Understand what panic attack is all about. Awareness is the most important weapon to combat panic attacks because when you feel or know that you are under an attack, it is much easier for you to counter the effects of the symptoms that go along with it. Remember this: panic attacks can happen to anyone. It can happen to stressed and depressed person as well as happy and healthy ones. It can happen without warning, without any apparent reason.

Triggers can also cause irrational and exaggerated fear and anxiety. Chemical imbalance in the body (low serotonin and low progesterone levels) can trigger an attack. And while there are so many studies that suggest some causes of panic attacks, the condition is still not fully understood.

Know its symptoms. For most many people, there is no easy telling whether or not they are experiencing a panic attack during the moment of attack since it is difficult for them to rationalize things and to differentiate what is real from the unreal. While this is the case, it is not really an excuse. Here are the symptoms of panic attacks: heartbeat or palpitation, chest pain, hyperventilation or shortness of breath, stomach churning, upset stomach, trembling and shaking, muscle tension, sweating, dizziness and light-headedness, hot or cold flashes, tingling sensation or numbness, fear of dying, going crazy or losing control and feeling detached from the surroundings. Take note that people react to triggers differently, thus symptoms may vary from person to person.

Practice deep breathing. Deep breathing during an attack is the most effective way to reduce the symptoms you are experiencing as well as divert your attention from the fearful thought. Breathe in deeply for 3 slow counts, hold your breath for 3 slow counts, and breathe out for another 3 slow counts. Repeat this process until you feel you are calm. You can also breathe into a paper bag. This reason for this is that re-breathing your carbon dioxide helps correct the blood acid level that had been disturbed by excessive breathing.

Stay positive. While it is easier said than done, staying positive during an attack will speed up your recovery. Let the situation flow while keeping in mind that it will going to pass. An attack peaks for 5 to 10 minutes and rarely extends for more than half an hour so do not think that you are going crazy (or going to die) even if it feels that you are going crazy (or going to die).

Avoid unnecessary stress. While you cannot avoid every stressful situation and it is also unhealthy to turn your back on situations that need to be addressed, avoiding unnecessary stress help reduce the chances of you experiencing an attack. Stay away from people who stress you out, from relationship that causes stress, and situations that get you tensed.

Learn to say “no” if you have other much important things to do; do not work for extended hours; do not accept additional work if you know you cannot do it properly, etc.

Symptoms of Anxiety Attack

A person undergoing an episode of anxiety attack shows the following symptoms:

• Heart palpitation (increase in heartbeat)

• Hot flashes or chills

• Hyperventilation

• Surge of overwhelming panic

• Feeling detached or unreal

• Trembling or shaking

• Trouble breathing

• Feeling of losing control, going crazy; or fear of dying

• Choking sensation

• Nausea or stomach crams

• Sweating

• Dizziness

• Chest discomfort or pain

Handling anxiety attacks

Anxiety attacks usually peak within 10 minutes and rarely last for half an hour. But during this time, a person can totally lose control of himself and show symptoms mentioned above. To handle this attack, a person must:

Relax – Although it is often impossible to relax during an attack, it is very crucial not to submit yourself to your emotion. Breathe. Deep breathing helps calms and relaxes your mind and body. During an anxiety attack, focus your breathing to slow down your heartbeat. This also diverts your attention from the attack which helps you recover faster. Take some time and practice deep breathing exercises even if you are not stressed or feel anxious.

Think positively – Again, during an anxiety attack, it is often impossible to relax or even calm yourself, but you have to be in control. Push more positive thoughts to your head. Instead of thinking that others will humiliate you or you are going to faint because you cannot take the pressure, think of the good things. Do no anticipate that something bad will happen because in reality, there isn’t. Keep in mind that the more you think negatively, the more anxious and panicky it is going to be.

Think that it will be over soon – and it will. Anxiety attacks do not last for more than an hour so there is no reason for you to think and feel that your world is over. You don’t have to be mindful of the time. You don’t even have to count every minute that passed. What you should be doing is be conscious that it will not going to last forever.

Start an exercise program – We have heard that exercise has lots of benefits both to the body and the mind. It is also a great stress buster and anxiety reliever. Experts agree that as little as 30 minutes of exercise, 3 to 5 times a week is enough to lower the level of stress and reduce the chances of having episodes of anxiety attacks.

Talk to someone you trust – It can be your friend, your wife (husband), a relative or a therapist. Often, having someone who listens and understands what a person is going through will make a lot of difference. This is because it allows you to bring out your emotion rather than keeping it to yourself.

Since children are more fragile, they more vulnerable to such attacks and the effects of these attacks may be more severe than to adults. But what causes anxiety attacks? Here are some of the most common reasons of anxiety attacks:

School Phobia and Separation Anxiety

When a child reaches a certain age, he or she develops school phobia. The exact reason for this is still unknown, but what happens is, the child becomes excessively afraid of going to school. A child manifests this fear by creating reasons and complaining ailments such as toothaches, headache, and stomach cramps to keep him or her from going to school. School phobia is often linked to separation anxiety but the latter can manifest to situations other than in school (e.g. being with a group of people or joining other family for the weekend).

Again, the exact reason for this is unknown. Separation anxiety is excessive fear of being away from someone whom the child is comfortable being with. Tale-told signs of separation anxiety are similar to school phobia.

Stress

Stress is linked to anxiety attacks. It may be a result of heavy responsibilities at home and in school, unfinished tasks, physical and psychological abuse, a school bully, environment that is unfit for the child’s age, violence, etc.

Change in lifestyle

A child creates friends in school and in the neighborhood. These friends would make him or her feel comfortable and accepted. So when the family moves to another place or to a different school, a child loses the friend and comfort he or she has established and forces him or her to start all over again. If the child cannot cope with this stressful situation, it can lead to episodes of anxiety attack.

Indirect Reasons

In many cases, anxiety attacks just come out of the blue, or happen without any logical, clear or apparent reason. It may occur while the child is relaxed during the day and even while asleep. This may only happen only once. Perhaps, an anxiety attack is brought about by unresolved internal issues, which are not directly connected with the trigger. For example, a child who experiences a death of a loved one may panic whenever a certain, almost similar situation happens. The traumatic experience that he or she went through in the past which are not processed properly can come out, in this case through an attack.

A child may also show episodes of anxiety attacks because the problem at hand reminded him or her about family conflicts. Fighting in the family as well as divorce of parents may be traumatic to a child that when witnessing a similar situation, he or she goes into a panic.

Take note that there is no single reason (and it takes several factors) for a child to have an anxiety attack, but whatever it is, what’s important is how do deal with it properly.

Several treatments are proven very effective in stopping anxiety attacks. Let us look at some of the more popular ones:

Breathing technique – is one of the most effective ways in controlling anxiety attacks. Proper breathing helps slow down heartbeat and helps calm the tensed muscles as a result of the attack. Breathing also diverts the mind’s attention from the “trigger” and calms the self, thus, stopping the attack even faster. Proper breathing techniques are easy to learn and master.

Self-hypnosis – is a great tool to alter your thought process as well as your body’s reaction to those fearful thoughts. During an anxiety attack, lay down on your back or in any comfortable position and try to process your thoughts. Identify the origin of such fearful thoughts. Know if it is real. If you concentrate enough in finding the origins of your thoughts, you will soon realize that they are really not a valid reason for excessive fear. It may sound simple, and it is. Psychiatrists now recommend self-hypnosis as a treatment for anxiety attacks and other anxiety disorders. (Hypnosis and cognitive-behavioral therapy can be used together by your therapist to stop symptoms of anxiety attacks.)

Meditation – has long been credited to relieve stress and anxiety as it promotes the release of negative energy from the body, relaxes tensed muscles, and calms the mind, which in turn, effectively reduces irrational fear and apprehension. Meditation may not be for all because of the time required to master the technique, however, with proper guidance of an expert or a little bit of patience and dedication, you can reap its benefits.

Herbs – (such as chamomile, passion flower, lavender, and ginkgo biloba) are very effective long-term treatment for anxiety attacks. Since they are all-natural, they posses no side effects. They may not be as aggressive as prescription drugs but they work just as effective.

Prescription medicines – are a major help in stopping the symptoms of anxiety and episodes of anxiety attacks. Antidepressants are the most common anxiety treatment. They must be taken continuously, which may take as long as six weeks before noticing the effects. Beta-blockers are a type of drugs that prevent symptoms from recurring. SSRIs or Selective Serotonin Reuptake Inhibitors boost the level of serotonin in the brain which regulates and normalizes emotions.

Therapies – are a very important anxiety treatment. These target the psychological aspect of anxiety. CBT or the cognitive-behavioral therapy is used to alter the way of thinking – converting negative thoughts into positive ones. Techniques used in CBT include role-playing and relaxation technique. Exposure therapy exposes the person to the physical sensations of panic in a safe and controlled environment. Through repeated exposure, patients gain greater self control and more confidence in facing fearful situation.

Prescription medicines and therapies, when combined and used at treatment, are very effective. Medical studies show that the response rate of patients is much higher if both methods are used compared to those that are treated using either method.