How To Deal With Panic Attacks So You Don’t Get Depressed?

Illustration of How To Deal With Panic Attacks So You Don’t Get Depressed?
Illustration: How To Deal With Panic Attacks So You Don’t Get Depressed? Bing

Dear HealthReplies.com,rnrnI’m a 19-year-old woman, currently a student.rnLast January when I was on campus I suddenly felt dizzy, pounding, like I was about to pass out but a little different, it felt like my soul was going to be pulled. Incidentally at that time I was in college and my teaching lecturer was one of the medical personnel. My lecturer said that it was the effect of staying up late and drinking coffee on an empty stomach (4 hours before I drank coffee on an empty stomach). Within 1-2 hours my condition improved, but the next night the symptoms returned again. I was taken to the ER, but the only treatment I was given was ulcer medicine, pain reliever, and vertigo medicine.rnrnAbout 2 weeks later in the evening when I was praying maghrib prayer suddenly I felt difficult to breathe (my respiratory tract suddenly more smoothly than usual, actually making it hard for me to breathe), feeling like I was choking, like I was about to pass out. But usually if people who are about to faint are told to stay still to conserve energy, I actually feel like I have to keep moving, otherwise I’ll lose consciousness. I also felt scared and felt like I was going to die. That night I was taken to the ER, the doctor diagnosed me with an ulcer and recommended me to be hospitalized. In the emergency room, I was given a syrup for shortness of breath and an ulcer medication that was injected into an IV. The next day I was allowed to go home.rnrnI suddenly remembered about panic attack disorder and tried to find information about it. While reading I felt like I was actually experiencing it. When I checked with the internal specialist who treated me while I was hospitalized, I talked about it and the doctor recommended consulting a psychiatrist.rnrnFor several weeks I felt like I had no enthusiasm for life, my life felt very gloomy. I didn’t even dare to sleep at night, afraid that I wouldn’t wake up again the next morning. The symptoms of panic attacks that I feel also often recur. Over time I realized that the trigger for panic attacks was the trauma of losing a parent. That January was the anniversary of my father’s death. Besides that, at that time I was also on semester break so I really didn’t have anything to do. My daily activities are the same, only revolve around sleeping, eating, and playing with gadgets.rnrnAfter discussing with my extended family, I decided to consult a psychiatrist. The doctor gave me 4 types of drugs (foransi, amitriptyline, clobazam, and propranolol) for 1 week. The progress is quite good, my negative thoughts are quite muffled and I am excited again even though I have not fully recovered. 1 week later I went back for control and the doctor again gave me the drugs with different doses for 1 month. During this 1 month I had missed ‘skipping’ medicine because I was busy on campus. The result was that the next day I was back ‘blue’ (sad, upset, not excited, afraid to die). After that I tried a little bit to reduce the drug because many people gave me input to reduce the drug a little, they were afraid that I would become addicted. During the remaining 2 weeks to my control schedule, I managed to get off the medication although I did feel a little ‘blue’. Until the worst time a few days before my period until the first few days of my period, I experienced a very severe mood swing. I can change from happy that can make my smile not fade at all to sad that wants to cry out loud in just a few minutes. Before my period, I only had 2 emotions, namely deep joy and deep sadness. Meanwhile, when I had my period, my emotions turned into happy and angry anger which was very explosive, until I felt that there was a little bit that annoyed me and I could swear a lot of harsh words. I feel very depressed with my condition like that. But sometimes my emotions can be a little distracted by my busy schedule in a more crowded campus. Besides that, I also try to do regular exercise (jogging), because basically I am the type of person who is lazy to exercise.rnrnWhen I checked back to the doctor, I told him these things. The doctor again gave me the same drug and asked me to do a psychological test 180. The results of this psychological test will be discussed in my control schedule, which is 1 month later.rnrnAfter the control I still try to withhold the drug and try to overcome the ‘blue’ waves by diverting attention or performing the 4-7-8 breathing technique. Sometimes I cry for almost an hour to release the accumulated emotions.rnrnBut about 1 week ago suddenly at 4 am I woke up and then again felt the symptoms of a panic attack (difficulty breathing, shaking, heart palpitations, etc.) . I quickly ate protein bars and took medicine from the doctor. Slowly I can calm down again. After that, I still took the medicine. I only take it when I really feel unwell with the ‘blue’ waves or when the panic attack symptoms return.rnrnAs of this week I’ve had 2 panic attacks and the ‘blue waves’ have been extreme. I also happen to be on my period. In addition, this month is also the month of my mother’s death.rnrnMy schedule for a check-up with the doctor is about 2 weeks away. The question is, is my action to try to slowly escape from the drug is wrong? And could the panic attack really be related to my trauma? If the action of taking the drug is wrong, will for the remaining 2 weeks before I check with the doctor I have to take my medication again regularly? Then, can I really have panic disorder and depression at the same time?rnrnThank you

1 Answer:

Hi Ardhya,

1. Looking at the conditions above, we really do not recommend that you try to stop yourself from using drugs that have been recommended by your doctor. If you feel better and want to reduce the use of the drug, you should discuss it with your doctor first.

2, Panic attack, is a condition where high-intensity fear suddenly arises, even though this panic attack is actually not dangerous. Can arise due to traumatic experiences, childhood history, stress, even genetics / heredity. Your traumatic experience with your parents and their death can trigger this as well. In addition to medication, psychotherapy can help deal with these panic attacks.

3. Take your medication regularly until your doctor tells you that you can reduce the dose or stop taking it.

4. People with panic attacks tend to be more prone to depression. Research shows that some people with panic attacks will experience at least one depression in their lifetime.

These are the answers to your questions above. We strongly recommend that you communicate more or ask directly to the doctor who treats you, so that the opinion and treatment is clearer and more precise.

Hope it helps.

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