Therapist
Chad
Chad Gaynier, LCPC
Therapist
Sara
Sara Fakhri, MA
Therapy
Reggie
Reggie Pacheco, PsyD
Licensed Clinical Psychologist
Sarah
Sarah Beerman, LCSW, CADC
Therapist
Sonnie
Sonnie Cousins, MA
Therapy
Nicole
Nicole Ortiz, PhD
Licensed Clinical Psychologist
Raymond
Raymond Monge, LPC, NCC
Therapy
Mary
Mary Leighton, LPC
Therapy
Raymond
Raymond Myles, PsyD
Licensed Clinical Psychologist
Michael
Michael Colombatto, PsyD
Licensed Clinical Psychologist
Marlena
Marlena Gebhard, LCSW
Therapist
Leslie
Leslie Wolf, LCPC
Therapist
Khrystyna
Khrystyna Helner, LPC, MBA
Therapist
Laura
Laura Schroeder, LCPC
Therapist
Karen
Karen Richardson, LCSW, ICDVP
Therapy
Lizzie
Lizzie Ausland, LCPC, CADC
Therapist
Katherine
Katherine Evans, LCPC
Therapist
Judy
Judy Bitzer, LCPC
Therapist
Keith
Keith Merrifield, LCSW, CCTP, ADHD-CCSP
Therapist
Jessica
Jessica Masbaum, LCSW
Therapist, Clinical Supervisor
Erika
Erika Bielenstein, LCPC
Therapist
Janel
Janel Wenger, AMFT
Therapist
Jodi
Jodi Randle, LCPC, CADC
Therapist, Clinical Supervisor
Emily
Emily Maurer, LCPC
Therapist
Frank
Frank Sassetti, PsyD
Licensed Clinical Psychologist
Daniel
Daniel Shuter, LSW
Therapist
Stella
Stella Tantillo, LSW
Therapy
Samuel
Samuel Budyszewick, LCSW
Director of Therapy- Evanston
Nayeli
Nayeli Cruz-Castillo, LCPC
Therapy
Samantha
Samantha Espinosa, MA
Therapy
Randi
Randi Schulman, LCSW
Therapist, Clinical Supervisor
Madison
Madison Gunter,
Therapy Clinical Intern
Khadija
Khadija Manzoor, LPC, CRC
Therapy
Lauren
Lauren Stanley, LCSW
Therapy
Meredith
Meredith Henry, LSW
Therapy
Miriam
Miriam Mixon, LCSW
Therapist, Clinical Supervisor
Mary
Mary Ivory, LCPC
Therapy
Jordan
Jordan Valentic-Holden, MA
Therapy
Jerri
Jerri Ganz, LCSW
Therapy
Sam
Sam Donham, LCPC
Therapy
Carol
Carol Briggs, LPC, NCC
Therapy
Autumn
Autumn Holtschlag, ALMFT, LPC
Therapy
Liz
Liz Hand, LCSW
Therapist, Clinical Supervisor
Dane
Dane Davlantis, LCPC
Therapist, Clinical Supervisor
Dillon
Dillon Pfau, LSW
Therapy
Courtney
Courtney Daly, LPC, CADC
Therapy
Carolyn
Carolyn Klinkert, LCPC
Therapist, Clinical Supervisor
Angelina
Angelina Wheeler, LCPC
Therapist, Clinical Supervisor
Brent
Brent Hope, LCSW
Therapy
Antonina
Antonina Lunetta, LCPC
Therapist, Clinical Supervisor
Aimee
Aimee Daramus, PsyD
Licensed Clinical Psychologist
Anita
Anita Weber, LSW
Therapy

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