Panic attacks

Clinic

• According to TLT, panic attacks is an entity, which is characterized by Sudden periods of intense fear
• Typically, symptoms reach a peak within ten minutes of onset, and last for roughly 30 minutes, but the duration can vary from seconds to hours.
• Although they can be extremely frightening and distressing, panic attacks themselves are not physically dangerous.
• Dysregulation of the norepinephrine system in Locus coeruleus, an area of the brain stem, has been linked to panic attacks.

Causes

Dynamic	Static
OCD (Obsessive-compulsive disorder) PTSD (Post-traumatic stress disorder)	POTS (Postural orthostatic tachycardia syndrome) Hypoglycemia Hyperthyroidism Wilson's disease Mitral valve prolapse Pheochromocytoma Labyrinthitis Hyperventilation syndrome Psychological stressors Substance use disorder

Sign / Symptoms

Sympathetic Overactivation	Hyperventilation	Others
Palpitation / Tachycardia. Sweating Chest Pain / Discomfort Trembling Hot flashes, Cold flashes, Burning sensations (particularly in the facial or neck area) Nausea Hypertension. Tachypnea. Depersonalization/ Derealization	Shortness of breath Dizziness Numbness / Paresthesias / Tingling Confusion Sensations of choking or smothering, difficulty moving, Light-headedness, Heavy-headedness	Fear of dying or heart attack Flashing vision or other visual disturbances Loss of body control Tunnel vision Strong urge to escape

Related disease

• Panic disorder

• Agoraphobia

• Social anxiety disorder
• Post-traumatic stress disorder
• Substance use disorder
• Depression, and medical problems. They can either be triggered or occur unexpectedly. Smoking, caffeine, and psychological stress increase the risk of having a panic attack. Before diagnosis, conditions that produce similar symptoms should be ruled out, such as hyperthyroidism, hyperparathyroidism, heart disease, lung disease, drug use, and dysautonomia.

Panic attack vs Anxiety

• Panic attacks are distinguished from other forms of anxiety by their intensity and their sudden, episodic nature.
• They are often experienced in conjunction with anxiety disorders and other psychological conditions
• Panic attacks are not generally indicative of a mental disorder.

Repertory

Acute PA	PA + Fear of Death	PA in Public Places	PA over upcoming Events	PA in Closed Spaces	PA + Fear of Heart Disease
Acon Kali-ars	Acon Ars Phos	Lyc Arg-n	Med Lyc	Gels Rhus-t	Kali-ars Spong

Remedies

	Etiology	Mental state
Acon	Sudden and with great intense panic attacks Panic attacks with fear of death and dying. The person believes he will die soon, he even predicts the day of his death.	Great restlessness and anxiety and tosses and turns in agony Fear and inconsolable anxiety
Kali-ars	Panic attacks which result from fear of acquiring a life-threatening disease. The person fears getting heart disease or suffering a stroke.	Attack is accompanied by startled looks, anxious face and protruding eyes Difficulty breathing and a strong fear of something going wrong. Mental and physical restlessness accompanying an acute panic attack
Ars	Well indicated for panic attacks with fear of death which Such a person feels anxious about his health, fears getting some incurable disease.	PA worsens during the night.
Phos	Panic attacks with fear of death, esp when left alone. Fears something bad will happen to him.	He wants sympathy and
Lyc	Panic attacks during public speaking and stage fright. In such cases Fear of strangers Fear of men Fear of being alone	Suitable for panic attacks from constant fear of breaking down under stress
Arg-n	Panic attacks from fear of high buildings, esp the fear of projecting corners of buildings.
Gels	The most wonderful medicines for panic attacks in closed spaces is Gels Anticipation of an unusual ordeal with lack of courage and fear of losing self-control	Gels is well indicated for nervous dread of appearing in public.
Rhus-t	The most wonderful medicines for panic attacks in closed spaces is Rhus-t, esp at night.	Weeping without any reason and great restlessness at night
Med	Med is best selected for panic attacks in anticipation of upcoming events where a person gets into a state of severe panic, esp ahead of the time set for the event.
Spong	Most effective remedy for panic attacks with great anxiety about the heart and fear of heart disease.	The anxiety, in such cases, may be accompanied by pain in the heart region and difficulty in breathing.

Other remedies

• Lob
• Stram