Panic Attack Symptoms and their Actual Interpretation

Himanshu Dani 2 Replies

Panic Attack Symptoms and their Actual Interpretation

A panic attack is a discrete period of intense fear that is accompanied by uncomfortable physical symptoms

Panic Attack Symptoms may include:

  • Palpitations.
  • Sweating.
  • Trembling or shaking.
  • Shortness of breath or smothering.
  • Feelings of choking.
  • Chest pain or discomfort.
  • Nausea or abdominal distress.
  • Dizziness or light–headedness.
  • Pins and needles.
  • Diarrhea.
  • Dry mouth.
  • Headache.
  • Derealization or depersonalization.
  • Chills or hot flushes

There are two types of panic attacks:

1) Spontaneous (Uncued) Panic Attacks: These are not associated with a situational trigger and appears to come ‘out of the blue’. These panic attacks can occur during periods of relaxation or when sleeping.
2) Situational (Cued) Panic Attacks: They occur either in anticipation of a situation or in a situation where an attack has previously been experienced. Usually, the symptoms become apparent as one enters the situation.

Panic Attack Symptoms: The Irrational Fears 

1. “Am I going crazy?”

It is pretty obvious for anyone to fear they might be going crazy while experiencing panic attack symptoms. There is a lack of awareness about mental problems‚ so sufferers often jump to extreme conclusions to explain their conditions. These conclusions are usually based on irrational thinking and an overindulgence in imagination.

Panic attacks sufferers often think and believe they are schizophrenic or psychotic. 

But stop! 

Panic disorder and schizophrenia are very distinct conditions

Law of Nature

Panic attacks do not make you go crazy”

Schizophrenia is well known as a mental illness- and for anxiety sufferers, even the word itself produces terror in their day to day living. Schizophrenia is a major disorder characterized by such severe symptoms as disjointed thoughts and speech‚ babbling‚ having delusions or strange beliefs (for example‚ sufferers often claim they are receiving messages from an outer world)‚ and hallucinations. Furthermore, schizophrenia appears to be largely a genetic disorder and run strongly in families.

Schizophrenia generally begins very gradually‚ and not suddenly (such as during a panic attack). Additionally‚ because it runs in families‚ only a certain proportion of people can become schizophrenic‚ and in other people‚ no amount of stress will cause the disorder.

A third important point is that people who become schizophrenic will usually show some mild symptoms for most of their lives (such as unusual thoughts‚ flowery speech‚ etc.). Thus‚ if this has not been noticed in you yet‚ then chances are you will not become schizophrenic. This is especially true if you are over 25‚ since schizophrenia generally first appears in the late teens to early 20’s.


Never think you have gone crazy.

2.Fear of Losing Control: Will I Pass Out in Public?

During a panic attack, sufferers are prone to believe they are going to “lose control”. This happens because of the way they interpret the symptoms they are experiencing. They think this loss of control can be bodily‚ i.e.‚ that all your vital organs will completely lose the run of themselves and descend into chaos‚ or that the individual will mentally lose a grip on reality. Often‚ it is those who hate being socially embarrassed suffer from this fear the most.

Losing control could range from steering your car into an innocent passerby‚ or picking up a knife and killing the nearest and dearest person to you (not that we all don’t think of this from time to time!).

Put your mind at rest! As scary as those thoughts may be‚ you are not going to commit any of these acts. Relax. The reason you are experiencing them is that your body feels out of control with the panic attack symptoms. Your mind feels that if your body is out of control‚ it is next on the list.

You are not going to lose it. In fact‚ I am sure that with all the panic attacks you may have experienced in public places‚ nobody even noticed you looked uncomfortable. We are‚ by nature‚ social animals and dread to be seen in some kind of an embarrassing situation. Jumping up from your chair in a business meeting and screaming for an ambulance may go through your mind‚ but it is unlikely to happen.

In the end‚ even if we do embarrass ourselves socially‚ does it really matter? We have to learn to be kind to ourselves. So what if we were to cause a scene and great embarrassment? Life is too short to keep up with appearances all the time. In fact‚ the more honest you are with your fears‚ the less pressure you are subjecting yourself under‚ and the more your panic attack symptoms will dissipate.

BUT the TRUTH is: Panic attacks cannot cause Fainting!

Panic attack symptoms often include light–headiness‚ which induces fears of passing out or fainting in public. The core fear of passing out in public is that we suddenly become so vulnerable‚ especially if we are alone.

Who will look after us as we lie strewn across the sidewalk?

Sufferers also dread the thought of passing out for fear that we may never wake but fall into a coma.

Passing out is caused by a lack of oxygen supply to the brain because of possibly low blood pressure. When we faint‚ the body falls to the ground and allows blood to be easily supplied to the brain — which is‚ again‚ another of the clever safety mechanisms of the body.

Quite simply‚ fainting during a panic attack is highly uncommon due to the amount of blood that is being circulated. Blood pressure increases in panic attacks. Your heart is usually beating fast and there is little worry that the brain would be short of fresh blood supply.

The symptoms of dizziness often felt during a panic attack is caused by increased respiration called as Hyperventilation‚ and while it may be confusing for the individual‚ it is harmless and does not lead to fainting.

3.Fear of Heart Attack: Am I Having A Heart Attack?

This fear really is a minefield and almost anyone who has suffered from panic attack symptoms at some point will fear for the health of their heart. Let us look at the facts of heart disease and see how this differs from panic attacks.

The major symptoms of heart disease are breathlessness and chest pain‚ as well as occasional palpitations and fainting. Such symptoms are generally related to the amount of physical effort exerted. That is‚ the harder you exercise‚ the worse the symptoms‚ and the less you exercise‚ the better.

The symptoms will usually go away quickly if the individual rests. This is very different to panic attack symptoms. Certainly, panic symptoms can occur during exercise. But, they are different to the symptoms of a heart attack as they occur frequently at rest.

Of most importance, heart disease will almost always produce major electrical changes in the heart‚ which are picked up very obviously by an EKG. In panic attacks‚ the only change that shows up on the EKG is a slight increase in heartbeat rate.

Sometimes‚ individuals go through a similar worry about their heart as they do with their breathing. People convince themselves that if they worry enough about their heart‚ or concentrate too much upon its actions‚ that it may somehow get confused and forget how to beat correctly.

It is quite common for people who suffer from panic attacks to regularly check in on their heart at intervals. They always want to make sure it is still beating away.

It is true that‚ mentally‚ we can all affect the pattern of our heartbeats. When you concentrate hard you may notice an irregular beat or two. This is nothing to get upset about. Remember that our bodies have an incredible internal intelligence and simply telling your heart out of panic that it might stop does not mean that it takes any heed of our fears.

Learn to become more comfortable with your heart‚ let it do its job. Listen to it when relaxed and also when exercising. The more comfortable you are with the diversity and range of your heartbeats‚ the more confidence you will have in it when it is exerting itself.

If you are worried about heart problems‚ treat yourself to an EKG‚ and put your mind to rest. If you have had an EKG and the doctor has cleared you‚ you can safely assume you do not have heart problems. Also‚ if your symptoms occur at any time and not solely upon exertion‚ this is additional evidence against a heart disorder.

4.Feeling Unreality/Disconnectedness:

Of all the panic attack symptoms‚ this is perhaps the least mentioned one in the literature (induced by excessive anxiety). It is the sensation of unreality. Many people become distressed by this sensation and feel they may be losing their mind.

People who experience panic attack symptoms report feeling disconnected from their world‚ or having a sensation of unreality. The sensation is described as if the world has become nothing more than a projection of a film. This sensation is quite distressing as it often leads to the individual believing that some permanent damage has been done to their brain‚ causing these sensations.

A typical manifestation of this is when the individual may be having a conversation with someone and suddenly feels alarmingly isolated and removed from the situation. Once the sensation arises it can make such an impact that it takes days to leave the eerie feeling behind and stop thinking about it. 

Autonomic arousal and hormonal flooding make you feel unreal. That’s it.

I mention this because this condition is rarely discussed.

It is important to learn that it is only a side–effect of excessive anxiety and will pass as soon as the body learns to relax. Once the body returns to normal and has the opportunity to dispel some excess chemicals produced by the adrenal glands‚ then this unusual sensation will dissipate.

Give it time‚ and these feelings will subside as you move from a life of anxiety to a more tranquil one.

Over to You

Now you know that the following symptom-associated feelings are irrational and are not real:

  • “I am Going Crazy”
  • “I’ll lose Control and Pass Out in Public”
  • “I’m having a Heart Attack”
  • “The feeling of Unreality is Dangerous”

 Instead, you can say the scientifically true things:

  • “I am not Going Crazy. Panic does not make one go crazy”
  • “I’ll not lose Control and Pass Out in Public. It is highly impossible”
  • “I’m not having a Heart Attack. It is just Anxiety discomfort”
  • “The feeling of Unreality is not Dangerous. It is a temporary discomforting feeling”

     This will be your first step towards recovery.

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