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Panic Attacks:
Panic and
Anxiety Help
By
Steve B. Reed, LPC, LMSW, LMFT and
Alexandra M. Asirvadam, LPC Intern |
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What are Panic
Attacks?
Panic attacks
are an experience of intense fear that is caused by a false
alarm response. They may occur in specific situations – both
consistently and sporadically – or entirely unexpectedly and are
accompanied by extreme physical discomfort and highly intense
physical symptoms. The limbic system of the brain (emotional
mid-brain) is associated with anxiety in general, while the
amygdala (brain's primitive alarm center) is heavily involved in
panic attacks in the form of the fight/flight system, an
automatic response to danger. In addition to these biological
factors, psychological contributions (such as a sense of loss of
control and traumatic events in the past) and social
contributions (such as a stressful life) also impact the
predisposition for experiencing panic and anxiety (Durand &
Barlow, 2003).
Panic attacks can
lead to severe social and occupational problems, long-term need
of mental health care, and increased risk of suicide attempts.
They are among the most common symptoms treated in therapy.
Predisposing factors for panic attacks include being middle to
older age, being married and having higher education (Goodwin &
Andersen, 2002). However, anyone can experience such anxiety
symptoms. Both men and women suffer from panic attacks. The
need for an appropriate treatment approach is apparent.
Panic Attack
Symptoms
“… I woke up with
this vague feeling of apprehension … my heart started pounding …
my chest hurt; it felt like I was dying …” (Durand & Barlow,
2003, 117).
Common panic attack
symptoms are heart palpitations and pounding, sweating,
trembling, shaking, shortness of breath, feeling of choking,
chest pain, nausea, abdominal distress, dizziness, feeling
lightheaded, feelings of unreality, fear of losing control, fear
of going crazy, fear of dying, numbness, tingling sensations,
chills, and hot flushes (American Psychiatric Association,
2004). One or more of these symptoms can occur in any
combination and they usually can last anywhere from 15 to 30
minutes. In order to be diagnosed with panic attacks four of
these symptoms have to be present and cause acute discomfort.
The symptoms of panic attacks are generally more severe than
those of
general anxiety and their intensity may lead to a fear of
the symptoms itself, possibly intensifying them even more.
Avoiding certain situations that cause panic attacks, however,
may lead to further social impairment by withdrawing from
everyday life.
Panic Treatment
Common treatments
for panic attacks have been a wide variety of drugs, such as
tranquilizers and antidepressants, which may have unwanted side
effects and lead to dependency. The relapse rate is 20 to 90%
(depending on the type of drug used) when medication is stopped.
Psychological interventions for panic attacks include
exposure-based treatments, reality testing, teaching coping
skills, and relaxation training, all of which appear to be
helpful but frequently some anxiety and panic attacks will
remain. Exposure treatments combined with cognitive-behavioral
therapy (CBT) have shown more promising results, while a
combination of CBT and drug treatment has not proven to be
beneficial (Durand & Barlow, 2003).
In contrast to
cognitive therapy and medical interventions,
Quick REMAP (Reed, 2006) works with the limbic system
directly, which is the “emotional brain”, rather than with the
“thinking brain”. The “thinking brain” is surpassed by a sudden
fight or flight reflex or panic attack. The Quick REMAP
approach
http://www.remap.net/Quick_REMAP_Page.html is based on the
assumption that thinking and logic are not able to reach the
source of the problem causing the panic attack when emotions are
too intense. Quick REMAP calms the limbic system (such as
experiences of stress or trauma) and restores access to our
thinking brain. It manages to quickly reduce the intensity of
emotions and thereby extinguishes the source of the problem
without long and emotionally painful treatments, as well as
without medication.
Quick REMAP uses
evidence-based acupressure points, the activation of which eases
intense emotional distress and overwhelming experiences. With
an easing of the emotional distress, a change in the person’s
thinking can be observed immediately. This then results in a
different perspective of painful experiences or situations that
used to cause intense fear. In the end both the “emotional
brain” and the “thinking brain” have been helped effectively,
and the source of the panic attacks has been eliminated for
good. Quick REMAP has provided striking and quick results that
tend to be long lasting.
References
American
Psychiatric Association. (2004). Diagnostic and statistical
manual of mental disorders (4th ed., text
revision). Arlington, VA: American Psychiatric Association.
Durand, V. M. &
Barlow, D. H. (2003). Essentials of abnormal psychology (3rd
ed.). Belmont, CA: Wadsworth-Thomson Learning.
Goodwin, R. &
Andersen, R. M. (2002). Use of the Behavioral Model of Health
Care Use to identify correlates of use of treatment for panic
attacks in the community. Social Psychiatry & Psychiatric
Epidemiology, 37(5), 212-219.
Reed, S. B. (2006).
Quick REMAP Professional Handbook. Richardson, TX:
http://www.remap.net/Quick_REMAP_Learn_Quick_REMAP.html
Copyright 2008,
www.remap.net
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375
Municipal Drive, Suite 230, Richardson, TX 75080

Steve Reed is available for
an office appointment for your counseling and
psychotherapy needs in the Dallas, Fort Worth, DFW
metroplex, including Addison, Allen, Arlington, Bedford,
Carrollton, Colleyville, Denton, Euless, Flower Mound,
Frisco, Garland, Grand Prairie, Grapevine, Highland Park,
Hurst, Irving, Keller, Lake Highlands, Lewisville,
McKinney, Mesquite, Plano, Richardson, Rockwall, Rowlett,
and University Park. He also offers phone appointments from
anywhere in the world. Steve is a
creator of self
help products,
seminars
for the public, and
professional training classes on new
leading-edge therapies
such as REMAP,
EFT
Emotional Freedom Technique,
EMDR Eye
Movement Desensitization and Reprocessing, TFT Thought Field Therapy,
and NLP Neuro Linguistic
Programming.
Copyright
© 1997-2007 Steve Reed,
Dallas Counseling & Psychotherapy.
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