For those of us who suffer from anxiety disorders and panic attacks, every day is a bit of a coin toss. We don't know (necessarily) when we get up in the morning whether it's going to be a good day - or a bad day. What, exactly, might send us back under the covers.
There are two basic therapies that, to one degree or another, help take the edge off enough to get through. And, naturally, everyone is different - their anxiety manifests differently and different situations trigger the panic. But, by and large, there are two options.
Just so we're all on the same page here, we're not talking about a case of nerves. This isn't sweaty palms or butterflies in the stomach over a first date. Although it can begin that way.
The kind of anxiety we're talking about is crippling, all out of proportion to the situation. Most everyone gets a little jumpy over new situations. But when it devolves into heart palpitations, shortness of breath, shaking, dizziness, and fight-or-flight reactions; when the physical and mental manifestations make it impossible to function - then, it's time to get help.
Cognitive-Behavioral Therapy (CBT)
CBT is not, in and of itself, therapy. Rather it is an umbrella term for therapies "based on the idea that our thoughts cause our feelings and behaviors, not external things, like people, situations, and events.[1]"
Cognitive-behavioral therapy doesn't say thoughts are wrong or tell people how to think. It begins with the premise that people who seek this form of therapy don't like the way they feel and want to do something to change those feelings. CBT therapists teach their clients how to do that. How to unlearn damaging reactions and behaviors.
For Example:
Years ago, I was married to a man who had issues with working every day and paying his portion of the bills. This caused me great anxiety, as we couldn't survive solely on my income. A natural anxiety, all things considered, that imagined starvation and homelessness.
The problem was, in my mind the situation magnified to such a point that spending any money caused intense panic. I simply 'knew' that the minute I paid out anything, something would happen and we'd be out on the street, living in our cars. Those thoughts became so internalized, so completely ingrained, that I couldn't pay bills.
Credit counseling, in this case, wasn't the answer. I had to change my thought process; recognize that I was way over the top and doing myself serious financial damage. It took time, and counseling, but I got there. (Sadly, not before I did some serious damage to my credit rating.)
Medications
There are a number of medications that are effective for anxiety. As with any other condition, not everyone responds to all treatments. Sometimes, the side effects override the benefits.
Rather than attempt to describe all forms of medications that are prescribed for anxiety disorders, let's look at what the medications (when they work) accomplish. In a nutshell, they reduce the physical symptoms of panic attacks. By eliminating or reducing these crippling mental and emotional reactions, medications offer patients time to calmly and rationally assess the situation and manage their response to the trigger.
For Example:
In my I-can't-pay-the-bills-cuz-I'll-end-up-homeless scenario, just opening a credit card bill was enough to make my heart pound, my palms sweat. I'd get dizzy and have trouble catching my breath. Once these symptoms kicked in, there wasn't much I could do but hold on for the ride.
With medication, the extreme physical fight-or-flight didn't happen. This aborted the roller coaster ride, before it even got started. Or, more accurately, lowered the peaks and raised the valleys of the anxiety.
Because I didn't have to deal with the immediate panic, I was able to (literally) take a deep breath and do the right thing. It didn't solve the problem of a husband who was financially irresponsible. But it did keep me from giving in to damaging behavior patterns.
Bottom Line
Anxiety and panic disorders are potentially crippling conditions. They keep people from functioning and, often, lead to additional problems because of the dysfunction. Untreated, life becomes a series of ever more crippling thoughts and irrational behaviors.
Therapy or medication alone is, frequently, insufficient to combat the combination of physical and mental processes that comprise anxiety and/or panic disorders. Reducing physical symptoms and retraining thought patterns is, from my experience, the best management option.
- Source: National Association of Cognitive-Behavioral Therapists, What is CBT?