Description Anxiety episodes th...
Description
Anxiety episodes that are experienced as physical symptoms. The physical symptoms are frightening but they are not dangerous. It can be difficult to recognize that the symptoms are from anxiety, and a medical evaluation to check for other explanations for the symptoms is appropriate. Up to 2% of the population have panic disorder (panic attacks). Episodes typically last from 2 to 10 minutes, but can be as long as 1-2 hours. Some people with panic attacks avoid locations or activities that have seemed to trigger previous attacks—this habit of avoiding triggers is called "agoraphobia" and this behavior can be extreme enough to interfere with usual life.
Symptoms
Chest pain, dizziness or faintness, fear of dying, fear of losing control, feeling of choking, feelings of detachment, feelings of unreality, nausea or upset stomach, numbness or tingling, palpitations or pounding heart, shortness of breath, sweating, chills, hot flashes, trembling.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Tests to rule out other causes of the symptoms may be done. These tests may include an electrocardiogram (ECG) and blood tests.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, D-Dimer, Electrocardiogram (EKG), Lipase, Troponin, Urinalysis (UA), X-ray
Other Specific Tests: Urine and/or serum toxicology screen
Specialists:
Internal Medicine, Psychiatry, Pediatrics, Family Practice, Pediatric and Adolescent Psychiatry
Workup:
A history and physical exam will be performed. Tests to rule out other causes of the symptoms may be done. These tests may include an electrocardiogram (ECG) and blood tests.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, D-Dimer, Electrocardiogram (EKG), Lipase, Troponin, Urinalysis (UA), X-ray
Other Specific Tests: Urine and/or serum toxicology screen
Specialists:
Internal Medicine, Psychiatry, Pediatrics, Family Practice, Pediatric and Adolescent Psychiatry
Treatment
Antidepressants (such as fluoxetine/Prozac, sertraline/Zoloft, paroxetine/Paxil, fluvoxamine /Luvox, citalopram/Celexa, escitalopram/Lexapro) are the most effective treatments. These medicines prevent panic attacks and reduce severity of attacks. During individual episodes anxiety medicines called benzodiazepines (lorazepam/Ativan, alprazolam/Xanax) may be prescribed. These medications can lead to addiction if they are used frequently so frequent repeated use is not recommended. Working with a therapist Is an important part of treatment.