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Medical Forum / Diseases and Disorders / Arthritis / May 2007

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Anxiety & Panic / Are they the same?

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Donna G. - 07 May 2007 01:19 GMT
Was talking to a couple of friends of mine, and we got into this
discussion about anxiety attacks and panic attacks.

Now, am wondering are they basically the same thing?   If not, what
differentiates them?
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Donna G.
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ANGELS EXIST, but some times, since they don't all have wings, we call
them FRIENDS......
jofirey - 07 May 2007 01:47 GMT
Was talking to a couple of friends of mine, and we got into this
discussion about anxiety attacks and panic attacks.

Now, am wondering are they basically the same thing? If not, what
differentiates them?
.

I think they are different and I think I've had both.  Panic attacks are
worse.  Just like panic is worse than anxiety.

Anxiety is hiking where you know there could be rattlesnakes.  Panic is when
you are eye to eye with one.

Not really, but usually if I have an anxiety attack, it will at least have
some focus.  I'll be upset, very nervous, probably shaking, maybe some
sweating.  It will be out of all proportion to what I think I'm upset about
and I'll be aware of that.  But I will feel like I have some control.  I
have pills that help (paxil) and I can take one and keep myself calm until
they work.  I used to call them my IRS pills.  Or mother-in-law pills as the
case may be.

A panic attack will involve a very fast pulse, can come flat out of nowhere.
Feel like you can't breathe.  You will feel like you have no control and
they don't have any focus, other than maybe the feeling that you are dying,
even though nothing actually hurts.  At least for me they never last very
long and I don't have them very often.  I really feel for anyone that does.
They leave you feeling completely drained.

Jo
shenmei9wise@gmail.com - 07 May 2007 02:13 GMT
Jo,
I love that rattlesnake analogy.  I'd love to borrow it for future
discussions if you don't mind

m
jofirey - 07 May 2007 02:24 GMT
> Jo,
> I love that rattlesnake analogy.  I'd love to borrow it for future
> discussions if you don't mind
>
> m

Be my guest.  I doubt it's original.

Jo
Ann - 07 May 2007 02:56 GMT
Donna,
Jo hit it right on the nose with the rattlesnake theory.  I had panic
attacks from age 39 to 45 or so and they were awful.  If one hit when I
was in a store I would have to get out fast even if it meant leaving a
full shopping basket behind.  It was blurred vision, sweating, heart
palpitations and a feeling of impending doom.  It also happened a few
times when I was on the highway and I had to get off at the first exit
and stop until it passed.  It's very hard to explain them to someone who
has never experienced one.  I avoided crowded stores, malls, theaters
and church for a long time.  I got a lot of help from reading a book by
Dr. Claire Weeks, an Australian physician who explained it in detail and
gave some coping skills.

Ann
shenmei9wise@gmail.com - 07 May 2007 03:19 GMT
Ann,
I love her.  saw her lecture in London.  Hope and help for your/the
nerves, I think is her book.  i have it at the office and have loaned
it to patients before.  I love her perspective on 'nervous' disorders.

m
Ann - 07 May 2007 21:14 GMT
M wrote:  'I love her. saw her lecture in London. Hope and help for
your/the nerves, I think is her book. i have it at the office and have
loaned it to patients before. I love her perspective on 'nervous'
disorders."
________________

She has written several books over the years.
The book I used was "Simple, Effective Cure for Agorophobia"  and I
think it was printed by Bantam in 1976.  I had to order a second copy
for a friend from the publisher a few years ago.  Her last name is
Weekes. (I spelled it wrong in last post).  This book was worth it's
weight in gold to me when I was in the midst of the anxiety/agorophobia
stuff.

Ann
shenmei9wise@gmail.com - 07 May 2007 02:00 GMT
Hey donna,
Panic disorders are usually very acute and include physical
manifestations like palpitations, dizziness, sweating, nausea,
shaking, etc.  A panic disorder (let me try to remember DSMIV  info
without looking it up as I don't have it here) has a different
diagnosis than anxiety disorder.  I think it is 4 attacks in a month
with four of a list of manisfestations like the above list.  (I
remember the four-four thing....)

anxiety disorder does not have to be as acute-can be just
irritability, excessive worry, and insommnia, restlessness, twitching,
headaches,muscle tension.  i believe it usually takes a little longer
for an anxziety diagnosis.

m
Donna G. - 07 May 2007 02:37 GMT
Thanks, Jo and M.

OK, so then does anxiety attacks sometimes then lead to panic attacks?

Appreciate your input on this.  Kind of funny that you can get this far
in life and never really think about these things or know much about
them.

.
.
.

Donna G.
.
.
.
ANGELS EXIST, but some times, since they don't all have wings, we call
them FRIENDS......
shenmei9wise@gmail.com - 07 May 2007 03:07 GMT
donna,
hum....well you can have panic attacks with GAD which is gerneralized
anxiety disorder but the "leads to"  is hard to anwser.  you can have
anxiety disorder for a long time without a panic disorder.  And for
sure, you can have a panic "attack" without having had an anxiety
disorder.There is anecdotally a lot of crossover, though.There are
still so many unanswered questions about brain chemistry.  Why is it
that mitral valve prolapse people can be more prone to panic ?  And
what the heck is a temporal lobe <g>

I have a close friend who is a psyciatrist who works lots with anxiety
disorder.  Let me see what she has to say and I'll get back to you

m
california_chief - 07 May 2007 02:37 GMT
>Was talking to a couple of friends of mine, and we got into
> this discussion about anxiety attacks and panic attacks.

> Now, am wondering are they basically the same thing?
> If not, what differentiates them?

Taber's CYCLOPEDIC MEDICAL DICTIONARY - Editon 19

Anxiety -- A vague uneasy feeling of discomfort or dread accompanied by an
autonomic response.

Anxiety attack -- An imprecise term for sudden onset of ansiety, somethimes
accompanied by a sense of imminent danger or impending doom and an urge to
escape.

Anxiety disorder -- Any of a group of mental conditons that include panic
disorder with or without agoraphobia; agoraphobia without panic disorder;
simple (specific) phobia; social phobia; obsessive-compulsive disorder;
posttraumatic stress disorder; acute stress disorder; generalized anxiety
disorder; anxiety caused by a general medical condition; and
substance-induced anxiety disorder.

Panic -- Acute anxiety, terror, or fright that is usually of sudden onset
and may be uncontrollable.

Panic attack -- A discrete periof of intense fear of discomfort that is
accompanied by at least 4 of the following symptoms: palpitations, sweating,
trembling or shaking, sensations of shortness of breath or smoothering,
feeling of choking, chest pain or discomfort, nausea or abdominal distress,
dizziness or lightheadedness, feeling of unreality or being detached from
oneself, feeling of losing control or going crazy, fear of dying,
paresthesias (numbness or tingling sensations), and chills or hot flushes.
The onset is sudden and builds to a peak usually in 10 minutes or less, and
may include a sense of imminent danger of impending doom and an urge to
escape.

Panic disorder -- An anxiety disorder characterized by panic attacks (e.g.,
agoraphobia with panic attacks).

Homosexual panic -- In classic freudian psychiatry, fear, anxiety,
aggression, or psychosis that originates in conflicts that arise from an
attraction to members of one's own gender.

... Chaos, panic, and disorder -- my work here is done.
.
california_chief - 07 May 2007 02:37 GMT
> Was talking to a couple of friends of mine, and we got into
> this discussion about anxiety attacks and panic attacks.

> Now, am wondering are they basically the same thing?
> If not, what differentiates them?

Now my smart-a.s reply.  <VBEG>

Anxiety is what a groom feels BEFORE the wedding.

Panic is what he senses AFTER the wedding.

... Don't panic... Don't panic... Don't panic.... All right, NOW PANIC!!!
Donna G. - 07 May 2007 02:57 GMT
WOW, Joe, thanks.  The panic attacks sound absolutely horrendous.  Can't
even begin to imagine having to live with that type of thing day in and
day out!

.
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Donna G.
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.
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ANGELS EXIST, but some times, since they don't all have wings, we call
them FRIENDS......
Donna G. - 07 May 2007 02:58 GMT
LOL.........very funny Joe!
.
.
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Donna G.
.
.
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ANGELS EXIST, but some times, since they don't all have wings, we call
them FRIENDS......
spodosaurus - 07 May 2007 15:05 GMT
There's evidence to indicate that depression and anxiety are (or can be)
related disorders. Panic disorders can be present in both or on their
own. Anxiety feels like crap and disrupts ones life...panic makes you
feel the fear of imminent death (that's not a diagnostic description,
just an 'in laymen's terms' description).

Ari

>  
> Was talking to a couple of friends of mine, and we got into this
[quoted text clipped - 13 lines]
> ANGELS EXIST, but some times, since they don't all have wings, we call
> them FRIENDS......

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nanny - 08 May 2007 00:28 GMT
As I understand it, and from my own experience, they can be used
interchangeably.  If they're any different at all, I'd say the anxiety
symptoms start first, and if one cannot get control of them, they may become
panic attacks (which are very scary and makes one feel you are dying).
Nanny

Was talking to a couple of friends of mine, and we got into this
discussion about anxiety attacks and panic attacks.

Now, am wondering are they basically the same thing? If not, what
differentiates them?
.
.
.

Donna G.
.
.
.
ANGELS EXIST, but some times, since they don't all have wings, we call
them FRIENDS......
 
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