Question:
hi Tanya, I appreciate the response. I’ve read some of your archived post and can appreciate your sense of humor. I’ve got a pretty deep one myself. The big difference for myself is where most people with PD can rationalize attacks ‘this is a normal physiological reaction and it will pass’ I have had the pleasure of experiencing two coronary events (heart attacks) in my life and the symptoms of a panic attack and a heart attack are quite similar in nature. So every a panic attack that I experience I have been concerned that I am having another coronary attack. As far as delegating I have become the master of delegation this past year however I cannot delegate the responsibility of performance management. This falls to me for all of my reports. As far as Xanax my primary doctor seems very reluctant to even discuss xanax and want to put me on anti depressant. As far as going to Individual Contributor, from what I have read Panic Attacks can stem ‘from the wire being strung a little too tight’. I figure loosening it a little certainly could not hurt. Heck, over %90 of the population exists as individual contributors. Whats one more. As far as dancing I’d love to give you a run for your money on a game call ‘Dance Dance Revolution’ If you are ever in an arcade and see a middle aged gentleman (used loosely) jumpin aroung on a ‘dance revolution machine’ with a bunch of teenagers that would likely be me. ;) I’m six to eight footer! Regards Robert
– Hide quoted text — Show quoted text – Tough having to have one-on-ones knowing that a panic attack can come up at any moment. that’s ‘ livin’ on tha edge ‘…i love tha edge, personally.. not knowin’ when i’m gunna flip muh shit… kinda keeps me entertained wimme. it’s also alot of fun when dealing with project managers and simlar types knowing a panic attack can occur. yeah ! and Madonna could come to yer office and give ya a candy-gram… (maybe yer predictin too much… you create yer own life, yanno) It is a little dissapointing to hear that medince will not get rid of panic attacks. xanax will. or at least it does for me and everyone else i know.. but then agin.. me and my friends ain’t exactly the kinda people others expect normal behavior from. So far I have been able to ‘mask’ things but don’t know how much longer I can manage this. maybe let down yer guard and leave room ta be surprised… i mean.. whadda ya got ta lose????? Not a whole lot of fun either when it happens. there’s more ta life than fun. (like more fun havin fun not worryin bout havin fun.. now THAT’s fun) ok.. there ain’t more ta life than fun…. now i think about it. Starting to try to avoid these situations which makes me much less effective as a manger. have ya thought of not managing and possibly delegating? (knowin’ yer weak points can be a super strong point) Been trying to change jobs back to individual contributor but no luck yet. i dunno what that is, but it sounds a lot like professional solitary confinement. SHALL WE DANCE, DAMMIT? ::doin’ da hustle:: WAIT ! nevermind… ya might have a panic attack.. and i KNOW i will.. we could get arrested for public indecency.. let’s just talk about the molecular structure of tequila. ~tanya (ahhhhhhhhh-REEEEEEEEEBAH REEEEEEEEEEEBAH !) lick, gulp, suck’n SLAM !… ahhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh
Response:
I posted in another thread, I really would like to read sections 8-12 in the PD FAQ. I googled for hours but could not locate 2 of 2 – Hide quoted text — Show quoted text – Can you be on medication for PD while going through CBT? Yes. Or do you need to ‘experince’ the PD attacks and work through them? Medicine will rarely completely get rid of the PA’s If so I am activley doing this now (kinda called life) How bad does this interfere with your life? Please tell me more about this. Jamie Just worried I might no be as succesful as I might hope to be. Regards Robert I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? Because depression and anxiety/panic are chemically related antidepressants are often effective in treating PAD as well. The snag with ADs is that you should *start low and go slow* because they will worsen your symptoms in the first few weeks before they will make you feel better. The other group of meds used for PD are *benzodiazepine* anxiolytics ("benzos"), that don’t need to build up in your system the ways ADs do but work almost immediately. Both groups can be combined which is a good idea in many cases. Apart from medication *Cognitive Behaviopral Therapy* (CBT) is much recommended, as it’s the only therapy (a here-and-now therapy directly aimed at getting rid of your symptoms) that can rightfully claim very postitive results with PD. Philip I am not depressed. just exibit an number of Panic Disorder symptoms, namely 1. palpitations, pounding heart, or accelerated heart rate 3. trembling or shaking 4. sensations shortness of breath or smothering 6. chest pain or discomfort (which is really scary after two cardiac incidents) 8. feeling dizzy, unsteady, lightheaded, or faint 12. numbness or tingling sensations I DO NOT have classic depression syptoms.. Fatigue Depressed mood most of the day (I’ve been refered to as ‘an extremely happy person’) Diminished interest in most activities (Skiing, Gaming, DDR, Running, Family – All up and running) Weight loss or gain (I run 3-5 miles 6-7 times a week) Sleeping too much or too little Loss of energy every day Feelings of worthlessness or excessive guilt Decreased ability to concentrate (except during Panic attack) Recurrent thoughts of death or suicide. (I REALLY WANT TO LIVE A HIGH QUALITY LIFE) So why treat PD with Anti Depressents? Please help me gain some insight. Thanks Robert
Response:
I posted in another thread, I really would like to read sections 8-12 in the PD FAQ.
http://www.sonic.net/~drrhodes/asap/asap_monthly_faq.html#top -kelly
Response:
Thanks!
– Hide quoted text — Show quoted text – I posted in another thread, I really would like to read sections 8-12 in the PD FAQ. http://www.sonic.net/~drrhodes/asap/asap_monthly_faq.html#top -kelly
Response:
Tough having to have one-on-ones knowing that a panic attack can come up at any moment.
that’s ‘ livin’ on tha edge ‘…i love tha edge, personally.. not knowin’ when i’m gunna flip muh shit… kinda keeps me entertained wimme. it’s also alot of fun when dealing with project managers and simlar types knowing a panic attack can occur.
yeah ! and Madonna could come to yer office and give ya a candy-gram… (maybe yer predictin too much… you create yer own life, yanno) It is a little dissapointing to hear that medince will not get rid of panic attacks.
xanax will. or at least it does for me and everyone else i know.. but then agin.. me and my friends ain’t exactly the kinda people others expect normal behavior from. So far I have been able to ‘mask’ things but don’t know how much longer I can manage this.
maybe let down yer guard and leave room ta be surprised… i mean.. whadda ya got ta lose????? Not a whole lot of fun either when it happens.
there’s more ta life than fun. (like more fun havin fun not worryin bout havin fun.. now THAT’s fun) ok.. there ain’t more ta life than fun…. now i think about it. Starting to try to avoid these situations which makes me much less effective as a manger.
have ya thought of not managing and possibly delegating? (knowin’ yer weak points can be a super strong point) Been trying to change jobs back to individual contributor but no luck yet.
i dunno what that is, but it sounds a lot like professional solitary confinement. SHALL WE DANCE, DAMMIT? ::doin’ da hustle:: WAIT ! nevermind… ya might have a panic attack.. and i KNOW i will.. we could get arrested for public indecency.. let’s just talk about the molecular structure of tequila. ~tanya (ahhhhhhhhh-REEEEEEEEEBAH REEEEEEEEEEEBAH !) lick, gulp, suck’n SLAM !… ahhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh
Response:
Yea. when you have ocd, you think about ocd. all the time… — -Jamie
– Hide quoted text — Show quoted text – What is OCD? Obsessive Compulsive Disorder. I must say that I saw no reason to bring this up in connection to your initial message. i think jamie’s OCD makes him talk about OCD. :-) -kelly
Response:
Can you be on medication for PD while going through CBT?
Yes. Or do you need to ‘experince’ the PD attacks and work through them?
Medicine will rarely completely get rid of the PA’s If so I am activley doing this now (kinda called life)
How bad does this interfere with your life? Please tell me more about this. Jamie – Hide quoted text — Show quoted text – Just worried I might no be as succesful as I might hope to be. Regards Robert I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? Because depression and anxiety/panic are chemically related antidepressants are often effective in treating PAD as well. The snag with ADs is that you should *start low and go slow* because they will worsen your symptoms in the first few weeks before they will make you feel better. The other group of meds used for PD are *benzodiazepine* anxiolytics ("benzos"), that don’t need to build up in your system the ways ADs do but work almost immediately. Both groups can be combined which is a good idea in many cases. Apart from medication *Cognitive Behaviopral Therapy* (CBT) is much recommended, as it’s the only therapy (a here-and-now therapy directly aimed at getting rid of your symptoms) that can rightfully claim very postitive results with PD. Philip I am not depressed. just exibit an number of Panic Disorder symptoms, namely 1. palpitations, pounding heart, or accelerated heart rate 3. trembling or shaking 4. sensations shortness of breath or smothering 6. chest pain or discomfort (which is really scary after two cardiac incidents) 8. feeling dizzy, unsteady, lightheaded, or faint 12. numbness or tingling sensations I DO NOT have classic depression syptoms.. Fatigue Depressed mood most of the day (I’ve been refered to as ‘an extremely happy person’) Diminished interest in most activities (Skiing, Gaming, DDR, Running, Family – All up and running) Weight loss or gain (I run 3-5 miles 6-7 times a week) Sleeping too much or too little Loss of energy every day Feelings of worthlessness or excessive guilt Decreased ability to concentrate (except during Panic attack) Recurrent thoughts of death or suicide. (I REALLY WANT TO LIVE A HIGH QUALITY LIFE) So why treat PD with Anti Depressents? Please help me gain some insight. Thanks Robert
Response:
I manage a group of 20 people including perfomance mangement. Tough having to have one-on-ones knowing that a panic attack can come up at any moment. Also mange several projects, it’s also alot of fun when dealing with project managers and simlar types knowing a panic attack can occur. It is a little dissapointing to hear that medince will not get rid of panic attacks. So far I have been able to ‘mask’ things but don’t know how much longer I can manage this. Not a whole lot of fun either when it happens. Starting to try to avoid these situations which makes me much less effective as a manger. Been trying to change jobs back to individual contributor but no luck yet. – Hide quoted text — Show quoted text – Can you be on medication for PD while going through CBT? Yes. Or do you need to ‘experince’ the PD attacks and work through them? Medicine will rarely completely get rid of the PA’s If so I am activley doing this now (kinda called life) How bad does this interfere with your life? Please tell me more about this. Jamie Just worried I might no be as succesful as I might hope to be. Regards Robert I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? Because depression and anxiety/panic are chemically related antidepressants are often effective in treating PAD as well. The snag with ADs is that you should *start low and go slow* because they will worsen your symptoms in the first few weeks before they will make you feel better. The other group of meds used for PD are *benzodiazepine* anxiolytics ("benzos"), that don’t need to build up in your system the ways ADs do but work almost immediately. Both groups can be combined which is a good idea in many cases. Apart from medication *Cognitive Behaviopral Therapy* (CBT) is much recommended, as it’s the only therapy (a here-and-now therapy directly aimed at getting rid of your symptoms) that can rightfully claim very postitive results with PD. Philip I am not depressed. just exibit an number of Panic Disorder symptoms, namely 1. palpitations, pounding heart, or accelerated heart rate 3. trembling or shaking 4. sensations shortness of breath or smothering 6. chest pain or discomfort (which is really scary after two cardiac incidents) 8. feeling dizzy, unsteady, lightheaded, or faint 12. numbness or tingling sensations I DO NOT have classic depression syptoms.. Fatigue Depressed mood most of the day (I’ve been refered to as ‘an extremely happy person’) Diminished interest in most activities (Skiing, Gaming, DDR, Running, Family – All up and running) Weight loss or gain (I run 3-5 miles 6-7 times a week) Sleeping too much or too little Loss of energy every day Feelings of worthlessness or excessive guilt Decreased ability to concentrate (except during Panic attack) Recurrent thoughts of death or suicide. (I REALLY WANT TO LIVE A HIGH QUALITY LIFE) So why treat PD with Anti Depressents? Please help me gain some insight. Thanks Robert
Response:
Sounds good. I will be on here till 10. — -Jamie
– Hide quoted text — Show quoted text -I really appreciate the support. My child needs a little attention. Back in one hour. I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? I am not depressed. just exibit an number of Panic Disorder symptoms, namely 1. palpitations, pounding heart, or accelerated heart rate 3. trembling or shaking 4. sensations shortness of breath or smothering 6. chest pain or discomfort (which is really scary after two cardiac incidents) 8. feeling dizzy, unsteady, lightheaded, or faint 12. numbness or tingling sensations I DO NOT have classic depression syptoms.. Fatigue Depressed mood most of the day (I’ve been refered to as ‘an extremely happy person’) Diminished interest in most activities (Skiing, Gaming, DDR, Running, Family – All up and running) Weight loss or gain (I run 3-5 miles 6-7 times a week) Sleeping too much or too little Loss of energy every day Feelings of worthlessness or excessive guilt Decreased ability to concentrate (except during Panic attack) Recurrent thoughts of death or suicide. (I REALLY WANT TO LIVE A HIGH QUALITY LIFE) So why treat PD with Anti Depressents? Please help me gain some insight. Thanks Robert
Response:
Can you be on medication for PD while going through CBT? Or do you need to ‘experince’ the PD attacks and work through them? If so I am activley doing this now (kinda called life) Just worried I might no be as succesful as I might hope to be.
yes, you can (and should) stay on your meds while doing CBT. -kelly
Response:
I understand it is completly different. I was just asking about his symptoms and suggestions that there are other possibilties. jamie — -Jamie
– Hide quoted text — Show quoted text – Obsessive complusive disorder. Can you explain more about your panic and anxieity symptooms. When they happen, what they feel like, etc. Jamie Sorry Jamie, but OCD is a distinctly different condition from PD. Read the DSM IV. Philip
Response:
What is OCD?
Obsessive Compulsive Disorder. I must say that I saw no reason to bring this up in connection to your initial message. Philip – Hide quoted text — Show quoted text – Are you sure there is no underlying panic condition? Like ocd?? — -Jamie I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? 1. antidepressants are also used to treat a number of anxiety spectrum disorders (Generalized and Social Anxiety, OCD), and in many people, they will help prevent panic attacks. they certainly do for me. 2. antidepressants are not considered to have as high an abuse/addiction potential as benzos. this, of course, is debatable. for me, the ideal way to treat anxiety disorders is to take an AD to *prevent* attacks, but keep a benzo on hand, just in case. -kelly
Response:
Obsessive complusive disorder. Can you explain more about your panic and anxieity symptooms. When they happen, what they feel like, etc. Jamie
Sorry Jamie, but OCD is a distinctly different condition from PD. Read the DSM IV. Philip – Hide quoted text — Show quoted text –
Response:
What is OCD? Obsessive Compulsive Disorder. I must say that I saw no reason to bring this up in connection to your initial message.
i think jamie’s OCD makes him talk about OCD. :-) -kelly
Response:
Can you be on medication for PD while going through CBT? Or do you need to ‘experince’ the PD attacks and work through them? If so I am activley doing this now (kinda called life) Just worried I might no be as succesful as I might hope to be. Regards Robert
– Hide quoted text — Show quoted text – I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? Because depression and anxiety/panic are chemically related antidepressants are often effective in treating PAD as well. The snag with ADs is that you should *start low and go slow* because they will worsen your symptoms in the first few weeks before they will make you feel better. The other group of meds used for PD are *benzodiazepine* anxiolytics ("benzos"), that don’t need to build up in your system the ways ADs do but work almost immediately. Both groups can be combined which is a good idea in many cases. Apart from medication *Cognitive Behaviopral Therapy* (CBT) is much recommended, as it’s the only therapy (a here-and-now therapy directly aimed at getting rid of your symptoms) that can rightfully claim very postitive results with PD. Philip I am not depressed. just exibit an number of Panic Disorder symptoms, namely 1. palpitations, pounding heart, or accelerated heart rate 3. trembling or shaking 4. sensations shortness of breath or smothering 6. chest pain or discomfort (which is really scary after two cardiac incidents) 8. feeling dizzy, unsteady, lightheaded, or faint 12. numbness or tingling sensations I DO NOT have classic depression syptoms.. Fatigue Depressed mood most of the day (I’ve been refered to as ‘an extremely happy person’) Diminished interest in most activities (Skiing, Gaming, DDR, Running, Family – All up and running) Weight loss or gain (I run 3-5 miles 6-7 times a week) Sleeping too much or too little Loss of energy every day Feelings of worthlessness or excessive guilt Decreased ability to concentrate (except during Panic attack) Recurrent thoughts of death or suicide. (I REALLY WANT TO LIVE A HIGH QUALITY LIFE) So why treat PD with Anti Depressents? Please help me gain some insight. Thanks Robert
Response:
I really appreciate the support. My child needs a little attention. Back in one hour.
– Hide quoted text — Show quoted text – I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? I am not depressed. just exibit an number of Panic Disorder symptoms, namely 1. palpitations, pounding heart, or accelerated heart rate 3. trembling or shaking 4. sensations shortness of breath or smothering 6. chest pain or discomfort (which is really scary after two cardiac incidents) 8. feeling dizzy, unsteady, lightheaded, or faint 12. numbness or tingling sensations I DO NOT have classic depression syptoms.. Fatigue Depressed mood most of the day (I’ve been refered to as ‘an extremely happy person’) Diminished interest in most activities (Skiing, Gaming, DDR, Running, Family – All up and running) Weight loss or gain (I run 3-5 miles 6-7 times a week) Sleeping too much or too little Loss of energy every day Feelings of worthlessness or excessive guilt Decreased ability to concentrate (except during Panic attack) Recurrent thoughts of death or suicide. (I REALLY WANT TO LIVE A HIGH QUALITY LIFE) So why treat PD with Anti Depressents? Please help me gain some insight. Thanks Robert
Response:
AD are a good front line for PD. Which one does he want you to try? — -Jamie
– Hide quoted text — Show quoted text – I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? I am not depressed. just exibit an number of Panic Disorder symptoms, namely 1. palpitations, pounding heart, or accelerated heart rate 3. trembling or shaking 4. sensations shortness of breath or smothering 6. chest pain or discomfort (which is really scary after two cardiac incidents) 8. feeling dizzy, unsteady, lightheaded, or faint 12. numbness or tingling sensations I DO NOT have classic depression syptoms.. Fatigue Depressed mood most of the day (I’ve been refered to as ‘an extremely happy person’) Diminished interest in most activities (Skiing, Gaming, DDR, Running, Family – All up and running) Weight loss or gain (I run 3-5 miles 6-7 times a week) Sleeping too much or too little Loss of energy every day Feelings of worthlessness or excessive guilt Decreased ability to concentrate (except during Panic attack) Recurrent thoughts of death or suicide. (I REALLY WANT TO LIVE A HIGH QUALITY LIFE) So why treat PD with Anti Depressents? Please help me gain some insight. Thanks Robert
Response:
Are you sure there is no underlying panic condition? Like ocd?? — -Jamie
– Hide quoted text — Show quoted text – I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? 1. antidepressants are also used to treat a number of anxiety spectrum disorders (Generalized and Social Anxiety, OCD), and in many people, they will help prevent panic attacks. they certainly do for me. 2. antidepressants are not considered to have as high an abuse/addiction potential as benzos. this, of course, is debatable. for me, the ideal way to treat anxiety disorders is to take an AD to *prevent* attacks, but keep a benzo on hand, just in case. -kelly
Response:
Hi, Thanks for the response. Don’t know she is going to reccommend. All I know is she suggested putting me on a AD. First got to get bloodwork done to rule out everthing else (tyroid, liver, diabetes, and two other tests) Also Got an CatScan sceduled for next thursday as well. What is OCD? I was on a Beta Blocker after angioplasty at the beginning of 2004 which really screwed me up. Off of that for 9 months. Regards Robert – Hide quoted text — Show quoted text – AD are a good front line for PD. Which one does he want you to try? — -Jamie I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? I am not depressed. just exibit an number of Panic Disorder symptoms, namely 1. palpitations, pounding heart, or accelerated heart rate 3. trembling or shaking 4. sensations shortness of breath or smothering 6. chest pain or discomfort (which is really scary after two cardiac incidents) 8. feeling dizzy, unsteady, lightheaded, or faint 12. numbness or tingling sensations I DO NOT have classic depression syptoms.. Fatigue Depressed mood most of the day (I’ve been refered to as ‘an extremely happy person’) Diminished interest in most activities (Skiing, Gaming, DDR, Running, Family – All up and running) Weight loss or gain (I run 3-5 miles 6-7 times a week) Sleeping too much or too little Loss of energy every day Feelings of worthlessness or excessive guilt Decreased ability to concentrate (except during Panic attack) Recurrent thoughts of death or suicide. (I REALLY WANT TO LIVE A HIGH QUALITY LIFE) So why treat PD with Anti Depressents? Please help me gain some insight. Thanks Robert
Response:
What is OCD? – Hide quoted text — Show quoted text – Are you sure there is no underlying panic condition? Like ocd?? — -Jamie I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? 1. antidepressants are also used to treat a number of anxiety spectrum disorders (Generalized and Social Anxiety, OCD), and in many people, they will help prevent panic attacks. they certainly do for me. 2. antidepressants are not considered to have as high an abuse/addiction potential as benzos. this, of course, is debatable. for me, the ideal way to treat anxiety disorders is to take an AD to *prevent* attacks, but keep a benzo on hand, just in case. -kelly
Response:
Obsessive complusive disorder. Can you explain more about your panic and anxieity symptooms. When they happen, what they feel like, etc. Jamie — -Jamie
– Hide quoted text — Show quoted text – What is OCD? Are you sure there is no underlying panic condition? Like ocd?? — -Jamie I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? 1. antidepressants are also used to treat a number of anxiety spectrum disorders (Generalized and Social Anxiety, OCD), and in many people, they will help prevent panic attacks. they certainly do for me. 2. antidepressants are not considered to have as high an abuse/addiction potential as benzos. this, of course, is debatable. for me, the ideal way to treat anxiety disorders is to take an AD to *prevent* attacks, but keep a benzo on hand, just in case. -kelly
Response:
Don’t know she is going to reccommend. All I know is she suggested putting me on a AD.
Robert, Some are better than other, depending on what is going on. First got to get bloodwork done to rule out everthing else (tyroid, liver, diabetes, and two other tests)
Good. How old are you? What else is in your medical history besides the angioplasty? What happened when you were on the beta blocker? Why did you stop it? Also Got an CatScan sceduled for next thursday as well.
With or without contrast? Honestly, I would skip the CAT and just tell them you want a MRI if you can get the insurance to pay for it. If you are looking for general brain problems / tumors, then the MRI is best. If there is any concern at all of a enblesium (blood clot) you should be in the er getting a cat scan now. Most of the time, a MRI is best… What is OCD?
Obsessive complusive disorder. Tell me more about your anxieity and panic. When, where, with who, etc? – Hide quoted text — Show quoted text – I was on a Beta Blocker after angioplasty at the beginning of 2004 which really screwed me up. Off of that for 9 months. Regards Robert AD are a good front line for PD. Which one does he want you to try? — -Jamie I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? I am not depressed. just exibit an number of Panic Disorder symptoms, namely 1. palpitations, pounding heart, or accelerated heart rate 3. trembling or shaking 4. sensations shortness of breath or smothering 6. chest pain or discomfort (which is really scary after two cardiac incidents) 8. feeling dizzy, unsteady, lightheaded, or faint 12. numbness or tingling sensations I DO NOT have classic depression syptoms.. Fatigue Depressed mood most of the day (I’ve been refered to as ‘an extremely happy person’) Diminished interest in most activities (Skiing, Gaming, DDR, Running, Family – All up and running) Weight loss or gain (I run 3-5 miles 6-7 times a week) Sleeping too much or too little Loss of energy every day Feelings of worthlessness or excessive guilt Decreased ability to concentrate (except during Panic attack) Recurrent thoughts of death or suicide. (I REALLY WANT TO LIVE A HIGH QUALITY LIFE) So why treat PD with Anti Depressents? Please help me gain some insight. Thanks Robert
Response:
I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents?
Because depression and anxiety/panic are chemically related antidepressants are often effective in treating PAD as well. The snag with ADs is that you should *start low and go slow* because they will worsen your symptoms in the first few weeks before they will make you feel better. The other group of meds used for PD are *benzodiazepine* anxiolytics ("benzos"), that don’t need to build up in your system the ways ADs do but work almost immediately. Both groups can be combined which is a good idea in many cases. Apart from medication *Cognitive Behaviopral Therapy* (CBT) is much recommended, as it’s the only therapy (a here-and-now therapy directly aimed at getting rid of your symptoms) that can rightfully claim very postitive results with PD. Philip – Hide quoted text — Show quoted text – I am not depressed. just exibit an number of Panic Disorder symptoms, namely 1. palpitations, pounding heart, or accelerated heart rate 3. trembling or shaking 4. sensations shortness of breath or smothering 6. chest pain or discomfort (which is really scary after two cardiac incidents) 8. feeling dizzy, unsteady, lightheaded, or faint 12. numbness or tingling sensations I DO NOT have classic depression syptoms.. Fatigue Depressed mood most of the day (I’ve been refered to as ‘an extremely happy person’) Diminished interest in most activities (Skiing, Gaming, DDR, Running, Family – All up and running) Weight loss or gain (I run 3-5 miles 6-7 times a week) Sleeping too much or too little Loss of energy every day Feelings of worthlessness or excessive guilt Decreased ability to concentrate (except during Panic attack) Recurrent thoughts of death or suicide. (I REALLY WANT TO LIVE A HIGH QUALITY LIFE) So why treat PD with Anti Depressents? Please help me gain some insight. Thanks Robert
Response:
I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents? I am not depressed. just exibit an number of Panic Disorder symptoms, namely 1. palpitations, pounding heart, or accelerated heart rate 3. trembling or shaking 4. sensations shortness of breath or smothering 6. chest pain or discomfort (which is really scary after two cardiac incidents) 8. feeling dizzy, unsteady, lightheaded, or faint 12. numbness or tingling sensations I DO NOT have classic depression syptoms.. Fatigue Depressed mood most of the day (I’ve been refered to as ‘an extremely happy person’) Diminished interest in most activities (Skiing, Gaming, DDR, Running, Family – All up and running) Weight loss or gain (I run 3-5 miles 6-7 times a week) Sleeping too much or too little Loss of energy every day Feelings of worthlessness or excessive guilt Decreased ability to concentrate (except during Panic attack) Recurrent thoughts of death or suicide. (I REALLY WANT TO LIVE A HIGH QUALITY LIFE) So why treat PD with Anti Depressents? Please help me gain some insight. Thanks Robert
Response:
I’ve got another question. I’ve read the first half of the panic disorder FAQ. I would concur with my doc that I have Panic Disorder. Why would the doc want to treat Panic Disorder with Anti Depresents?
1. antidepressants are also used to treat a number of anxiety spectrum disorders (Generalized and Social Anxiety, OCD), and in many people, they will help prevent panic attacks. they certainly do for me. 2. antidepressants are not considered to have as high an abuse/addiction potential as benzos. this, of course, is debatable. for me, the ideal way to treat anxiety disorders is to take an AD to *prevent* attacks, but keep a benzo on hand, just in case. -kelly
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