Causes of Panic
Attacks
The short and obvious answer:
panic attacks are caused by high anxiety. But, what exactly
is anxiety? Understanding how anxiety crops up will help
you defeat panic attacks.
One of the biggest myths
surrounding anxiety is that it is harmful and can lead to a
number of various life-threatening conditions.
Definition of
Anxiety
Anxiety is defined as a state
of apprehension or fear resulting from the anticipation of
a real or imagined threat, event, or situation. It is one
of the most common human emotions experienced by people at
some point in their lives.
However, most people who have
never experienced a panic attack, or extreme anxiety, fail
to realize the terrifying nature of the experience. Extreme
dizziness, blurred vision, tingling and feelings of
breathlessness—and that’s just the tip of the
iceberg!
When these sensations occur
and people do not understand why, they feel they have
contracted an illness, or a serious mental condition. The
threat of losing complete control seems very real and
naturally very terrifying.
Fight/Flight Response: One of
the root causes of panic attacks?
I am sure most of you have
heard of the fight/flight response as an explanation for
one of the root causes of panic attacks. Have you made the
connection between this response and the unusual sensations
you experience during and after a panic attack
episode?
Anxiety is a response to a
danger or threat. It is so named because all of its effects
are aimed toward either fighting or fleeing from the
danger. Thus, the sole purpose of anxiety is to protect the
individual from harm. This may seem ironic given that you
no doubt feel your anxiety is actually causing you great
harm...perhaps the most significant of all the causes of
panic attacks.
However, the anxiety that the
fight/flight response created was vital in the daily
survival of our ancient ancestors—when faced with some
danger, an automatic response would take over that
propelled them to take immediate action such as attack or
run. Even in today's hectic world, this is still a
necessary mechanism. It comes in useful when you must
respond to a real threat within a split second.
Anxiety is a built-in
mechanism to protect us from danger. Interestingly, it is a
mechanism that protects but does not harm—an important
point that will be elaborated upon later.
The Physical Manifestations
of a Panic Attack: Other pieces of the puzzle to understand
the causes of panic attacks. Nervousness and Chemical
Effects...
When confronted with danger,
the brain sends signals to a section of the nervous system.
It is this system that is responsible for gearing the body
up for action and also calms the body down and restores
equilibrium. To carry out these two vital functions, the
autonomic nervous system has two subsections, the
sympathetic nervous system and the parasympathetic nervous
system.
Although I don't want to
become too "scientific," having a basic understanding of
the sympathetic and parasympathetic nervous system will
help you understand the causes of panic attacks.
The sympathetic nervous
system is the one we tend to know all too much about
because it primes our body for action, readies us for the
“fight or flight” response, while the parasympathetic
nervous system is the one we love dearly as it serves as
our restoring system, which returns the body to its normal
state.
When either of these systems
is activated, they stimulate the whole body, which has an
“all or nothing” effect. This explains why when a panic
attack occurs, the individual often feels a number of
different sensations throughout the body.
The sympathetic system is
responsible for releasing the adrenaline from the adrenal
glands on the kidneys. These are small glands located just
above the kidneys. Less known, however, is that the adrenal
glands also release adrenaline, which functions as the
body’s chemical messengers to keep the activity going. When
a panic attack begins, it does not switch off as easily as
it is turned on. There is always a period of what would
seem increased or continued anxiety, as these messengers
travel throughout the body. Think of them as one of the
physiological causes of panic attacks, if you
will.
After a period of time, the
parasympathetic nervous system gets called into action. Its
role is to return the body to normal functioning once the
perceived danger is gone. The parasympathetic system is the
system we all know and love, because it returns us to a
calm relaxed state.
When we engage in a coping
strategy that we have learned, for example, a relaxation
technique, we are in fact willing the parasympathetic
nervous system into action. A good thing to remember is
that this system will be brought into action at some stage
whether we will it or not. The body cannot continue in an
ever-increasing spiral of anxiety. It reaches a point where
it simply must kick in, relaxing the body. This is one of
the many built-in protection systems our bodies have for
survival.
You can do your best with
worrying thoughts, keeping the sympathetic nervous system
going, but eventually it stops. In time, it becomes a
little smarter than us, and realizes that there really is
no danger. Our bodies are incredibly intelligent—modern
science is always discovering amazing patterns of
intelligence that run throughout the cells of our body. Our
body seems to have infinite ways of dealing with the most
complicated array of functions we take for granted. Rest
assured that your body’s primary goal is to keep you alive
and well.
Not so convinced?
Try holding your breath for
as long as you can. No matter how strong your mental will
is, it can never override the will of the body. This is
good news—no matter how hard you try to convince yourself
that you are gong to die from a panic attack, you won’t.
Your body will override that fear and search for a state of
balance. There has never been a reported incident of
someone dying from a panic attack.
Remember this next time you
have a panic attack; he causes of panic attacks cannot do
you any physical harm. Your mind may make the sensations
continue longer than the body intended, but eventually
everything will return to a state of balance. In fact,
balance (homeostasis) is what our body continually strives
for.
The interference for your
body is nothing more than the sensations of doing rigorous
exercise. Our body is not alarmed by these symptoms. Why
should it be? It knows its own capability. It’s our
thinking minds that panic, which overreact and scream in
sheer terror! We tend to fear the worst and exaggerate our
own sensations. A quickened heart beat becomes a heart
attack. An overactive mind seems like a close shave with
schizophrenia. Is it our fault? Not really—we are simply
diagnosing from poor information.
Cardiovascular Effects
Activity in the sympathetic nervous system increases our
heartbeat rate, speeds up the blood flow throughout the
body, ensures all areas are well supplied with oxygen and
that waste products are removed. This happens in order to
prime the body for action.
A fascinating feature of the
“fight or flight” mechanism is that blood (which is
channelled from areas where it is currently not needed by a
tightening of the blood vessels) is brought to areas where
it is urgently needed.
For example, should there be
a physical attack, blood drains from the skin, fingers, and
toes so that less blood is lost, and is moved to “active
areas” such as the thighs and biceps to help the body
prepare for action.
This is why many feel
numbness and tingling during a panic attack-often
misinterpreted as some serious health risk-such as the
precursor to a heart attack. Interestingly, most people who
suffer from anxiety often feel they have heart problems. If
you are really worried that such is the case with your
situation, visit your doctor and have it checked out. At
least then you can put your mind at rest.
Respiratory
Effects
One of the scariest effects
of a panic attack is the fear of suffocating or smothering.
It is very common during a panic attack to feel tightness
in the chest and throat. I’m sure everyone can relate to
some fear of losing control of your breathing. From
personal experience, anxiety grows from the fear that your
breathing itself would cease and you would be unable to
recover. Can a panic attack stop our breathing?
No.
A panic attack is associated
with an increase in the speed and depth of breathing. This
has obvious importance for the defense of the body since
the tissues need to get more oxygen to prepare for action.
The feelings produced by this increase in breathing,
however, can include breathlessness, hyperventilation,
sensations of choking or smothering, and even pains or
tightness in the chest. The real problem is that these
sensations are alien to us, and they feel
unnatural.
Having experienced extreme
panic attacks myself, I remember that on many occasions, I
would have this feeling that I couldn’t trust my body to do
the breathing for me, so I would have to manually take over
and tell myself when to breathe in and when to breathe out.
Of course, this didn’t suit my body’s requirement of oxygen
and so the sensations would intensify—along with the
anxiety. It was only when I employed the technique I will
describe for you later, did I let the body continue doing
what it does best—running the whole show.
Importantly, a side-effect of
increased breathing, (especially if no actual activity
occurs) is that the blood supply to the head is actually
decreased. While such a decrease is only a small amount and
is not at all dangerous, it produces a variety of
unpleasant but harmless symptoms that include dizziness,
blurred vision, confusion, sense of unreality, and hot
flushes.
Other Physical Effects of
Panic Attacks:
Now that we've discussed some
of the primary physiological causes of panic attacks, there
are a number of other effects that are produced by the
activation of the sympathetic nervous system, none of which
are in any way harmful.
For example, the pupils widen
to let in more light, which may result in blurred vision,
or “seeing” stars, etc. There is a decrease in salivation,
resulting in dry mouth. There is decreased activity in the
digestive system, which often produces nausea, a heavy
feeling in the stomach, and even constipation. Finally,
many of the muscle groups tense up in preparation for
“fight or flight” and this results in subjective feelings
of tension, sometimes extending to actual aches and pains,
as well as trembling and shaking.
Overall, the fight/flight
response results in a general activation of the whole
bodily metabolism. Thus, one often feels hot and flushed
and, because this process takes a lot of energy, the person
generally feels tired and drained.
Mental Manifestations: Are
the causes of panic attacks all in my head? is a question
many people wonder to themselves.
The goal of the fight/flight
response is making the individual aware of the potential
danger that may be present. Therefore, when activated, the
mental priority is placed upon searching the surroundings
for potential threats. In this state one is highly-strung,
so to speak. It is very difficult to concentrate on any one
activity, as the mind has been trained to seek all
potential threats and not to give up until the threat has
been identified. As soon as the panic hits, many people
look for the quick and easiest exit from their current
surroundings, such as by simply leaving the bank queue and
walking outside. Sometimes the anxiety can heighten, if we
perceive that leaving will cause some sort of social
embarrassment.
If you have a panic attack
while at the workplace but feel you must press on with
whatever task it is you are doing, it is quite
understandable that you would find it very hard to
concentrate. It is quite common to become agitated and
generally restless in such a situation. Many individuals I
have worked with who have suffered from panic attacks over
the years indicated that artificial light—such as that
which comes from computer monitors and televisions
screens—can can be one of the causes of panic attacks by
triggering them or worsen a panic attack, particularly if
the person is feeling tired or run down.
This is worth bearing in mind
if you work for long periods of time on a computer. Regular
break reminders should be set up on your computer to remind
you to get up from the desk and get some fresh air when
possible.
In other situations, when
during a panic attack an outside threat cannot normally be
found, the mind turns inwards and begins to contemplate the
possible illness the body or mind could be suffering from.
This ranges from thinking it might have been something you
ate at lunch, to the possibility of an oncoming cardiac
arrest.
The burning question is: Why
is the fight/flight response activated during a panic
attack even when there is apparently nothing to be
frightened of?
Upon closer examination of
the causes of panic attacks, it would appear that what we
are afraid of are the sensations themselves—we are afraid
of the body losing control. These unexpected physical
symptoms create the fear or panic that something is
terribly wrong. Why do you experience the physical symptoms
of the fight/flight response if you are not frightened to
begin with? There are many ways these symptoms can manifest
themselves, not just through fear.
For example, it may be that
you have become generally stressed for some reason in your
life, and this stress results in an increase in the
production of adrenaline and other chemicals, which from
time to time, would produce symptoms....and which you
perceive as the causes of panic attacks.
This increased adrenaline can
be maintained chemically in the body, even after the stress
has long gone. Another possibility is diet, which directly
affects our level of stress. Excess caffeine, alcohol, or
sugar is known for causing stress in the body, and is
believed to be one of the contributing factors of the
causes of panic attacks (Chapter 5 gives a full discussion
on diet and its importance).
Unresolved emotions are often
pointed to as possible trigger of panic attacks, but it is
important to point out that eliminating panic attacks from
your life does not necessarily mean analyzing your psyche
and digging into your subconscious. The “One Move”
technique will teach you to deal with the present moment
and defuse the attack along with removing the underlying
anxiety that sparks the initial anxiety.
Learn more
http://www.panicportal.com
Joe Barry is an international
panic disorder coach. His informative site on all issues
related to panic and anxiety attacks can be found
here:
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