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Panic Attack Symptoms ?

Question:
I have always thought I have PD but after reading what symptoms are caused by PD I am not sure. The only symptom I get is a very nervous stomach. What I mean is, when I am left alone I get bad thoughts of wanting to destroy something here in the house, tearing my clothes of off myself (which I have done a few times, but have not done it in over 3 years) or sometimes wanting to hurt myself. Once I get that kind of a thought my stomach gets all upset and I start to cough and gag. That is the extent of my physical symptoms. However, there are times if I am at a friends house, out to dinner or in a store, or just out and about I get a real strong nervous feeling in my stomach, which is caused by a negative thought. But I say to myself, "I haven't reacted to a thought in a long time and so I won't react now". When I think this way it helps me calm myself down. I also have developed a few phobias over the past 4 1/2 years. This may sound strange to you people but I am not able to drive alone. I cannot not wear button down dress shirts. I can only wear pull over shirts or T-shirts. Button down shirts give me the thought of ripping the buttons and ruining the shirt. I also cannot wear dress slacks....The thin material on dress slacks, in my mind are very easy to rip and destroy. My wardrobe nowadays consist of T-shirts and Levis shorts or jeans

I don't get any of the symptoms that stem from PD such as trembling, shaking, chest pain, fear of dying, shortness of breath...etc. The only thing I do feel or think about is fear of losing control and that happens when I am left alone. Now that I think about it, I think I have more anger in me than anything else. I do know for a fact that my anger stems from my childhood. My mother was verbally abusive and my father did very little to stop here.

Does anybody feel the same way I do or close to it? Any comments on this is greatly appreciated






Answer:
I am curious if you have a diagnosis or if you are even seeing a pdoc? I would suggest that you go see a psych doctor that is knowledgeable in anxiety disorders and get diagnosed. From reading your post a few times, I sense that you *might* be suffering from Obsessive Compulsive disorder. Only a doctor can make that diagnosis, but you seem to have the symptoms. It seems to me that your scary thoughts cause you a great deal of distress, and it also sets off your stomach problems. OCD is a anxiety disorder, it can be treated effectively with medication and therapy. Here is a quote from a OCD website, I will enclose a url for a good website on OCD. Read it and see if you relate to it and then talk to your doctor about it.

~~Obsessions are persistent ideas, thoughts, impulses, or images that are experienced as intrusive and inappropriate and that cause marked anxiety or distress. The intrusive and inappropriate quality of the obsessions has been referred to as "ego-dystonic." This refers to the individual's sense that the content of the obsession is alien, not within his or her own control, and not the kind of thought that he or she would expect to have. However, the individual is able to recognize that the obsessions are the product of his or her own mind and are not imposed form without (as in thought insertion).

The most common obsessions are repeated thoughts about contamination (e.g., becoming contaminated by shaking hands), repeated doubts (e.g., wondering whether one has performed some act such as having hurt someone in a traffic accident or having left a door unlocked), a need to have things in a particular order (e.g., intense distress when objects are disordered or asymmetrical), aggressive or horrific impulses (e.g., to hurt one's child or to shout an obscenity in church), and sexual imagery (e.g., a recurrent pornographic image). The thoughts, impulses, or images are not simply excessive worries about real-life problems (e.g., concerns about current ongoing difficulties in life, such as financial, work, or school problems) and are unlikely to be related to a real-life problem~~~

http://panicdisorder.about.com/msubocd01.htm?pid=2791&cob=home

I'm not a doctor but my gut feeling says that you might have something different going on other than Panic Disorder. According to the criteria for diagnosis you should have three or more of the symptoms. You feel you have only one. You could indeed have anxiety symptoms caused by your thoughts. I would go immediately to the doctor for an assessment since you think you could hurt yourself and because you say you have sometimes acted out your thoughts. You also say that you have a lot of unresolved anger. Perhaps some therapy would help you work through this.



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