What causes chronic panic attacks?
Patient: i am 19 year old male, for many years i have exsperienced aprehension or panic attacks (usally something im looking forward to) over the smallest of things genually! the physical symptoms come and go genually in the sequence, hand trembeling , then leg tremeling, tightness in stomache growing very tight, then causing nausia and then throwing up in some cases (in some cases muscel twiches usally small ones around the eye). which due to the smallness of the sitmulus eg. seeing friends, catching up with friends, before an interveiw, at work if im asked to look after a friends child for a shot period of time. they usally last around 10minuts start to finish sometimes as a cycle, then go and im fine, i have tryed controlling my breathing, cutting out caffine, sugars, saying to myself this is rediculus. starving myself, but the no or little effect. they seem to be getting worse and harder to hide them, so i would like any help or serjestions. its like my body is over reacting like mad and dumping enough adrenerlin to last bloody years. any help? or ideas Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Panic attacks always happen due to underlying anxiety. Therefore you must address the underlying anxiety first. Please understand anxiety and related problems. Once you understand your anxiety, you will be able to keep yourself away from panic creating situations. Therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. Start slowly, progress gradually, attain neatly.If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.