[25F] Experiencing sudden anxiety attacks

Patient Description

A 25-year-old female reports experiencing sudden anxiety attacks. These episodes occurred twice yesterday, each lasting about 10-15 minutes. During the attacks, she felt her heart racing, shortness of breath, dizziness or lightheadedness, and a sensation of her heart pounding out of her chest. She denies any significant recent stress or life changes, and there are no identifiable triggers. This is her first experience with such anxiety attacks. She has no history of anxiety, depression, or other psychiatric illnesses, and no pre-existing conditions or chronic illnesses. She is not currently taking any medications, including over-the-counter or herbal supplements, and has not used any substances such as caffeine, alcohol, or drugs recently.

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Arora's Assessment

What might be happening

Based on the information you have provided, a possible explanation for your symptoms is:

  • Panic Disorder: Panic disorder is characterized by sudden and repeated attacks of intense fear that can include physical symptoms such as a racing heart, sweating, shaking, shortness of breath, and dizziness. These attacks can occur without a clear trigger and can be very distressing.

    • Treatment: Treatment for panic disorder often includes a combination of therapy (such as cognitive-behavioral therapy) and medication (such as selective serotonin reuptake inhibitors or benzodiazepines). Your healthcare provider can help determine the best treatment plan for you.
  • Generalized Anxiety Disorder (GAD): GAD involves persistent and excessive worry about various aspects of life, which can sometimes lead to physical symptoms similar to those you described.

    • Treatment: Treatment for GAD typically involves therapy, medication, or a combination of both. Cognitive-behavioral therapy is particularly effective for managing anxiety.
  • Acute Stress Reaction: This can occur in response to a sudden, unexpected event or stressor, even if you are not consciously aware of it. The body’s response can include symptoms like those you are experiencing.

    • Treatment: Treatment may involve stress management techniques, therapy, and sometimes medication to help manage symptoms.

What you can do

While it is important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms in the meantime:

  1. Practice Deep Breathing: Deep breathing exercises can help calm your nervous system and reduce the intensity of anxiety attacks. Try inhaling slowly through your nose, holding your breath for a few seconds, and then exhaling slowly through your mouth.

  2. Stay Active: Regular physical activity can help reduce anxiety and improve your overall mood. Aim for at least 30 minutes of moderate exercise most days of the week.

  3. Avoid Caffeine and Alcohol: Both caffeine and alcohol can exacerbate anxiety symptoms. Try to limit or avoid these substances.

  4. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, yoga, and progressive muscle relaxation can help reduce anxiety and improve your ability to manage stress.

  5. Use MDandMe: You can use the MDandMe app to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider. This can be very helpful in managing your condition and communicating effectively with your doctor.

What you should look out for

It is important to seek medical attention if you experience any of the following:

  • Chest Pain: If you experience severe chest pain, especially if it is accompanied by shortness of breath, sweating, or nausea, seek emergency medical care as these could be signs of a heart attack.

  • Worsening Symptoms: If your anxiety attacks become more frequent, severe, or start to interfere significantly with your daily life, it is important to consult a healthcare professional.

  • New Symptoms: If you develop new symptoms such as numbness, tingling, or any other concerning signs, seek medical advice promptly.

Remember, while these tips can help manage your symptoms, it is crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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4 mo ago


People Also Ask


What are the common symptoms of a panic attack?

Common symptoms of a panic attack include a racing heart, sweating, shaking, shortness of breath, dizziness, and a sensation of the heart pounding. These symptoms can be very distressing and often occur suddenly.


How is panic disorder typically treated?

Panic disorder is typically treated with a combination of therapy, such as cognitive-behavioral therapy, and medication, like selective serotonin reuptake inhibitors or benzodiazepines. A healthcare provider can help determine the best treatment plan.


Can anxiety attacks occur without any identifiable triggers?

Yes, anxiety attacks can occur without any identifiable triggers. They can happen suddenly and may not be linked to any specific stressor or event.


What lifestyle changes can help manage anxiety symptoms?

Lifestyle changes that can help manage anxiety symptoms include practicing deep breathing exercises, staying physically active, avoiding caffeine and alcohol, and engaging in mindfulness and relaxation techniques like meditation and yoga.

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