When fear takes you away – Panic Attacks.

By David Joel Miller.

What is a panic attack?

Panic Disorder.

Panic Disorder.
Photo courtesy of Pixabay.com

Panic attacks are sudden, unexpected increases or surges of intense fear. These waves of fear rise rapidly like the waves of the ocean. They normally reach maximum intensity within a few minutes. Panic attacks are levels of fear which far exceed the actual level of danger.

Having a single panic attack or mild levels of anxiety recurrently don’t meet the threshold to be diagnosed with a mental illness. Milder forms are often referred to as anxiety attacks. Severe forms of panic attacks are overwhelming. If your panic attacks become frequent and disabling, then you may be suffering from the more serious condition called Panic Disorder.

16 types of panic attacks.

Panic attacks are technically classified as one of the following 16 types. People who meet the criteria for a diagnosis of panic disorder are expected to have 4 or more of these symptoms. (The DSM-5, by the APA, combines several of these and lists them as 13 criteria.)

  1. Fear of dying. Not because the danger is real but because you are so scared you think you will die.
  2. Fear of going crazy.
  3. Fear of losing control.
  4. This can’t be real. Technically this is called Derealization.
  5. Is this me doing this? (Depersonalization.)
  6. Numb all over.
  7. Tingling – when your electrical system shorts out.
  8. Hot and cold flashes and you’re not menopausal.
  9. I think I will faint.
  10. My tummy hurts, and I may throw up.
  11. Is this the big one? – Heart pain.
  12. Choking again.
  13. I can’t breathe.
  14. Why am I shaking?
  15. Is it hot in the refrigerator? Why you may sweat in the snow.
  16. Your heart is trying to leave your body.

Many common reactions to intense fear are considered culturally approved and do not get counted to make up the definition of either panic attacks or Panic Disorder. These symptoms which may be an acceptable reaction to intense fear include pains in the neck, ringing in the ears, headaches, uncontrollable screaming, or uncontrollable crying.

If you experience panic attacks occasionally or because of particular stressors you may benefit from counseling or stress management training. If these panic attacks are recurrent, or interfere with work, relationships, upset you, or prevent you from enjoying other parts of your life you may have Panic Disorder. Untreated these conditions almost never get better on their own. With professional help, it is possible to overcome panic attacks or panic disorder.

FYI These “What is” sometimes “What are” posts are my efforts to explain terms commonly used in Mental Health, Clinical Counseling, Substance Use Disorder Counseling, Psychology, Life Coaching and related disciplines in a plain language way. Many are based on the new DSM-5, some of the older posts were based on the DSM-IV-TR, both published by the APA. For the more technical versions, please consult the DSM or other appropriate references.                      See Recommended Books.         More “What is” posts will be found at “What is.”

Two David Joel Miller Books are available now!

Bumps on the Road of Life.

Bumps on the Road of Life.
By David Joel Miller

Bumps on the Road of Life is now available in both Kindle and paperback format.

Bumps on the Road of Life.

Your cruising along the road of life and then wham, something knocks you in the ditch.

Sometimes you get your life going again quickly. Other times you may stay off track and in the ditch for a considerable time. If you have gone through a divorce, break up or lost a job you may have found your life off track. Professionals call those problems caused by life-altering events “Adjustment Disorders.” Bumps on the Road of Life is the story of Adjustment Disorders, how they get people off track and how to get your life out of the ditch.

Bumps on the Road of Life

Please visit my Amazon Author Page – David Joel Miller

Casino Robbery.

Photo of Casino Robbery book

Casino Robbery.

The robbers wanted more than money; they planned to kill Arthur’s fiancé and her boss.

Arthur Mitchell was trying to start his life over with a fiancé and a new job. That all ends when the casino robbers shoot Arthur, kill his fiancée, and her boss. Arthur would like to forget that horrible day, but the traumatic nightmares and constant reminders won’t let him, and someone is still out to get him. When he tries to start over by running a rural thrift store, someone knocks him unconscious, vandalize the store, and finally tries to kill him. His only chance to find peace is to figure out what the killers want from him and why.

Casino Robbery is a novel that explores the world of a man with PTSD who has to cope with his symptoms to solve the mystery and create a new life.

Casino Robbery is available now in both Kindle and paperback editions.

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Get the latest updates on my books, due out later this year by signing up for my newsletter. Newsletter subscribers will also be notified about live training opportunities and free or discounted books. Sign up here – Newsletter. I promise not to share your email or to send you spam, and you can unsubscribe at any time.

For more about David Joel Miller and my work in the areas of mental health, substance abuse and Co-occurring disorders see the about the author page. For information about my other writing work beyond this blog check out my Google+ page or the Facebook author’s page, up under David Joel Miller. Posts to the “books, trainings and classes” category will tell you about those activities. If you are in the Fresno California area, information about my private practice is at counselorfresno.com. A list of books I have read and can recommend is over at Recommended Books


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