Holy panic attack

[denisemarie]

So I've had anxiety and panic attacks for 12 years that has varied in severity (I'm 26 now). But today I had the worst panic attack I've ever had. And I've had some bad ones, but the difference is that this one lasted for like 2 hours! I could NOT calm down. I could NOT turn my brain off. My heart was going nuts, high blood pressure, then less high, then high again, then irregular heart beat....all of which led me to being more anxious. I felt like I was going to die any minute. I almost called an ambulance. I had my hand on the phone.
I eventually laid down and took a half an Ativan (never taken it before, just had it as a backup). I don't know if it helped or if I just calmed down over time.
My main question is this: after it's over how long do people usually feel symptoms? I'm calm right now, heart rate normal, but I still have a lite weird feeling/pain twinges in my chest periodically, and am EXHAUSTED. How long do these feelings last? Has anyone else experienced lasting effects?

[Nowuccas]

Hey denisemarie,

From a previous post:

"There are some differences between anxiety and panic attacks. While books are written on this topic, the following will attempt to summarize some basics here for a brief overview".

Anxiety Attacks:
An anxiety attack, sometimes referred to as a panic attack, is an unforeseen periods or incidents where there is a sudden fright or fear of intense proportions. These attacks focus on fears that are most often not rational; however the person with the disorder believes he or she is in terrible danger or at extreme risk. Most often these anxiety attacks occur all of a sudden; i.e. they are not planned nor do they come with any type of warning mechanism built in for advance action. Results are that
the person suffering the attack will feel about to faint or near death's door. People who suffer anxiety attacks report the following symptoms, listed in no particular order:
Discomfort or pain in the chest Vertigo or
Dizziness Upset stomach / Nausea Loss of
Control, Loss of Mental Stability Stress
Cold or hot flashes Heart palpitations or
near heart attack Shallow breathing Shakes / Trembling
Anxiety disorder is characterized as having anxiety feelings that are "always there / all inclusive," make people want to isolate themselves from society and hamper everyday activities with others.

Panic Attacks:
On the other hand, a panic attack does not carry with it that "always there" association. In fact, panic episodes generally burst forth, peaking after roughly 10 minutes or so, then ending after about 25 minutes. During a panic attack, 4 of the symptoms listed below (in no particular order) generally make an appearance:
Hyperventilation, Shallow breathing, even to the point of
suffocation sensation...
Increased heart rates Tightness of chest, Chest pain or discomfort
Shakes / Trembling / Sweating Choking
sensation Upset Stomach / Nausea Vertigo
Paresthesias (numbness or tingling sensations)
Surreal feelings Loss of Control, especially
of mental faculties Death coming on Numbing
Cold or hot flashes

The Difference:
The main difference between anxiety attacks and panic attacks is in the duration of the attack and how intense it is for the person with the affliction. While anxiety attacks are less hi-stress, they tend to last longer than the power-packed panic stressors".

If panic, learn an anti-panic breathing method before another attack, so you are proficient.

Advice from a clinical psychologist about panic attacks is to breathe in to the count of 3: ( count: one thousand one; one thousand two; one thousand three) each takes around a second to say to yourself, in your mind, and out to the count of 3. Keep repeating this until the panic subsides, (up to 25 minutes) which will deal with the hyperventilation aspect. Learn to recognise the thoughts which trigger attacks; challenge and reprogram as shown*.

Also learn, and employ either Progressive Muscle Relaxation ( http://www.drcoxconsulting.com/managing-stress.html ) or acupressure tapping / EFT, whichever you find most effective.

Give the Meridian Tapping Technique / EFT a good tryout, to see if it helps you. It is free via mercola.com or www.tapping.com (13 free videos), or www.eftuniverse.com or www.emofree.com or one of the many YouTube videos. Google: "YouTube; EFT videos".
Professionally instructed is generally preferable (Google: therapists; EFT; [your location] ). - There is a version for use in public places at http://eft.mercola.com (if you like, you can claim to have a headache, as you employ the acupressure massage / tapping on your temples, but you would then be restricted to subvocalising: saying it to yourself in your mind: "Even though I suffer from anxiety / panic attacks, I deeply and completely accept myself)."

* REPROGRAMMING:
Use the Technique for Reprogramming Negative Thoughts: It's important to regularly monitor, and deal with a negative internal monologue (self talk), or mental process, such as disturbing thoughts, images, impulses, or emotions, by the process of (a): recognising it, and (b): challenging it immediately. Technique For Re-Programming Negative Thoughts: When you notice something negative, such as: "I can't do this/ am never going to get over this!" or: "Why am I always so useless/such a loser?" or even an image, emotion, or a memory; recognise that it is being generated from the negative part of your mind.

After identifying and labelling it, visualise a large, red, flashing, "STOP!" sign, and/or possibly a stern faced person wagging an index finger at you in a negative manner, then say to yourself as forcefully as you can, even aloud in a big voice, if alone: "I know this tactic: GO AWAY FOR A WHILE !!!" You may want to use either: "ruse", "ploy", "game", or "trick". In the case of an image, visualise a large "STOP" sign, or your preferred version.

Some people go so far as to keep a wide rubber band in their pocket, then put it around their wrist, when they catch themselves backsliding, stretch and release it, as a method of reprogramming their mind sooner, but I don't regard it as being strictly necessary. Remember to remove it, afterwards, if you use this method. Try replacing a negative thought with a positive affirmation of your choice, like: "I am a unique individual, with my own set of skills, and good points", or "I may not be perfect, but I'm doing the best I can, right now".

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My previous post on anxiety may be viewed at http://anxietyforum.net/forum/showthread.php?33964-New-to-the-site-and-looking-for-help&p=223989#post223989

HERBAL ANXIOLYTICS: http://anxietyforum.net/forum/showthread.php?34269-5-Powerful-Tools-You-Probably-Haven-t-Tried-Yet&p=225415#post225415

NON HERBAL NATURAL (NON PHARMACEUTICAL) ANXIOLTYICS: (5-htp, etc.) http://anxietyforum.net/forum/showthread.php?34355-Help-Please!!!/page2