[58M] Experiencing anxiety and panic-induced anger

Patient Description

A 58-year-old male reports experiencing anxiety related to a lack of physical intimacy, with episodes of panic-induced anger lasting 5 hours or more, occurring every 5 days. These episodes are accompanied by chest pain and palpitations. The patient states that these feelings have been present for years and are triggered by rejection. No specific time of day exacerbates the anger. The patient does not use alcohol, tobacco, or recreational drugs, and there is no family history of anxiety disorders or other mental health conditions. The patient has no known allergies, is not on any medications, and has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on your symptoms, you may be experiencing:

  • Panic Disorder: This is a type of anxiety disorder characterized by recurrent and unexpected panic attacks. Panic attacks are sudden periods of intense fear that may include palpitations, pounding heart, or accelerated heart rate; sweating; trembling or shaking; sensations of shortness of breath, smothering, or choking; and feeling of impending doom. These symptoms seem to align with your description of "waves of panic-induced anger" that last for several hours.

    • Treatment usually involves a combination of therapy and medication. Cognitive behavioral therapy (CBT) is considered effective in treating panic disorders. Medications such as selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines may also be used.
  • Generalized Anxiety Disorder (GAD): This is a common anxiety disorder that involves constant and chronic worrying, nervousness, and tension. This disorder is not simply a case of "worrying too much," but instead, the worry is so constant and severe that it interferes with a person's ability to function normally.

    • Treatment for GAD often involves a combination of cognitive-behavioral therapy and medication. Medications may include antidepressants, benzodiazepines, or other anxiolytic medications.

Please note that these are potential explanations based on the limited information available, and they are not definitive diagnoses. It's important to consult with a healthcare provider for a comprehensive evaluation.

What you can do

  1. Seek professional help: It's important to consult with a healthcare provider who can provide a comprehensive evaluation and appropriate treatment. This could be a primary care provider, psychiatrist, or psychologist.

  2. Practice self-care: This includes eating a healthy diet, getting regular physical activity, ensuring you get enough sleep, and avoiding alcohol, caffeine, and illicit substances, which can increase feelings of anxiety and anger.

  3. Try relaxation techniques: Techniques such as deep breathing, yoga, and meditation may help to reduce feelings of anxiety and improve mood.

  4. Stay connected: Reach out to trusted friends or family members about what you're going through so they can provide support.

What you should look out for

If your symptoms worsen or if you start to have thoughts of harming yourself or others, seek immediate medical attention. You're not alone, and there are professionals who can provide help.

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11 mo ago

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People Also Ask


What are the common symptoms of a panic disorder?

Common symptoms of a panic disorder include sudden periods of intense fear, palpitations, pounding heart, accelerated heart rate, sweating, trembling or shaking, sensations of shortness of breath, smothering, or choking, and a feeling of impending doom.


How is generalized anxiety disorder (GAD) different from regular worrying?

Generalized anxiety disorder (GAD) involves constant and chronic worrying, nervousness, and tension that is severe enough to interfere with a person's ability to function normally, unlike regular worrying which is usually temporary and less intense.


What treatment options are available for managing panic disorder?

Treatment options for managing panic disorder typically include cognitive behavioral therapy (CBT) and medications such as selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines.


Can lifestyle changes help in managing anxiety and panic attacks?

Yes, lifestyle changes such as eating a healthy diet, getting regular physical activity, ensuring adequate sleep, and practicing relaxation techniques like deep breathing, yoga, and meditation can help manage anxiety and reduce the frequency of panic attacks.


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