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Panic Attack - Medication advise ?

Question:
I have been suffering from Panic Attacks for about 4 years (it started after my daughter was born). I spent much time in multiple doctors offices doing tests (EKG, Upper GI, etc). When I told the doctor what I thought was happening I was told "Think of a Happy Thought". Yeh, right!!! Then I went to a Psychologist and he started me on Klonopin. I stopped seeing him though because I knew that there was nothing in my past triggering these attacks. I had a very difficult time getting off Klonopin but finally






Answer:
I have been suffering from Panic Attacks for about 4 years (it started after my daughter was born). I spent much time in multiple doctors offices doing tests (EKG, Upper GI, etc). When I told the doctor what I thought was happening I was told "Think of a Happy Thought". Yeh, right!!! Then I went to a Psychologist and he started me on Klonopin. I stopped seeing him though because I knew that there was nothing in my past triggering these attacks. I had a very difficult time getting off Klonopin but finally did. I was on Xanax for about 2 years and I liked it better because I could take it when I felt I needed it. I am now on Ativan. My doctor says that it is much faster to work and faster to get out of your body than Xanax. I am doing OK on it. But it is very frustrating because I do not feel like I am making any progress. My Panic attacks are not triggered by any particular activity. I feel as though it is an excess of adrenalin in my body that starts many of my attacks. Many of them start when I am trying to rest (either sitting on the couch, resting in bed, or driving in the car after work). The only way I can get through the days is to know that my medication is in my purse at all times. That scares me. I would love to be able to quit all medication one day. Has anyone had similar experiences and had any luck with medication, etc.

I sympathise with you about about the "think happy thoughts" approach, Kim - likewise therapists who still cling to the silly notion that panic attacks are 'triggered by past events'. While true in a few cases (and excepting PTSD), this is a wholly inappropriate theory for most of us with PD, IMO.

It seems odd that you don't mention treatment with any antidepressants. Is this because your doctor has never tried them with you, because you have and they haven't worked, or because you don't want to take them? They are pretty much a standard line of attack. I'm e-mailing the FAQ as that has a good basic grounding in the subject.

Given that taking benzodiazepines isn't doing the trick, I'd have thought an antidepressant would have been a good idea and I'd also have thought that some cognitive behavioural therapy might be worth a try, too. Though it can often come across as a "think happy thoughts" approach, there is a lot more to it than that and many people do find it useful.





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