Posted By HFHS M.D. - H.G. on July 16, 1999 at 19:47:12
Anxiety disorders are one of the most common groups of psychiatric disorders. Women are more likely to have an anxiety disorder than men. Anxiety can be a symptom of medical conditions like hyper-thyroidism, Mitral valve prolapse to name a few. It seems like you may be having one or two types of anxiety disorders, Panic Disorder or Generalized Anxiety Disorder. A panic attack is defined as a discrete period of intense discomfort accompanied by four or more of the following symptoms that develop abruptly and reach a peak within ten minutes- palpitations, sweating, trembling, shortness of breath, chest pain, nausea, dizziness, fear of losing control, fear of dying, hot flashes. In Generalized anxiety disorder, individuals have excessive anxiety and worry about a number of events or activities. The person finds it difficult to control the worry and is plagued with restlessness, irritability, muscle tension etc.
A combination of medications and cognitive -behavioral therapy seem to be effective in the treatment of anxiety disorders. SSRI (Serotonin Specific Reuptake Inhibitors) such as Paxil, Zoloft, Celexa are t he drugs of choice. Other medications like Benzodiazepines, tricyclic antidepressants and MAOI's are proven to be effective.
I would recommend you to consult your physician to discuss about your concerns. For scheduling an appointment at Henry Ford Hospital Behavioral Services, you can call 248-689-7476. This information is provided for general educational purpose only and should not replace evaluation by a physician.
Key words: Anxiety disorders, SSRI's
Posted By Jeff on August 08, 1999 at 06:53:58
One of the other possibilities to consider is that something else could
be causing or exacerbating these attacks. In your symptoms, you did not
mention if you also have vertigo along with the nausea and vomiting. The
reason that I feel so strongly about this is that my wife had been diagnosed
with depression and panic attacks and had been on various AD and anxiolytic
meds for the past 6 years. Someone suggested that she visit an ENT MD
because of the vertigo as well as the feeling of stuffiness in the ear. She
was given a series of tests (including one where hot and cold air are blown
into the ears). She was diagnosed with Meniere's Disease. Since having been
on medication (there are lots of options for the disorder), she has not had
the constant anxiety, panic attacks, insomnia, stomach problems, depression,
tinnitus, and vertigo. I'm NOT saying that this is your problem, however,
it took a long time to find out that my wife's problems were NOT emotionally
based, rather a real, physical and tangible imbalance in the inner ear that
mimicked panic disorder and depression.
Hope this helps,